New York State Department of Health, Wadsworth Center
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City Medical of Upper East Side PLLC
PFI: Y552 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dmitry Volfson, D.O. Phone: (646) 350-4815 Fax: (646) 863-6149 Address: 1143 Lexington Ave, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Ilana Kantor Contact Phone: (908) 588-3635 CLIA #: 33D2173972
PFI: Y558 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason Ford, M.D. Phone: (716) 569-3095 Fax: (716) 569-5775 Address: 106 W Main St, Frewsburg, NY 14738 County: Chautauqua Country: United States Single or Primary Contact: Julie Eastman Contact Phone: (716) 569-3095 CLIA #: 33D2175673
PFI: Y562 Secondary Site ID: 0000 Certification Type: WAIVER Director: Roshni R Naik, M.D. Phone: (212) 677-2157 Fax: Address: 104 Delancey Street, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Amber Grossman Contact Phone: (347) 498-3451 CLIA #: 33D2176082
PFI: Y565 Secondary Site ID: 0000 Certification Type: WAIVER Director: Josef D Schenker, M.D. Phone: (718) 502-3000 Fax: (718) 502-3888 Address: 1811 Ave J, Brooklyn, NY 11230 County: Kings Country: United States Single or Primary Contact: Sara Alcables Contact Phone: (718) 502-3000 CLIA #: 33D2176076
PFI: Y566 Secondary Site ID: 0000 Certification Type: WAIVER Director: Indira Grady, M.D. Phone: (518) 561-6247 Fax: (518) 561-7094 Address: 5180 St N Catherine, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Melissa Falvey Contact Phone: (703) 578-6030 CLIA #: 33D2177373
PFI: Y569 Secondary Site ID: 0000 Certification Type: WAIVER Director: David P Neubert, M.D. Phone: (516) 486-3406 Fax: (516) 486-6482 Address: 555 May St, South Hempstead, NY 11550 County: Nassau Country: United States Single or Primary Contact: Anthony G DePellegrin Contact Phone: (516) 242-9395 CLIA #: 33D2176083
PFI: Y570 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas B. Mayhle, M.D. Phone: (585) 213-4049 Fax: Address: 7 S Lackawanna St, Wayland, NY 14572 County: Steuben Country: United States Single or Primary Contact: Frederick Grambs Contact Phone: (585) 233-6822 CLIA #: 33D2176084
Concorde Medical Group at Broadway, Member of NHPP
PFI: Y579 Secondary Site ID: 0003 Certification Type: PPMP Director: Rubina S. Cocker, M.D. Phone: (212) 599-7101 Fax: (212) 599-4554 Address: 1410 Broadway - 7th Fl, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D1001829
CMG - Gastroenterology Rheumatology and Cardiology
PFI: Y579 Secondary Site ID: 0004 Certification Type: PPMP Director: Rubina S. Cocker, M.D. Phone: (212) 889-7880 Fax: (212) 889-0850 Address: 232 E 30th St, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D1001829
PFI: Y579 Secondary Site ID: 0005 Certification Type: PPMP Director: Rubina S. Cocker, M.D. Phone: (212) 684-7172 Fax: (212) 684-4775 Address: 451 Park Ave South - 2nd + 3rd Flrs, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D1001829