PFI: U313 Secondary Site ID: 0000 Certification Type: WAIVER Director: Katherine B Halstead, N.P. Phone: (516) 361-4165 Fax: (516) 806-4329 Address: 100 E Old Country Road, Hicksville, NY 11801 County: Nassau Country: United States Single or Primary Contact: Dr. Katherine Halstead Contact Phone: (315) 247-8534 CLIA #: 33D2080928
PFI: U317 Secondary Site ID: 0000 Certification Type: WAIVER Director: Julia G Adamian, M.D. Phone: (212) 263-8313 Fax: (212) 263-8995 Address: 222 E 41st St, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Obi Ikpeze Contact Phone: (212) 263-8313 CLIA #: 33D2079079
PFI: U318 Secondary Site ID: 0000 Certification Type: WAIVER Director: Emile Wassel, M.D. Phone: (315) 377-3090 Fax: (315) 376-9983 Address: 7785 N State St - Suite 1, Lowville, NY 13367 County: Lewis Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 341-6410 CLIA #: 33D2074654
Forme Rehabilitation Inc dba Forme Urgent Care and Wellness Center
PFI: U325 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gary T Midelton, M.D. Phone: (914) 723-4900 Fax: (914) 902-9011 Address: 7-11 S Broadway - Suite 100, White Plains, NY 10601 County: Westchester Country: United States Single or Primary Contact: Gina Cappelli Contact Phone: (914) 723-4900 CLIA #: 33D2077056
PFI: U326 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Jim C Lee, M.D. Phone: (585) 758-7530 Fax: (585) 395-1847 Address: 156 West Ave, Brockport, NY 14220 County: Monroe Country: United States Single or Primary Contact: Staci Evenhouse Contact Phone: (585) 275-7675 CLIA #: 33D2075564
PFI: U329 Secondary Site ID: 0000 Certification Type: WAIVER Director: Shari A Miller, N.P. Phone: (585) 453-4755 Fax: (585) 453-4930 Address: 513 Technology Blvd, Rochester, NY 14626 County: Monroe Country: United States Single or Primary Contact: Shari Miller Contact Phone: (585) 453-4755 CLIA #: 33D2076337
Fire Department City of New York - Washington Heights Station
PFI: U330 Secondary Site ID: 0006 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (212) 923-1827 Fax: (212) 923-1805 Address: 501 W 172nd Street, New York, NY 10033 County: New York Country: United States Single or Primary Contact: Dinorah Claudio Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Cumberland Station
PFI: U330 Secondary Site ID: 0018 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 403-7243 Fax: (718) 625-7458 Address: 100 North Portland, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Dinorah Claudio Contact Phone: (718) 999-1738 CLIA #: 33D2076316