New York State Department of Health, Wadsworth Center
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Guthrie Ithaca City Harbor
PFI: U632 Secondary Site ID: 0007 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 219-4600 Fax: Address: 720 Willow Ave, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 330-0489 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0000 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 753-9977 Fax: (607) 887-6864 Address: 4057 West Rd, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (570) 887-5087 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0009 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 753-1340 Fax: Address: 141 Groton Ave, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 756-3816 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0004 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 428-5757 Fax: (607) 428-5759 Address: 11 Alvena Avenue - Suite 103, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 428-5757 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0008 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 257-5858 Fax: Address: 1780 Hanshaw Rd, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 257-5858 CLIA #: 33D2091475
PFI: U633 Secondary Site ID: 0000 Certification Type: PPMP Director: Victor O Idahosa, M.D. Phone: (607) 821-2444 Fax: (607) 948-1030 Address: 348 Broad Street, Waverly, NY 14892 County: Tioga Country: United States Single or Primary Contact: Victor O. Idahosa Contact Phone: (646) 919-0354 CLIA #: 33D2089324
PFI: U640 Secondary Site ID: 0047 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 227-6665 Fax: (631) 289-1046 Address: 9 Village Green, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
NYU Langone Long Island Surgical Associates - Patchogue
PFI: U640 Secondary Site ID: 0046 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 228-5801 Fax: (929) 455-9827 Address: 100 Hospital Rd - Suite 115, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0045 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 887-7000 Fax: (516) 663-8824 Address: 1200 W Broadway - Suite 5, Hewlett, NY 11557 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0043 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 288-7120 Fax: (631) 654-3329 Address: 285 Sills Rd - Bldg 14, East Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0039 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 431-5064 Fax: (516) 432-4516 Address: 340 W Park Ave, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
NYU Langone Gastroenterology Assoc - Glen Cove - Lake Success
PFI: U640 Secondary Site ID: 0037 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 504-9204 Fax: (516) 365-0548 Address: 1991 Marcus Ave - Suite 101, Lake Success, NY 11042 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0029 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 535-1900 Fax: (516) 535-1905 Address: 944 Park Ave, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0028 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 727-2100 Fax: (631) 727-2646 Address: 1279 E Main Street, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0026 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 477-0070 Fax: (631) 477-8983 Address: 74825 Main Rd, Greenport, NY 11944 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243