New York State Department of Health, Wadsworth Center
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Russell Kamer MD
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
PFI: E355 Secondary Site ID: 0000 Certification Type: WAIVER Director: Candice P Lyke-Frazier, N.P. Phone: (716) 214-0498 Fax: (844) 444-0871 Address: 5363 Main St, Williamsville, NY 14221 County: Erie Country: United States Single or Primary Contact: Mr. David Carr Contact Phone: (917) 515-7500 CLIA #: 33D2237575
PFI: E356 Secondary Site ID: 0000 Certification Type: WAIVER Director: Candice P Lyke-Frazier, N.P. Phone: (607) 365-1993 Fax: (844) 444-0871 Address: 74 Front St, Binghamton, NY 13905 County: Broome Country: United States Single or Primary Contact: Mr. David Carr Contact Phone: (917) 515-7500 CLIA #: 33D2237577
PFI: E357 Secondary Site ID: 0000 Certification Type: WAIVER Director: Candice P Lyke-Frazier, N.P. Phone: (347) 428-1302 Fax: (844) 444-0871 Address: 22 W 19th St - 2nd Floor, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Mr. David Carr Contact Phone: (917) 515-7500 CLIA #: 33D2237578
PFI: E358 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paula H Zagrobelny, N.P. Phone: (585) 786-8727 Fax: (585) 786-0436 Address: 171 N Maple St - Unit C Rm 31, Warsaw, NY 14569 County: Wyoming Country: United States Single or Primary Contact: Dr. Kevin M Ward Contact Phone: (585) 704-5621 CLIA #: 33D2205589
PFI: E360 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 869-1520 Fax: (518) 869-1574 Address: 2061 Western Ave, Guilderland, NY 12084 County: Albany Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237046