New York State Department of Health, Wadsworth Center
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Reside Health - HBC
PFI: E489 Secondary Site ID: 0004 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 931-6402 Fax: (646) 993-3227 Address: 225 Liberty St - 31st Fl, New York, NY 10281 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0003 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 931-8971 Fax: (212) 931-8968 Address: 150 Greenwich St - 29th Fl, New York, NY 10006 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0002 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 600-1985 Fax: (212) 600-1948 Address: 135 W 27th St - 2nd Floor, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0001 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 279-1890 Fax: (212) 600-1948 Address: 750 Third Ave - Ground Fl, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E490 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maja L. Lundborg-Gray, M.D. Phone: (315) 493-4039 Fax: (315) 493-1841 Address: 101 Riverside Dr, Deferiet, NY 13628 County: Jefferson Country: United States Single or Primary Contact: Contact Phone: (567) 230-9523 CLIA #: 33D2239580
Wyoming County Community Hospital Specialty Clinic
PFI: E492 Secondary Site ID: 0000 Certification Type: WAIVER Director: Edwin J Anand, M.D. Phone: (585) 786-8940 Fax: (585) 786-1246 Address: 400 N Main St - Suite C, Warsaw, NY 14569 County: Wyoming Country: United States Single or Primary Contact: Jennifer Burke Contact Phone: (585) 786-8940 CLIA #: 33D2240229
PFI: E493 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rhonda A Kaiser, N.P. Phone: (518) 832-6238 Fax: (844) 674-1436 Address: 354 Broadway, Fort Edward, NY 12828 County: Washington Country: United States Single or Primary Contact: Jamie Keller Contact Phone: (716) 635-5207 CLIA #: 33D2240125
PFI: E501 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Colletta, M.D. Phone: (631) 285-8650 Fax: (631) 285-8151 Address: 8 43rd St, Centereach, NY 11720 County: Suffolk Country: United States Single or Primary Contact: Mr. Joseph Mercado Contact Phone: (631) 285-8650 CLIA #: 33D2239087
PFI: E502 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jay S Berger, M.D. Phone: (212) 812-8588 Fax: Address: 301 Freedom Place South, New York, NY 10069 County: New York Country: United States Single or Primary Contact: Theresa Foy Contact Phone: (212) 812-8567 CLIA #: 33D2239064
PFI: E503 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nicholas M Cinquino, P.A. Phone: (585) 442-7400 Fax: (585) 256-5956 Address: 2501 Lac de Ville Blvd, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Ms. Eva Mealer Contact Phone: (585) 284-9077 CLIA #: 33D2238752
PFI: E505 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donald Session, P.A. Phone: (607) 869-9636 Fax: (607) 869-2529 Address: 7263 Main St, Ovid, NY 14521 County: Seneca Country: United States Single or Primary Contact: Mr. Miguel A Anderade Contact Phone: (607) 869-9636 CLIA #: 33D2239042
PFI: E505 Secondary Site ID: 0001 Certification Type: WAIVER Director: Donald Session, P.A. Phone: (607) 532-3496 Fax: (607) 869-2529 Address: 8326 Main St, Interlaken, NY 14847 County: Seneca Country: United States Single or Primary Contact: Mr. Miguel A Anderade Contact Phone: 60786996364162 CLIA #: 33D2239042