PFI: E560 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmad M Al-Salameh, M.D. Phone: (315) 668-1202 Fax: (315) 668-5268 Address: 98 N 2nd St - Suite 101, Fulton, NY 13069 County: Oswego Country: United States Single or Primary Contact: Ms. Rebecca Kimberly Contact Phone: (315) 592-3995 CLIA #: 33D2241551
PFI: E561 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmad M Al-Salameh, M.D. Phone: (315) 592-3930 Fax: (315) 592-3932 Address: 522 S 4th St - Suite 1700, Fulton, NY 13069 County: Oswego Country: United States Single or Primary Contact: Rebecca Kimberly Contact Phone: (315) 592-3995 CLIA #: 33D2150118
PFI: E565 Secondary Site ID: 0000 Certification Type: WAIVER Director: John F. Orosz, M.D. Phone: (716) 592-2871 Fax: Address: 210 E Main Street, Springville, NY 14141 County: Erie Country: United States Single or Primary Contact: Jacqelyn Logan Contact Phone: (716) 592-2871 CLIA #: 33D2242133
PFI: E569 Secondary Site ID: 0000 Certification Type: WAIVER Director: John A Capotorto,RPh Phone: (718) 685-2880 Fax: (718) 685-2826 Address: 4010 25th Ave, Astoria, NY 11103 County: Queens Country: United States Single or Primary Contact: Mr. Mohammad Hassan Contact Phone: (718) 685-2880 CLIA #: 33D2212225
PFI: E571 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gregory J. Healey, M.D. Phone: (315) 714-3135 Fax: (844) 206-5207 Address: 91 Main St, Canton, NY 13617 County: St. Lawrence Country: United States Single or Primary Contact: Kathy Race Contact Phone: (315) 528-8552 CLIA #: 33D2245038
PFI: E575 Secondary Site ID: 0001 Certification Type: WAIVER Director: Kevin A. Gallagher, M.D. Phone: (518) 761-6964 Fax: (518) 761-0804 Address: 10 Sanford St, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Anthony Muller Contact Phone: (518) 581-3722 CLIA #: 33D2242164
PFI: E575 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin A. Gallagher, M.D. Phone: (518) 746-3400 Fax: (518) 746-3409 Address: 1051 Dix Ave, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Anthony Muller Contact Phone: (518) 581-3722 CLIA #: 33D2242164
PFI: E575 Secondary Site ID: 0002 Certification Type: WAIVER Director: Kevin A. Gallagher, M.D. Phone: (518) 746-3885 Fax: (518) 747-0620 Address: 12 Washington St, Fort Edward, NY 12828 County: Washington Country: United States Single or Primary Contact: Anthony Muller Contact Phone: (518) 581-3722 CLIA #: 33D2242164
PFI: E575 Secondary Site ID: 0003 Certification Type: WAIVER Director: Kevin A. Gallagher, M.D. Phone: (518) 581-3600 Fax: (518) 581-3609 Address: 15 Henning Rd, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Anthony Muller Contact Phone: (518) 581-3722 CLIA #: 33D2242164
PFI: E577 Secondary Site ID: 0000 Certification Type: WAIVER Director: Evan H Feinberg, M.D. Phone: (516) 354-2110 Fax: (516) 488-6790 Address: 841 Liberty Place, Franklin Square, NY 11010 County: Nassau Country: United States Single or Primary Contact: Thomas Ferrara Contact Phone: (516) 320-5244 CLIA #: 33D2242493
PFI: E582 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joshua E Chesir, M.D. Phone: (845) 634-7900 Fax: (845) 634-0632 Address: 337 N Main St - Suite 4, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Dr. Joshua Chesir Contact Phone: CLIA #: 33D0680755
PFI: E583 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael A Perrino, M.D., D.D.S. Phone: (212) 787-7070 Fax: Address: 148 W 90th St - South Lobby, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Dr. Scott Gaynor Contact Phone: (212) 787-7070 CLIA #: 33D2243448