PFI: E302 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jay M Brenner, M.D. Phone: (315) 469-0053 Fax: Address: 6505 S Salina St, Nedrow, NY 13120 County: Onondaga Country: United States Single or Primary Contact: Mr. Paul Tiss Contact Phone: (315) 459-1190 CLIA #: 33D2236682
PFI: E303 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristin A Matteson, D.O. Phone: (716) 712-0864 Fax: (716) 712-0869 Address: 220 Redtail - Suite 2, Orchard Park, NY 14127 County: Erie Country: United States Single or Primary Contact: Dawn Coburn Contact Phone: (716) 206-1568 CLIA #: 33D2234221
PFI: E304 Secondary Site ID: 0001 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (518) 897-1454 Fax: (518) 891-6813 Address: 79 Canaras Ave, Saranac Lake, NY 12983 County: Franklin Country: United States Single or Primary Contact: Erika Bezio Contact Phone: (518) 897-1454 CLIA #: 33D2238673
PFI: E304 Secondary Site ID: 0002 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (518) 891-3198 Fax: (518) 891-4575 Address: 93 Main St, Bloomingdale, NY 12913 County: Essex Country: United States Single or Primary Contact: Erika Bezio Contact Phone: (518) 897-1753 CLIA #: 33D2238673
PFI: E304 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (518) 897-1551 Fax: (518) 891-4224 Address: 141 Petrova Ave, Saranac Lake, NY 12983 County: Franklin Country: United States Single or Primary Contact: Erika Bezio Contact Phone: (518) 897-1467 CLIA #: 33D2238673
PFI: E305 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kim Petrone, M.D. Phone: (585) 697-6800 Fax: (585) 342-9166 Address: 920 Cherry Ridge Blvd, Webster, NY 14580 County: Monroe Country: United States Single or Primary Contact: Eve Scofield Contact Phone: (585) 697-6411 CLIA #: 33D2234184
PFI: E311 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan D McConn, M.D. Phone: (315) 703-3480 Fax: (315) 552-6701 Address: 6711 Towpath Rd - Suite 265, East Syracuse, NY 13057 County: Onondaga Country: United States Single or Primary Contact: Ms. Rebecca Salmon Contact Phone: (315) 552-6711 CLIA #: 33D2236075
PFI: E313 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark W Guelzow, M.D. Phone: (631) 228-5532 Fax: (631) 396-6850 Address: 3279 Veterans Memorial Hwy, Ronkonkoma, NY 11779 County: Suffolk Country: United States Single or Primary Contact: Ms. Kate Scaccia Contact Phone: (516) 330-1268 CLIA #: 33D2236689
PFI: E316 Secondary Site ID: 0000 Certification Type: WAIVER Director: Phil Occhino, Pharm.D. Phone: (716) 423-2313 Fax: (716) 423-2329 Address: 3920 Main St. Ste 150, Amherst, NY 14226 County: Erie Country: United States Single or Primary Contact: Phil Occhino Contact Phone: (716) 423-2313 CLIA #: 33D2185416
PFI: E318 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Melnick, M.D. Phone: (929) 452-5000 Fax: (718) 364-5174 Address: 410 E 189th St, Bronx, NY 10458 County: Bronx Country: United States Single or Primary Contact: Ms. Toni Maio Contact Phone: (929) 452-5000 CLIA #: 33D2236716