PFI: E332 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Paul M Longphre, M.D. Phone: (212) 220-1576 Fax: (714) 922-1039 Address: 444 Madison Ave - 16th Fl, New York, NY 10022 County: Bronx Country: United States Single or Primary Contact: Ms. Regina Jimenez Contact Phone: (657) 208-5559 CLIA #: 33D2236047
PFI: E333 Secondary Site ID: 0000 Certification Type: WAIVER Director: Demy Sebastian, N.P. Phone: (646) 901-4699 Fax: (646) 901-4702 Address: 2484 Adam Clayton Powell Jr Blvd, New York, NY 10030 County: New York Country: United States Single or Primary Contact: Davis Sebastian Contact Phone: (845) 323-1923 CLIA #: 33D2236788
PFI: E334 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan D McConn, M.D. Phone: (315) 552-6700 Fax: (315) 552-6701 Address: 5496 E Taft Rd, North Syracuse, NY 13212 County: Onondaga Country: United States Single or Primary Contact: Ms. Rebecca Salmon Contact Phone: (315) 552-6711 CLIA #: 33D2236069
PFI: E335 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan D McConn, M.D. Phone: (315) 432-4900 Fax: (315) 552-6701 Address: 5417 W Genesee St - Suite 1, Camillus, NY 13031 County: Onondaga Country: United States Single or Primary Contact: Ms. Rebecca Salmon Contact Phone: (315) 552-6711 CLIA #: 33D2236071
PFI: E338 Secondary Site ID: 0000 Certification Type: WAIVER Director: Russell Kamer, M.D. Phone: (914) 288-9396 Fax: (914) 288-9516 Address: 15 N Broadway - Suite E, White Plains, NY 10601 County: Westchester Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2205856
PFI: E339 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jose R Canario, M.D. Phone: (607) 869-5391 Fax: (607) 869-5961 Address: 5705 Main St, Romulus, NY 14541 County: Seneca Country: United States Single or Primary Contact: Mr. Martin Rotz Contact Phone: (607) 869-5391 CLIA #: 33D2236080
PFI: E341 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louis A Corsaro, M.D. Phone: (845) 628-3415 Fax: (845) 628-0261 Address: 179 E Lake Blvd, Mahopac, NY 10541 County: Putnam Country: United States Single or Primary Contact: Mr. Greg Stowell Contact Phone: (845) 628-3451 CLIA #: 33D2237770
PFI: E342 Secondary Site ID: 0000 Certification Type: WAIVER Director: Johanna C Innes, M.D. Phone: (585) 599-5088 Fax: Address: 9993 Alleghany Rd, Darien Lake, NY 14040 County: Genesee Country: United States Single or Primary Contact: Peter Demmer Contact Phone: (585) 599-5088 CLIA #: 33D2236793
PFI: E344 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristen L Thornton, M.D. Phone: (315) 204-0397 Fax: (855) 418-2317 Address: 5015 Campuswood Dr - Suite 107, East Syracuse, NY 13057 County: Onondaga Country: United States Single or Primary Contact: Cassandra LaFlair Contact Phone: (315) 204-0397 CLIA #: 33D2237611
PFI: E348 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman Eli Younesi, M.D. Phone: (718) 634-3400 Fax: (718) 634-3403 Address: 115-02 Ocean Promenade, Rockaway Park, NY 11694 County: Queens Country: United States Single or Primary Contact: Elina L Veksler Contact Phone: (718) 840-3355 CLIA #: 33D2236733
PFI: E351 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert P Nielson, M.D. Phone: (518) 879-1160 Fax: Address: 14 Spring St, Schuylerville, NY 12871 County: Saratoga Country: United States Single or Primary Contact: Mr. Gregg Barthelmas Contact Phone: (518) 879-1160 CLIA #: 33D2236929
TLC Health Care Services of Nassau Suffolk LLC dba TLC an Amedisys Co
PFI: E352 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam M Carpentieri, D.O. Phone: (914) 205-5708 Fax: (866) 380-0560 Address: 22 Saw Mill River Rd - Suite 306, Hawthorne, NY 10532 County: Westchester Country: United States Single or Primary Contact: Dina Malcomb Contact Phone: (225) 299-3531 CLIA #: 33D2236737