New York State Department of Health, Wadsworth Center
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Northwell Hlth Phys Ptnrs Kidney and Hypertension Spec at Great Neck
PFI: T942 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (516) 465-8200 Fax: (516) 565-8202 Address: 100 Community Drive, Great Neck, NY 11021 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256
PFI: T942 Secondary Site ID: 0008 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (631) 439-7257 Fax: (631) 439-7292 Address: 620 Main Street, Islip, NY 11751 County: Suffolk Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256
PFI: T944 Secondary Site ID: 0025 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 273-5500 Fax: Address: 2 Teleport Dr - Suite 207, Staten Island, NY 10309 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992
PFI: T944 Secondary Site ID: 0013 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 816-4949 Fax: (718) 273-5504 Address: 1000 South Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992
PFI: T944 Secondary Site ID: 0015 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 370-1400 Fax: (718) 317-9134 Address: 1200 South Ave - Suite 301, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 370-7967 CLIA #: 33D2057992
PFI: T944 Secondary Site ID: 0009 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 667-6767 Fax: Address: 217 Rose Avenue, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992
PFI: T944 Secondary Site ID: 0011 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 979-1777 Fax: (718) 273-2025 Address: 11 Ralph Place - Suite 317B, Staten Island, NY 10304 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992