New York State Department of Health, Wadsworth Center
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Mosaic Health Ilion
PFI: W210 Secondary Site ID: 0000 Certification Type: WAIVER Director: Cynthia L Jones, M.D. Phone: (315) 444-1900 Fax: (315) 894-3097 Address: 55 Central Plaza - Suite B, Ilion, NY 13357 County: Herkimer Country: United States Single or Primary Contact: Christine Lynch Contact Phone: (315) 444-1900 CLIA #: 33D2111757
PFI: W212 Secondary Site ID: 0000 Certification Type: PPMP Director: Elizabeth A Ring, N.P. Phone: (212) 360-3278 Fax: (212) 620-0688 Address: 35 E 125th Street, Room 536, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D2111204
PFI: W223 Secondary Site ID: 0000 Certification Type: PPMP Director: Brian L Africa, M.D. Phone: (212) 624-1080 Fax: (212) 624-1074 Address: 111 8th Ave, Suite 810, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2109791
PFI: W224 Secondary Site ID: 0000 Certification Type: PPMP Director: Noah Perfecto Canlas, M.D. Phone: (212) 530-0639 Fax: (212) 867-4353 Address: 408 W 14th St - Suite 201, New York, NY 10014 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2028174
PFI: W225 Secondary Site ID: 0000 Certification Type: PPMP Director: Elbert K St Claire, III, M.D. Phone: (212) 530-0624 Fax: (212) 867-4353 Address: 1790 Broadway - 18th Fl Ste 1802, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2032787
PFI: W226 Secondary Site ID: 0000 Certification Type: PPMP Director: Chance Turner, N.P. Phone: (212) 530-0630 Fax: (212) 867-4353 Address: 30 Broad St - 45th Floor, New York, NY 10004 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2011873
PFI: W230 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert Miller, D.O. Phone: (516) 883-2200 Fax: (516) 883-2659 Address: 423 Port Washington Blvd, Port Washington, NY 11050 County: Nassau Country: United States Single or Primary Contact: Elizabeth Weisburd Contact Phone: (516) 238-4801 CLIA #: 33D2109648
PFI: W233 Secondary Site ID: 0000 Certification Type: WAIVER Director: Deepti Gupta, M.D. Phone: (631) 331-5010 Fax: (631) 331-5017 Address: 2 Medical Drive - Suite D, Port Jefferson Sta, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Michelle Peluso Contact Phone: (516) 633-3545 CLIA #: 33D2110426