PFI: X619 Secondary Site ID: 0000 Certification Type: WAIVER Director: Carmen Silvia Costas-Katz, M.D. Phone: (646) 869-2144 Fax: (646) 869-4955 Address: 5041 Broadway, New York, NY 10034 County: New York Country: United States Single or Primary Contact: Geraldine M Subnarain Contact Phone: (914) 552-8604 CLIA #: 33D2151486
PFI: X621 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jose David, M.D. Phone: (518) 618-1255 Fax: (518) 618-1315 Address: 21 Everett Road Ext, Albany, NY 12205 County: Albany Country: United States Single or Primary Contact: David Ip Contact Phone: (518) 365-6128 CLIA #: 33D2150811
PFI: X624 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heather L Wasileski, D.O. Phone: (315) 604-4406 Fax: (315) 604-4409 Address: 37 W Garden St - Suite 102, Auburn, NY 13021 County: Cayuga Country: United States Single or Primary Contact: Melonne Dilallo Contact Phone: (315) 604-4406 CLIA #: 33D2150904
Hastings On Hudson Volunteer Fire Department Ambulance Corp
PFI: X627 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark S Silberman, M.D. Phone: (914) 478-0261 Fax: Address: 47 Main Street, Hastings On Hudson, NY 10706 County: Westchester Country: United States Single or Primary Contact: Mike OToole Contact Phone: (646) 221-9807 CLIA #: 33D2150802
PFI: X636 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sarah A Delaney-Rowland, M.D. Phone: (315) 848-2937 Fax: (315) 848-2999 Address: 7115 State Hwy 3, Cranberry Lake, NY 12927 County: St. Lawrence Country: United States Single or Primary Contact: Mark A Leroux Contact Phone: (315) 767-0964 CLIA #: 33D2151948
PFI: X637 Secondary Site ID: 0000 Certification Type: WAIVER Director: Amy E Hogan-Moulton, M.D. Phone: (518) 636-1616 Fax: (518) 636-1617 Address: 3 Broad Street Plaza, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Donna Roark Contact Phone: (518) 831-6700 CLIA #: 33D2152209
PFI: X641 Secondary Site ID: 0000 Certification Type: WAIVER Director: Iustinian Rusu, M.D. Phone: (315) 946-5722 Fax: (315) 946-7079 Address: 1519 Nye Rd, Lyons, NY 14489 County: Wayne Country: United States Single or Primary Contact: Edward R Hunt Contact Phone: (315) 946-7013 CLIA #: 33D2152387
Great Lakes Physician Practice PC dba GLPP Family Practice
PFI: X646 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kaitlin M Ames, D.O. Phone: (716) 483-6700 Fax: (716) 664-7275 Address: 15 S Main St - Suite 150, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Mary Ruth Contact Phone: (716) 483-6700 CLIA #: 33D0173900
PFI: X651 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thierry P Bonnabesse, M.D. Phone: (518) 566-3263 Fax: (518) 324-7884 Address: 470 Tom Miller Rd, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Siara L Babbie Contact Phone: (518) 566-3263 CLIA #: 33D2151418
PFI: X652 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sherly Abraham, M.D. Phone: (914) 202-4830 Fax: (914) 202-4834 Address: 203 Gramatan Ave - Suite A, Mount Vernon, NY 10550 County: Westchester Country: United States Single or Primary Contact: Lai Sun Contact Phone: (860) 212-9307 CLIA #: 33D2151419