New York State Department of Health, Wadsworth Center
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Parks Terrace at Radisson
PFI: E642 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmet L Guler, D.O. Phone: (315) 638-9207 Fax: (315) 638-8507 Address: 2981 Town Center Rd, Baldwinsville, NY 13027 County: Onondaga Country: United States Single or Primary Contact: Meghan Chiumento Contact Phone: (315) 638-9207 CLIA #: 33D2245379
PFI: E644 Secondary Site ID: 0000 Certification Type: WAIVER Director: Charlene A Andrews, M.D. Phone: (332) 237-6075 Fax: (718) 528-1501 Address: 16995 137th Ave - Suite 19, Jamaica, NY 11434 County: Queens Country: United States Single or Primary Contact: Ms. Kelly A Holmes Contact Phone: (332) 237-6067 CLIA #: 33D2243464
PFI: E645 Secondary Site ID: 0004 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 465-5249 Fax: (518) 462-6896 Address: 2 Holland Ave, Albany, NY 12209 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 465-5249 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0003 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 272-0206 Fax: (518) 272-0208 Address: 106-108 Ninth St, Troy, NY 12180 County: Rensselaer Country: United States Single or Primary Contact: John Daley Contact Phone: 51827202063304 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0006 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 427-8207 Fax: (518) 427-5998 Address: 747 Madison Ave, Albany, NY 12208 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 427-8207 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0008 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 453-8351 Fax: (518) 438-7827 Address: 890 Madison Ave, Albany, NY 12208 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 453-8351 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0005 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 486-8698 Fax: (518) 269-3157 Address: 1724 Fifth Ave, Troy, NY 12180 County: Rensselaer Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 486-8698 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0007 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 486-8965 Fax: (518) 486-8921 Address: 577 Livingston Ave, Albany, NY 12206 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 486-8965 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0000 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 486-8966 Fax: (518) 269-3157 Address: 573 Livingston Ave, Albany, NY 12206 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 486-8966 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0001 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 465-2441 Fax: (518) 465-1777 Address: 261 North Pearl St, Albany, NY 12207 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: 518465244112 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0002 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 237-9891 Fax: (518) 237-9409 Address: 559-565 Sixth Ave, Troy, NY 12182 County: Rensselaer Country: United States Single or Primary Contact: John Daley Contact Phone: 51823798913338 CLIA #: 33D2243411
PFI: E648 Secondary Site ID: 0000 Certification Type: WAIVER Director: Oliver Cartano, M.D. Phone: (914) 963-7668 Fax: (914) 963-7669 Address: 984 N Broadway - Suite 506, Yonkers, NY 10701 County: Westchester Country: United States Single or Primary Contact: Mary Brittis Contact Phone: (914) 963-7668 CLIA #: 33D0140314
PFI: E649 Secondary Site ID: 0000 Certification Type: PPMP Director: Jose E Baez, M.D. Phone: (845) 896-9864 Fax: (845) 896-4319 Address: 200 Westage Business Ctr Dr Ste 230, Fishkill, NY 12524 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D2245739
PFI: E650 Secondary Site ID: 0000 Certification Type: PPMP Director: Jose E Baez, M.D. Phone: (845) 790-9300 Fax: (845) 471-4381 Address: 21 Reade Place - Suite 3100, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D2245737
PFI: E651 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sarah M Howd, M.D. Phone: (585) 264-1600 Fax: (585) 264-1010 Address: 160 W Jefferson Rd, Pittsford, NY 14534 County: Monroe Country: United States Single or Primary Contact: Carrie Bardo Contact Phone: (585) 264-1600 CLIA #: 33D2245380
PFI: E653 Secondary Site ID: 0000 Certification Type: WAIVER Director: Barbara A Polowczyk, N.P. Phone: (914) 533-5679 Fax: (914) 533-5222 Address: 222 Oakridge Common, South Salem, NY 10590 County: Westchester Country: United States Single or Primary Contact: Paul Roldan Contact Phone: (914) 533-5679 CLIA #: 33D2254605
PFI: E654 Secondary Site ID: 0000 Certification Type: WAIVER Director: Muhammad A Khan, M.D. Phone: (315) 424-7524 Fax: (315) 424-7529 Address: 104 Union Ave - Suite 1008, Syracuse, NY 13203 County: Onondaga Country: United States Single or Primary Contact: Kimberly Whigham-Barr Contact Phone: (315) 448-5814 CLIA #: 33D1097118