PFI: X412 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jennifer M Ward, N.P. Phone: (716) 731-1634 Fax: (716) 731-1823 Address: 6741 Nash Rd, North Tonawanda, NY 14120 County: Niagara Country: United States Single or Primary Contact: Tamarie Novo Contact Phone: (716) 731-1634 CLIA #: 33D2149125
PFI: X415 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anthony A Allen, M.D. Phone: (212) 774-7026 Fax: Address: 600-610 W 58th Street, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Augustin Kozhimala Contact Phone: (212) 774-7876 CLIA #: 33D2160427
PFI: X416 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W. Dailey, M.D. Phone: (518) 580-5283 Fax: Address: 815 N Broadway - Case Center 204, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Michelle Lapo Contact Phone: (518) 580-5550 CLIA #: 33D2147269
PFI: X420 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sachin M Shridharani, M.D. Phone: (212) 508-0000 Fax: (212) 508-0005 Address: 880 5th Ave - Suite 1 ABCD, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Sheeran Kopilev Contact Phone: (212) 508-0000 CLIA #: 33D2147270
Lenox Hill Radiology and Medical Imaging Associates PC
PFI: X421 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Melnick, M.D. Phone: (212) 772-3111 Fax: (973) 767-0259 Address: 525 Park Ave, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Kathy Rizzo Contact Phone: (646) 793-2777 CLIA #: 33D1086291
Boro Park Center For Rehabilitation and Healthcare
PFI: X423 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason S Zimmerman, D.O. Phone: (718) 851-3700 Fax: (718) 581-5841 Address: 4915 10th Ave, Brooklyn, NY 11219 County: Kings Country: United States Single or Primary Contact: Cyrina Benjamin Contact Phone: (718) 851-3700 CLIA #: 33D2147761
PFI: X426 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marc K Klementowski, M.D. Phone: (716) 434-8948 Fax: (716) 434-3468 Address: 4613 Cambria-Wilson Rd, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Roger Scheader Contact Phone: (716) 434-8948 CLIA #: 33D2148074
Columbia University Medical Center Dept of Obstetrics and Gynecology
PFI: X429 Secondary Site ID: 0000 Certification Type: PPMP Director: Cassandra B Simmons, M.D. Phone: (212) 342-0881 Fax: (212) 305-4339 Address: 161 Fort Washington Ave-HIP 4th Flr, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Brenda Cruz Contact Phone: (212) 342-0881 CLIA #: 33D2148073
PFI: X430 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard E Gold, D.O. Phone: (833) 353-8863 Fax: Address: 151 W 136th St, New York, NY 10030 County: New York Country: United States Single or Primary Contact: Amy Sirken Contact Phone: (914) 299-9283 CLIA #: 33D2146945
Joseph S and Diane H Steinberg Ambulatory Care Center
PFI: X431 Secondary Site ID: 0001 Certification Type: WAIVER Director: David H Goddard, M.D. Phone: (929) 455-2500 Fax: (929) 455-2550 Address: 70 Atlantic Ave, Brooklyn, NY 11201 County: Kings Country: United States Single or Primary Contact: Floyann Williams Contact Phone: (917) 946-3269 CLIA #: 33D2148033
PFI: X431 Secondary Site ID: 0000 Certification Type: WAIVER Director: David H Goddard, M.D. Phone: (929) 455-2399 Fax: (929) 455-2398 Address: 186 Joralemon Street, Brooklyn, NY 11201 County: Kings Country: United States Single or Primary Contact: Floyann Williams Contact Phone: (646) 629-7830 CLIA #: 33D2148033
PFI: X433 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew M Fernaays, M.D. Phone: (585) 343-1124 Fax: (585) 343-1197 Address: 430 E Main Street, Batavia, NY 14020 County: Genesee Country: United States Single or Primary Contact: Kathleen Hodgins Contact Phone: (585) 343-1124 CLIA #: 33D2146955
Genesee/Orleans Council on Alcoholism and Substance Abuse
PFI: X433 Secondary Site ID: 0001 Certification Type: WAIVER Director: Matthew M Fernaays, M.D. Phone: (585) 589-0055 Fax: (585) 589-1501 Address: 249 East Ave, Albion, NY 14411 County: Orleans Country: United States Single or Primary Contact: Kathleen Hodgins Contact Phone: (585) 343-1124 CLIA #: 33D2146955