New York State Department of Health, Wadsworth Center
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Murry Bergtraum Campus SBHC
PFI: X135 Secondary Site ID: 0000 Certification Type: PPMP Director: Eric G Gayle, M.D. Phone: (646) 285-6569 Fax: Address: 411 Pearl Street, New York, NY 10038 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D2136071
Aesthetic Physicians of Massachusetts PC dba Sono Bello
PFI: X137 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thomas R Walek, M.D. Phone: (516) 406-3643 Fax: (480) 452-1346 Address: One Hollow Lane - Suite 100, Lake Success, NY 11042 County: Nassau Country: United States Single or Primary Contact: Ashley Engelbrecht Contact Phone: (480) 478-0997 CLIA #: 33D2074245
PFI: X142 Secondary Site ID: 0000 Certification Type: WAIVER Director: Luis Fandos, M.D. Phone: (631) 968-3660 Fax: (717) 674-6104 Address: 8 Saxon Ave - Suite E, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Mikesha Smith Contact Phone: (443) 254-8564 CLIA #: 33D2044581
PFI: X147 Secondary Site ID: 0000 Certification Type: WAIVER Director: Roniel M Santos, D.O. Phone: (518) 929-5982 Fax: Address: 7 Lake Rd, Pine Plains, NY 12567 County: Dutchess Country: United States Single or Primary Contact: Nia Carey Contact Phone: (845) 242-2280 CLIA #: 33D2138152
PFI: X148 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abigail Chen, M.D. Phone: (212) 252-6005 Fax: (212) 252-6178 Address: 55 E 34th St - 1st and 5th Flrs, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Maria Hau-Vizcaino Contact Phone: 64689953230 CLIA #: 33D2136078
PFI: X151 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian W Shinkle, D.O. Phone: (718) 392-1000 Fax: (718) 382-6547 Address: 11202 15th Avenue, College Point, NY 11356 County: New York Country: United States Single or Primary Contact: Toledo Ayers Contact Phone: (856) 394-2358 CLIA #: 33D2136737
PFI: X154 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey E Horwitz, D.O. Phone: (718) 793-2055 Fax: Address: 92-29 Metropolitan Ave, Forest Hills, NY 11375 County: Queens Country: United States Single or Primary Contact: Brian Montalvo Contact Phone: (718) 793-2055 CLIA #: 33D2137230
NYU Langone Hospitals Perlmutter Cancer Center 38th St Clinical Labs
PFI: X155 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Victoria A Costa, M.D. Phone: (212) 731-5051 Fax: (212) 731-5537 Address: 240 E 38th Street, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Chintaman Ram Contact Phone: (212) 731-5051 CLIA #: 33D2045465
PFI: X164 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ajay E Chitkara, M.D. Phone: (631) 828-5555 Fax: (631) 828-5544 Address: 1500 Route 112 - Bldg 3, Port Jefferson Sta, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Anthony Filetto Contact Phone: (631) 828-5555 CLIA #: 33D2141489
PFI: X167 Secondary Site ID: 0000 Certification Type: WAIVER Director: David Bleeker, M.D. Phone: (845) 638-5615 Fax: (845) 638-5696 Address: 53 New Hempstead Road, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Hassina Ray Contact Phone: (845) 638-5738 CLIA #: 33D2136536
PFI: X172 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott M Glick, D.O. Phone: (315) 343-2161 Fax: (315) 343-0243 Address: 35 E Cayuga Street, Oswego, NY 13126 County: Oswego Country: United States Single or Primary Contact: Carl Jr. Emmons Contact Phone: (315) 343-2161 CLIA #: 33D2136532