New York State Department of Health, Wadsworth Center
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Eng 19
PFI: Y151 Secondary Site ID: 0012 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 886-9216 Fax: Address: 209 Forrest Ave, Buffalo, NY 14213 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0011 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 276-0460 Fax: Address: 860 Hertal Ave, Buffalo, NY 14216 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0009 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 877-9243 Fax: Address: 398 Linden Avenue, Buffalo, NY 14216 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0010 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 881-9803 Fax: Address: 1229 Jefferson Ave, Buffalo, NY 14208 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 851-5635 Fax: Address: 132 Ellicott Street, Buffalo, NY 14203 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0002 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: 7168515333318 Fax: Address: 16 Staats Street, Buffalo, NY 14202 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0003 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 851-5634 Fax: Address: 376 Virginia Street, Buffalo, NY 14201 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0004 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 877-9336 Fax: Address: 703 Tonawanda, Buffalo, NY 14207 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0005 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 825-9210 Fax: Address: 517 Southside Pkwy, Buffalo, NY 14210 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0006 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 855-8819 Fax: Address: 700 Seneca Street, Buffalo, NY 14210 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0007 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 836-9570 Fax: Address: 2837 Main Street, Buffalo, NY 14214 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y151 Secondary Site ID: 0008 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 893-9778 Fax: Address: 1170 Lovejoy Street, Buffalo, NY 14206 County: Erie Country: United States Single or Primary Contact: Ron Barnett Contact Phone: (716) 228-8743 CLIA #: 33D2164623
PFI: Y152 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam R Stracher, M.D. Phone: (646) 962-4170 Fax: (646) 962-0186 Address: 28-25 Jackson Avenue - 2nd Floor, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Beverlee McDowell Contact Phone: (646) 962-4170 CLIA #: 33D1056425
PFI: Y153 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy G Taylor, M.D. Phone: (585) 461-0770 Fax: (585) 758-1981 Address: 2400 South Clinton Ave - Bldg F, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Leah DeWolf Contact Phone: (585) 461-0770 CLIA #: 33D2165128
PFI: Y163 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kim L Trahan, P.A. Phone: (315) 468-5108 Fax: (315) 484-9610 Address: 4330 Onondaga Blvd, Syracuse, NY 13219 County: Onondaga Country: United States Single or Primary Contact: Thomas Carlson Contact Phone: (315) 468-5108 CLIA #: 33D2164469
PFI: Y164 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael P Pond, M.D. Phone: (518) 793-5556 Fax: (518) 793-9863 Address: 27 Woodvale Rd, Queensbury, NY 12804 County: Warren Country: United States Single or Primary Contact: Kate Bachand Contact Phone: (518) 793-5556 CLIA #: 33D2164468
PFI: Y169 Secondary Site ID: 0000 Certification Type: PPMP Director: Steven B. Yablon, M.D. Phone: (845) 358-2400 Fax: (845) 358-2586 Address: 2 Crosfield Ave - Suite 312, West Nyack, NY 10994 County: Rockland Country: United States Single or Primary Contact: Angelica Guy-Kelly Contact Phone: (845) 358-2400 CLIA #: 33D2164461