New York State Department of Health, Wadsworth Center
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Catholic Health LIFE
PFI: W730 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bruce J. Naughton, M.D. Phone: (716) 819-5050 Fax: (716) 819-5253 Address: 55 Melroy Ave, Lackawanna, NY 14218 County: Erie Country: United States Single or Primary Contact: Susan Azzopardi Contact Phone: (716) 819-5319 CLIA #: 33D2122827
PFI: W733 Secondary Site ID: 0000 Certification Type: WAIVER Director: Albert F Devlin, D.O. Phone: (585) 621-6160 Fax: Address: 555 Maiden Lane, Rochester, NY 14616 County: Monroe Country: United States Single or Primary Contact: Jeanine McKay Contact Phone: (585) 621-6161 CLIA #: 33D2122826
PFI: W736 Secondary Site ID: 0000 Certification Type: WAIVER Director: Faika Khan, D.O. Phone: (646) 213-0190 Fax: (646) 381-2269 Address: 535 Eighth Ave - 6th Fl, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Ali Hashmat Contact Phone: (646) 423-8344 CLIA #: 33D2124251
PFI: W743 Secondary Site ID: 0001 Certification Type: WAIVER Director: Tildabeth Doscher, M.D. Phone: (646) 505-2003 Fax: (631) 406-5554 Address: 34-11 Vernon Blvd, Long Island City, NY 11106 County: Queens Country: United States Single or Primary Contact: Christie Monrose Contact Phone: 71872684849876 CLIA #: 33D2123012
PFI: W743 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tildabeth Doscher, M.D. Phone: (718) 726-8484 Fax: (631) 406-5548 Address: 34-25 Vernon Blvd, Long Island City, NY 11106 County: Queens Country: United States Single or Primary Contact: Christie Monrose Contact Phone: (718) 726-8484 CLIA #: 33D2123012
PFI: W744 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert I. Lynn, M.D. Phone: (718) 708-7844 Fax: (718) 708-7845 Address: 34 Marconi St - Suite 120, Bronx, NY 10461 County: Bronx Country: United States Single or Primary Contact: Melissa Marine Contact Phone: (718) 970-0518 CLIA #: 33D2124258
PFI: W745 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (718) 533-8434 Fax: (401) 652-9541 Address: 7209 Northern Blvd, Jackson Heights, NY 11372-1048 County: Queens Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2125626
PFI: W747 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (212) 226-6111 Fax: (401) 652-9541 Address: 298 Mulberry St, New York, NY 10012-3331 County: New York Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2125629
PFI: W748 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (718) 332-8425 Fax: (401) 652-9541 Address: 1402 Sheepshead Bay East, Brooklyn, NY 11235-3814 County: Kings Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2125630