New York State Department of Health, Wadsworth Center
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NYU Langone Ambulatory Care Lake Success - 2001 Marcus Avenue
PFI: U804 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark Fierstein, M.D. Phone: (516) 686-0500 Fax: (646) 754-7509 Address: 2001 Marcus Ave, Lake Success, NY 11042 County: Nassau Country: United States Single or Primary Contact: April Henrichs Contact Phone: (516) 524-1004 CLIA #: 33D0143620
PFI: U806 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sangeet Khanna, M.D. Phone: (212) 602-1400 Fax: (212) 602-1892 Address: 214 W 116th Street, New York, NY 10026 County: New York Country: United States Single or Primary Contact: Ira Gonzalez Contact Phone: (212) 602-1400 CLIA #: 33D2094969
PFI: U812 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel E Charnoff, M.D. Phone: (212) 220-8257 Fax: (212) 220-2367 Address: 199 Chambers St N-380, New York, NY 10007 County: New York Country: United States Single or Primary Contact: Jennifer Neidig Contact Phone: (212) 220-8257 CLIA #: 33D2098489
PFI: U813 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (646) 602-8237 Fax: (401) 652-0467 Address: 215 Park Ave South, New York, NY 10003-1603 County: New York Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-2620 CLIA #: 33D2101022
PFI: U814 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (718) 543-2007 Fax: (401) 652-0467 Address: 565 W 235th St, Bronx, NY 10463-1650 County: Bronx Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-2620 CLIA #: 33D2101023
PFI: U820 Secondary Site ID: 0000 Certification Type: WAIVER Director: James Bregman, M.D. Phone: (914) 422-8517 Fax: (914) 422-6101 Address: 77 S Lexington Avenue, White Plains, NY 10601 County: Westchester Country: United States Single or Primary Contact: Ryan Wiley Contact Phone: (914) 422-8517 CLIA #: 33D2098822
PFI: U824 Secondary Site ID: 0000 Certification Type: WAIVER Director: William G Santiago, M.D. Phone: (607) 753-0993 Fax: (607) 756-5917 Address: 4005 West Road, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Mary Tracy Contact Phone: (607) 753-0993 CLIA #: 33D2097251
PFI: U833 Secondary Site ID: 0001 Certification Type: WAIVER Director: Gary L Neifeld, M.D. Phone: (845) 221-2481 Fax: (845) 227-6531 Address: 320 Rte 376, Hopewell Junction, NY 12533 County: Dutchess Country: United States Single or Primary Contact: Mr. Gary Saltzburg Contact Phone: (914) 475-3516 CLIA #: 33D2096343
PFI: U833 Secondary Site ID: 0002 Certification Type: WAIVER Director: Gary L Neifeld, M.D. Phone: (845) 897-4280 Fax: (845) 227-6531 Address: 6 West Hook Road, Hopewell Junction, NY 12533 County: Dutchess Country: United States Single or Primary Contact: Mr. Gary Saltzburg Contact Phone: (914) 475-3516 CLIA #: 33D2096343
PFI: U833 Secondary Site ID: 0003 Certification Type: WAIVER Director: Gary L Neifeld, M.D. Phone: (845) 221-5661 Fax: (845) 227-6531 Address: 112 Old Rte 52, Stormville, NY 12582 County: Dutchess Country: United States Single or Primary Contact: Mr. Gary Saltzburg Contact Phone: (914) 475-3516 CLIA #: 33D2096343
PFI: U833 Secondary Site ID: 0004 Certification Type: WAIVER Director: Gary L Neifeld, M.D. Phone: (845) 227-8860 Fax: (845) 227-6531 Address: 207 Hillside Lake Road, Wappingers Falls, NY 12590 County: Dutchess Country: United States Single or Primary Contact: Mr. Gary Saltzburg Contact Phone: (914) 475-3516 CLIA #: 33D2096343
PFI: U833 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gary L Neifeld, M.D. Phone: (845) 226-1652 Fax: (845) 227-6531 Address: 2502 Rte 52, Hopewell Junction, NY 12533 County: Dutchess Country: United States Single or Primary Contact: Mr. Gary Saltzburg Contact Phone: (914) 475-3516 CLIA #: 33D2096343
PFI: U836 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maja L. Lundborg-Gray, M.D. Phone: (845) 895-2754 Fax: Address: 863 Plains Rd, Wallkill, NY 12589 County: Ulster Country: United States Single or Primary Contact: Steven K Palmer Contact Phone: (443) 521-3508 CLIA #: 33D2101506