PFI: E507 Secondary Site ID: 0001 Certification Type: WAIVER Director: Ava G Dawson, N.P. Phone: (646) 438-8654 Fax: Address: 10 W 84th St, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Ms. Vicki Dine Contact Phone: (917) 841-3321 CLIA #: 33D2239073
PFI: E507 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ava G Dawson, N.P. Phone: (646) 438-8654 Fax: Address: 168 W 79th St, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Ms. Vicki Dine Contact Phone: (917) 841-3321 CLIA #: 33D2239073
PFI: E508 Secondary Site ID: 0000 Certification Type: WAIVER Director: John F Caruso, M.D. Phone: (607) 659-5225 Fax: (607) 659-4692 Address: 1 Academy St, Candor, NY 13743 County: Tioga Country: United States Single or Primary Contact: Ms. Annie Kolmel Contact Phone: (607) 659-5225 CLIA #: 33D2241641
PFI: E511 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 938-2244 Fax: (716) 938-9170 Address: 303 Court Street, Little Valley, NY 14755 County: Cattaraugus Country: United States Single or Primary Contact: Robert Kuhn Contact Phone: (716) 938-2244 CLIA #: 33D2238605
PFI: E512 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jacqueline P Dennison, N.P. Phone: (585) 426-0210 Fax: (585) 426-3319 Address: 1612 Buffalo Rd, Rochester, NY 14624 County: Monroe Country: United States Single or Primary Contact: Carol Ann Pittman Contact Phone: (585) 426-0210 CLIA #: 33D2239468
PFI: E513 Secondary Site ID: 0000 Certification Type: WAIVER Director: Saul M Modlin, M.D. Phone: (631) 737-4168 Fax: (631) 784-8522 Address: 608 Johnson Ave - Suite 7, Bohemia, NY 11716 County: Suffolk Country: United States Single or Primary Contact: Ms. Veli Laeng Contact Phone: (631) 681-9446 CLIA #: 33D2242338
PFI: E514 Secondary Site ID: 0000 Certification Type: WAIVER Director: Roscoe McMillan, N.P. Phone: (725) 232-8303 Fax: Address: 267 5th Ave, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2240927
PFI: E519 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nameer R Haider, M.D. Phone: (315) 525-2200 Fax: Address: 110 Business Park Dr, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: John Vetere Contact Phone: (315) 798-8737 CLIA #: 33D2242341
PFI: E521 Secondary Site ID: 0000 Certification Type: WAIVER Director: Margaret A Mayer, N.P. Phone: (716) 803-5088 Fax: Address: 30-3 Carriage Dr, Orchard Park, NY 14127 County: Erie Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2239116
PFI: E527 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Dempsey, M.D. Phone: (631) 723-2110 Fax: (631) 723-2109 Address: 88 Argonne Road East, Hampton Bays, NY 11946 County: Suffolk Country: United States Single or Primary Contact: Mr. Lars Clemsen Contact Phone: (631) 723-2105 CLIA #: 33D2239666
PFI: E527 Secondary Site ID: 0002 Certification Type: WAIVER Director: Michael W Dempsey, M.D. Phone: (631) 723-7400 Fax: (631) 723-2109 Address: 70 Ponquogue Ave, Hampton Bays, NY 11946 County: Suffolk Country: United States Single or Primary Contact: Mr. Lars Clemsen Contact Phone: (631) 723-2105 CLIA #: 33D2239666
PFI: E527 Secondary Site ID: 0001 Certification Type: WAIVER Director: Michael W Dempsey, M.D. Phone: (631) 723-2121 Fax: (631) 723-2109 Address: 72 Ponquogue Ave, Hampton Bays, NY 11946 County: Suffolk Country: United States Single or Primary Contact: Mr. Lars Clemsen Contact Phone: (631) 723-2105 CLIA #: 33D2239666