New York State Department of Health, Wadsworth Center
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Carl Mills II MD
PFI: W573 Secondary Site ID: 0000 Certification Type: PPMP Director: Carl Mills, M.D. Phone: (631) 509-4802 Fax: (631) 509-1866 Address: 635 Belle Terre Rd - Suite 201, Port Jefferson Sta, NY 11777 County: Suffolk Country: United States Single or Primary Contact: Katie Bottge Contact Phone: (631) 509-4802 CLIA #: 33D2119268
PFI: W575 Secondary Site ID: 0000 Certification Type: WAIVER Director: Margaret F Cunningham, N.P. Phone: (585) 786-8940 Fax: (585) 786-7916 Address: 408 N Main Street, Warsaw, NY 14569 County: Wyoming Country: United States Single or Primary Contact: Margaret Cunningham Contact Phone: (585) 813-2807 CLIA #: 33D2119252
PFI: W578 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter S Kim, M.D. Phone: (646) 215-2244 Fax: (646) 215-2245 Address: 156 William St, New York, NY 10038 County: New York Country: United States Single or Primary Contact: Juliana de Campos Contact Phone: (646) 215-2246 CLIA #: 33D2123068
PFI: W579 Secondary Site ID: 0000 Certification Type: PPMP Director: Alyssa H Korenstein, M.D. Phone: (212) 441-4401 Fax: (212) 867-4353 Address: 25 Hudson Street, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2119249
PFI: W586 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas J Kim, M.D. Phone: (518) 597-3029 Fax: (518) 216-4076 Address: 2673 Main St, Crown Point, NY 12928 County: Essex Country: United States Single or Primary Contact: Lia Mcfarline Contact Phone: (802) 388-4717 CLIA #: 33D0865099
PFI: W592 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd M. Podkowka, M.D. Phone: (315) 684-1135 Fax: (315) 684-9342 Address: 27 Cedar Street, Morrisville, NY 13408 County: Madison Country: United States Single or Primary Contact: Hayden Scott Contact Phone: (713) 824-9666 CLIA #: 33D2123968
St Francis Cardiovascular Physicians PC GSH Island Healthcare
PFI: W600 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph Gigante, D.O. Phone: (631) 758-2220 Fax: (631) 758-8355 Address: 1647 Rte 112, Medford, NY 11763 County: Suffolk Country: United States Single or Primary Contact: Mary Rosa Contact Phone: (631) 758-2220 CLIA #: 33D0158290
St Francis Cardiovascular Physicians PC GSH Island Healthcare
PFI: W602 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph Gigante, D.O. Phone: (631) 422-3377 Fax: Address: 373 Sunrise Hwy, West Babylon, NY 11704 County: Suffolk Country: United States Single or Primary Contact: Mary Rosa Contact Phone: (631) 758-2220 CLIA #: 33D0864094
PFI: W612 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffery J Grace, M.D. Phone: (716) 768-4040 Fax: (716) 768-1353 Address: 254 Virginia Street, Buffalo, NY 14201 County: Erie Country: United States Single or Primary Contact: Elizabeth Smith Contact Phone: (716) 768-4040 CLIA #: 33D2121956
PFI: W614 Secondary Site ID: 0000 Certification Type: WAIVER Director: Natalie O Dennen, P.A. Phone: (315) 764-4191 Fax: (315) 764-4901 Address: 45 County Rte 42, Massena, NY 13662 County: St. Lawrence Country: United States Single or Primary Contact: June A Hitsman Contact Phone: (315) 764-4191 CLIA #: 33D2121077