New York State Department of Health, Wadsworth Center
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Walgreens No. 09585
PFI: Z289 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 382-9947 Fax: Address: 430 Spencerport Rd, Rochester, NY 14606 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2192806
PFI: Z299 Secondary Site ID: 0000 Certification Type: WAIVER Director: Farzin Sehati, D.O. Phone: (516) 482-3705 Fax: (502) 779-4749 Address: 200 Garden City Plaza - Suite 222, Garden City, NY 11530 County: Nassau Country: United States Single or Primary Contact: Michele Browner Contact Phone: (516) 482-3705 CLIA #: 33D2197204
PFI: Z321 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (607) 776-8691 Fax: (607) 776-8689 Address: 7571 State Rte 54, Bath, NY 14810 County: Steuben Country: United States Single or Primary Contact: James Mark Contact Phone: (607) 776-8651 CLIA #: 33D2194405
PFI: Z322 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chester H Fox, M.D. Phone: (716) 937-9818 Fax: (716) 937-4073 Address: 13203 Broadway St, Alden, NY 14004 County: Erie Country: United States Single or Primary Contact: Kara Smith Contact Phone: (716) 937-9818 CLIA #: 33D2194182
PFI: Z329 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrew Liang, P.A. Phone: (718) 618-8771 Fax: (917) 979-6914 Address: 4507 Third Ave, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: Joseph Passanante Contact Phone: (312) 590-0936 CLIA #: 33D2194033
PFI: Z354 Secondary Site ID: 0000 Certification Type: PPMP Director: Roberto L. Vargas, M.D. Phone: (585) 902-0150 Fax: (585) 586-9108 Address: 30 Hagen Dr - Suite 300, Rochester, NY 14625 County: Monroe Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 922-4977 CLIA #: 33D2196764
PFI: Z354 Secondary Site ID: 0006 Certification Type: PPMP Director: Roberto L. Vargas, M.D. Phone: (585) 922-0400 Fax: (585) 922-0455 Address: 370 Ridge Rd East - Suite 20, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 259-1578 CLIA #: 33D2196764