New York State Department of Health, Wadsworth Center
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Hazelden New York
PFI: U217 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stanislav Robert Vorel, M.D., Ph.D. Phone: (646) 601-7055 Fax: (212) 226-4569 Address: 283 West Broadway, New York, NY 10013-2204 County: New York Country: United States Single or Primary Contact: Eliana Love Contact Phone: (646) 601-7028 CLIA #: 33D2072074
PFI: U217 Secondary Site ID: 0001 Certification Type: WAIVER Director: Stanislav Robert Vorel, M.D., Ph.D. Phone: (212) 226-1114 Fax: (212) 420-9664 Address: 283 W Broadway, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Eliana Love Contact Phone: (646) 601-7028 CLIA #: 33D2072074
PFI: U227 Secondary Site ID: 0000 Certification Type: WAIVER Director: John A Kruse, D.O. Phone: (716) 941-5353 Fax: (716) 941-5774 Address: 8511 Center St., Colden, NY 14033 County: Erie Country: United States Single or Primary Contact: Ronald L Smith Contact Phone: (716) 628-8889 CLIA #: 33D2075126
PFI: U227 Secondary Site ID: 0001 Certification Type: WAIVER Director: John A Kruse, D.O. Phone: (716) 941-5353 Fax: (716) 941-5774 Address: 8448 Gutekunst Rd, Colden, NY 14033 County: Erie Country: United States Single or Primary Contact: Ronald L Smith Contact Phone: (716) 628-8889 CLIA #: 33D2075126
PFI: U229 Secondary Site ID: 0000 Certification Type: WAIVER Director: Justine Magurno, M.D. Phone: (315) 864-8594 Fax: (315) 864-8599 Address: 587 Main St - Suite 108, New York Mills, NY 13417 County: Oneida Country: United States Single or Primary Contact: Holly Seidl Michel Contact Phone: (614) 361-9509 CLIA #: 33D2070619
PFI: U232 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott M Glick, D.O. Phone: (585) 554-6657 Fax: (585) 554-1073 Address: 817 State Rte 245, Middlesex, NY 14507 County: Yates Country: United States Single or Primary Contact: Jason Johnson Contact Phone: (585) 315-8604 CLIA #: 33D2077982
PFI: U240 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nicole S Jackson, N.P. Phone: (845) 628-2255 Fax: (845) 628-2258 Address: 126 Union Ave, Peekskill, NY 10566 County: Westchester Country: United States Single or Primary Contact: Robert Dalton Contact Phone: (845) 628-2255 CLIA #: 33D2072081
Drs Ruggiero Ladinsky Stambler Northorn and Darrow
PFI: U241 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Jay B. Stambler, M.D. Phone: (631) 581-0123 Fax: (631) 581-2879 Address: 126 E Main St, East Islip, NY 11730 County: Suffolk Country: United States Single or Primary Contact: Mike Papez Contact Phone: (516) 477-5713 CLIA #: 33D0156859
PFI: U250 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam P Fenton, P.A. Phone: (315) 363-2123 Fax: (315) 363-2549 Address: 603 Seneca St, Oneida, NY 13421 County: Madison Country: United States Single or Primary Contact: Erica Douglass Contact Phone: (315) 361-2020 CLIA #: 33D2073598
Trustees of Columbia University in the City of NY - Dept of Medicine
PFI: U252 Secondary Site ID: 0000 Certification Type: WAIVER Director: Seth D Feltheimer, M.D. Phone: (212) 342-3501 Fax: (212) 305-4885 Address: 161 Fort Washington Ave, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Barbara Sloane Contact Phone: (917) 690-8489 CLIA #: 33D2073599
PFI: U252 Secondary Site ID: 0001 Certification Type: WAIVER Director: Seth D Feltheimer, M.D. Phone: (212) 932-4461 Fax: (212) 932-5454 Address: 5141 Broadway, New York, NY 10034 County: New York Country: United States Single or Primary Contact: Barbara Sloane Contact Phone: (212) 932-4461 CLIA #: 33D2073599
ColumbiaDoctors Department of Medicine - Harkness Pavilion
PFI: U252 Secondary Site ID: 0003 Certification Type: WAIVER Director: Seth D Feltheimer, M.D. Phone: (212) 342-3501 Fax: (212) 305-4885 Address: 180 Fort Washington Avenue, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Barbara Sloane Contact Phone: (212) 342-3501 CLIA #: 33D2073599