PFI: F210 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 376-5609 Fax: (716) 376-5681 Address: 542 N Union St, Olean, NY 14760 County: Cattaraugus Country: United States Single or Primary Contact: Nathan Veno Contact Phone: (716) 376-5609 CLIA #: 33D2256983
PFI: F214 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ari I. Jonisch, M.D. Phone: (718) 428-1500 Fax: (718) 661-1305 Address: 136-25 37th Ave, Flushing, NY 11354 County: Queens Country: United States Single or Primary Contact: Steven Kozak Contact Phone: (718) 428-1500 CLIA #: 33D2256995
PFI: F215 Secondary Site ID: 0000 Certification Type: WAIVER Director: James R. Powell, M.D. Phone: (866) 349-4230 Fax: (844) 631-3627 Address: 35 W 35th St - 5th Fl, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Damaris Pichardo Contact Phone: (866) 349-4230 CLIA #: 33D2257833
PFI: F228 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 938-2337 Fax: (716) 938-2780 Address: 301 Court St, Little Valley, NY 14755 County: Cattaraugus Country: United States Single or Primary Contact: Brian Pitts Contact Phone: (716) 938-2337 CLIA #: 33D2257834
PFI: F234 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 945-3311 Fax: (716) 265-0293 Address: 225 Wildwood Ave, Salamanca, NY 14779 County: Cattaraugus Country: United States Single or Primary Contact: Tom Sturdevant Contact Phone: (716) 378-6297 CLIA #: 33D2257842
PFI: F239 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 373-2310 Fax: Address: 10 N First St, Allegany, NY 147096 County: Cattaraugus Country: United States Single or Primary Contact: Jerry L Cummins Contact Phone: (716) 307-0510 CLIA #: 33D2261856
City Medical of Upper East Side PLLC DBA Summit Health
PFI: F242 Secondary Site ID: 0000 Certification Type: WAIVER Director: Shefali Shah, M.D. Phone: (516) 431-0700 Fax: (516) 717-3370 Address: 728 East Park Ave, Lopng Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Cara Yobbs Contact Phone: (908) 721-5735 CLIA #: 33D2261031
PFI: F250 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rebecca L Cummings, Pharm.D. Phone: (585) 226-4500 Fax: (401) 652-1360 Address: 277 E Main St, Avon, NY 14414 County: Livingston Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2258506