New York State Department of Health, Wadsworth Center
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Walgreens No. 11904
PFI: E382 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 768-9550 Fax: (585) 768-9562 Address: 8 W Main St, Re Roy, NY 14482 County: Genesee Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237903
PFI: E383 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 536-1401 Fax: (315) 536-1407 Address: 226 Liberty St, Penn Yan, NY 14527 County: Yates Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237901
PFI: E384 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 386-8611 Fax: (315) 386-2858 Address: 97 E Main St, Canton, NY 13617 County: St. Lawrence Country: United States Single or Primary Contact: Contact Phone: (847) 527-4238 CLIA #: 33D2237906
PFI: E386 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 210-4701 Fax: (585) 210-4707 Address: 665 Long Post Rd, Rochester, NY 14612 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237910
PFI: E387 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 244-2160 Fax: (585) 244-2168 Address: 1650 Elmwood Ave, Rochester, NY 14620 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237912
PFI: E389 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 764-0204 Fax: (315) 764-1063 Address: 303 Main St, Massena, NY 13662 County: St. Lawrence Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237915
PFI: E390 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (607) 776-6039 Fax: (607) 776-2064 Address: 321 W Washington St, Bath, NY 14810 County: Steuben Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237916
PFI: E391 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 317-5085 Fax: (718) 317-5170 Address: 758 Arthur Kill Rd, Staten Island, NY 10312 County: Richmond Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237918
PFI: E392 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 339-5290 Fax: (315) 339-7278 Address: 1616 Black River Blvd, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237919
PFI: E393 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (516) 433-2711 Fax: (516) 681-6422 Address: 210 S Broadway, Hicksville, NY 11801 County: Nassau Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237920
PFI: E394 Secondary Site ID: 0000 Certification Type: WAIVER Director: Wahid A Mohammed, M.D. Phone: (718) 732-4288 Fax: (718) 732-4287 Address: 7203 35th Ave, Jackson Heights, NY 11372 County: Queens Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2237614
PFI: E395 Secondary Site ID: 0000 Certification Type: WAIVER Director: Candice P Lyke-Frazier, N.P. Phone: (555) 555-5555 Fax: (844) 444-0871 Address: 10 Hanover Square - 1st Floor, New York, NY 10005 County: New York Country: United States Single or Primary Contact: David Carr Contact Phone: (917) 515-7500 CLIA #: 33D2237581
PFI: E398 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 697-7595 Fax: (315) 697-9618 Address: 423 S Peterboro St, Canastota, NY 13032 County: Madison Country: United States Single or Primary Contact: Contact Phone: (847) 527-4238 CLIA #: 33D2237922
PFI: E400 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 485-6459 Fax: (585) 485-6460 Address: 3122 Monroe Ave, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237926
PFI: E402 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (845) 744-8845 Fax: (845) 744-8848 Address: 2460 State Rte 52, Pine Bush, NY 12566 County: Orange Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237930