New York State Department of Health, Wadsworth Center
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Eddy Hawthorne Ridge
PFI: X949 Secondary Site ID: 0000 Certification Type: WAIVER Director: Miranda L Dunham, N.P. Phone: (518) 833-1111 Fax: (518) 279-5305 Address: 32 Community Way, East Greenbush, NY 12061 County: Rensselaer Country: United States Single or Primary Contact: Angela Bartels Contact Phone: (518) 279-5501 CLIA #: 33D2158245
PFI: X957 Secondary Site ID: 0002 Certification Type: WAIVER Director: Hany Shehata, M.D. Phone: (716) 893-0062 Fax: (716) 893-0070 Address: 463 William Street, Buffalo, NY 14204 County: Erie Country: United States Single or Primary Contact: Scott Morton Contact Phone: (716) 895-6700 CLIA #: 33D2158513
PFI: X959 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tal S Levy, M.D. Phone: (718) 571-9595 Fax: (718) 571-9600 Address: 92-12 165th St, Jamaica, NY 11433 County: Queens Country: United States Single or Primary Contact: Paul Calpo Contact Phone: (718) 571-9595 CLIA #: 33D2158510
PFI: X963 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric R Shives, M.D. Phone: (315) 835-4900 Fax: (315) 789-1017 Address: 1991 Balsley Rd, Seneca Falls, NY 13148 County: Seneca Country: United States Single or Primary Contact: Bob Switzer Contact Phone: (315) 787-4174 CLIA #: 33D2097872
PFI: X971 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stella Ilyayeva, M.D. Phone: (718) 997-7100 Fax: (718) 997-7499 Address: 68-60 Austin St - Store 10, Forest Hills, NY 11375 County: Queens Country: United States Single or Primary Contact: Ahmad Masoud Contact Phone: (718) 640-6152 CLIA #: 33D2159202
PFI: X975 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter J Charap, M.D. Phone: (212) 579-2200 Fax: (212) 579-2212 Address: 234 Central Park West, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Presotie Boonraj Contact Phone: (347) 859-5791 CLIA #: 33D2158901
PFI: X980 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chris A Demetriou, M.D. Phone: (516) 222-7827 Fax: Address: 623 Stewart Ave - Ste 101, Garden City, NY 11530 County: Nassau Country: United States Single or Primary Contact: Rayssa Gargano Contact Phone: (516) 222-7827 CLIA #: 33D2159044