PFI: W859 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neil B Kirschen, M.D. Phone: (516) 678-9254 Fax: (516) 678-9020 Address: 58 N Centre Ave, Rockville Centre, NY 11570 County: Nassau Country: United States Single or Primary Contact: David Schowerer Contact Phone: (347) 809-0899 CLIA #: 33D2129376
PFI: W864 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Leuenberger, D.O. Phone: (315) 348-2500 Fax: (315) 348-2510 Address: 4264 East Road, Turin, NY 13473 County: Lewis Country: United States Single or Primary Contact: Randy Mullin Contact Phone: (315) 376-5170 CLIA #: 33D2134603
PFI: W866 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael F Kaplan, N.P. Phone: (845) 354-9300 Fax: Address: 5 Twin Avenue, Spring Valley, NY 10977 County: Rockland Country: United States Single or Primary Contact: Widiane Bagar Contact Phone: (845) 354-9300 CLIA #: 33D2117535
PFI: W869 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gerald S Vogel, M.D. Phone: (845) 362-0259 Fax: (845) 362-1347 Address: 4 Medical Park Dr - Suite C, Pomona, NY 10970 County: Rockland Country: United States Single or Primary Contact: Marc Thomas Contact Phone: (845) 362-0307 CLIA #: 33D0142250
Queens Village Committee for Mental Health for J-Cap Inc
PFI: W870 Secondary Site ID: 0000 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: (718) 322-2500 Fax: (718) 322-1880 Address: 116-30 Sutphin Blvd, Jamaica, NY 11434 County: Queens Country: United States Single or Primary Contact: David Collymore Contact Phone: (718) 299-1100 CLIA #: 33D2126463
PFI: W872 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maria C. David, M.D. Phone: (845) 565-5437 Fax: (845) 565-7021 Address: 266 North St - Suite A, Newburgh, NY 12550 County: Orange Country: United States Single or Primary Contact: Wendy Gerbes Contact Phone: (845) 565-5437 CLIA #: 33D1003002
PFI: W873 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Michael R Stern, M.D. Phone: (631) 979-6466 Fax: (631) 979-6475 Address: 300 E Main St - Suite 4/5, Smithtown, NY 11787 County: Suffolk Country: United States Single or Primary Contact: Christina Commender Contact Phone: (631) 979-6466 CLIA #: 33D0159234
PFI: W876 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael E Rosen, M.D. Phone: (914) 297-8594 Fax: (914) 909-5547 Address: 581 Old White Plains Rd, Tarrytown, NY 10591 County: Westchester Country: United States Single or Primary Contact: Margarida Velardo Contact Phone: (914) 297-8594 CLIA #: 33D2131454
PFI: W883 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher J. Case, D.O. Phone: (518) 893-0723 Fax: Address: 13 S Greenfield Road, Greenfield Center, NY 12833 County: Saratoga Country: United States Single or Primary Contact: Joyce Petkus Contact Phone: (518) 893-0723 CLIA #: 33D2129935
PFI: W885 Secondary Site ID: 0000 Certification Type: WAIVER Director: Salman N Khan, M.D. Phone: (585) 723-7820 Fax: (585) 723-7370 Address: 1471 Long Pond Road, Rochester, NY 14626 County: Monroe Country: United States Single or Primary Contact: Rachel Emrich Contact Phone: (585) 351-6754 CLIA #: 33D2129015