PFI: Y314 Secondary Site ID: 0000 Certification Type: WAIVER Director: David N Zuckerberg, M.D. Phone: (914) 533-2727 Fax: (914) 533-2853 Address: 377 Smithridge Rd, South Salem, NY 10590 County: Westchester Country: United States Single or Primary Contact: Brian Porco Contact Phone: (914) 533-2727 CLIA #: 33D2167583
St Barnabas Behavioral Health Adult Out Patient Clinic
PFI: Y316 Secondary Site ID: 0000 Certification Type: WAIVER Director: Pablo F Ibanez, M.D. Phone: (718) 960-3376 Fax: (718) 901-1345 Address: 260 188th Street, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: La Shemah Williams Contact Phone: (718) 960-3376 CLIA #: 33D2167634
PFI: Y320 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leon R. Shein, M.D. Phone: (718) 971-1952 Fax: (718) 971-1951 Address: 1797 Pitkin Ave, Brooklyn, NY 11212 County: Kings Country: United States Single or Primary Contact: Maritza Barber Contact Phone: (718) 367-2555 CLIA #: 33D2167654
PFI: Y322 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chrysa Charno, P.A. Phone: (585) 787-4073 Fax: (585) 787-4183 Address: 1243 Bay Road, Webster, NY 14580 County: Monroe Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2166218
PFI: Y325 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kenneth C Levy, M.D. Phone: (212) 566-5372 Fax: (646) 779-4001 Address: 46 E Braodway, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Gail Reid Contact Phone: (212) 566-7720 CLIA #: 33D2167663
PFI: Y327 Secondary Site ID: 0000 Certification Type: WAIVER Director: Julie K Starner, N.P. Phone: (845) 985-7198 Fax: Address: 7486 State Rte 55, Neversink, NY 12765 County: Sullivan Country: United States Single or Primary Contact: Ann Bivins Contact Phone: (845) 866-5660 CLIA #: 33D2166981
PFI: Y330 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Roberto L. Vargas, M.D. Phone: (315) 332-2347 Fax: (315) 332-2954 Address: 1200 Driving Park Avenue, Newark, NY 14513 County: Wayne Country: United States Single or Primary Contact: Ann Knebel Contact Phone: (315) 332-2349 CLIA #: 33D0172111
PFI: Y331 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stefan Lucas, M.D. Phone: (844) 748-7242 Fax: (844) 586-2669 Address: 1240 Jefferson Rd - Suite C, Rochester, NY 14623 County: Monroe Country: United States Single or Primary Contact: Kelly Lucas Contact Phone: (716) 313-2224 CLIA #: 33D2168014
PFI: Y332 Secondary Site ID: 0000 Certification Type: WAIVER Director: Basit Qayyum, M.D. Phone: (585) 249-9990 Fax: (585) 249-9940 Address: 159 Sully's Trail, Pittsford, NY 14534 County: Monroe Country: United States Single or Primary Contact: Jay Smith Contact Phone: (585) 249-9990 CLIA #: 33D2167982
PFI: Y333 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel A. Mendelson, M.D. Phone: (585) 442-1950 Fax: (585) 341-2390 Address: 4000 Summit Circle Drive, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Kathy McGhan Contact Phone: (585) 341-2346 CLIA #: 33D2169381