New York State Department of Health, Wadsworth Center
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LHI - Warner Media - Douglass St Brooklyn NY
PFI: Z155 Secondary Site ID: 0000 Certification Type: WAIVER Director: John J Pershing, M.D. Phone: (304) 985-6152 Fax: Address: 210 Douglas St - 2nd Floor, Brooklyn, NY 11217 County: Kings Country: United States Single or Primary Contact: Mr. Lionel Q Lowery Contact Phone: (210) 287-9763 CLIA #: 33D2191031
PFI: Z157 Secondary Site ID: 0000 Certification Type: WAIVER Director: John J Pershing, M.D. Phone: (304) 985-6152 Fax: Address: 82-04 Cooper Ave, Glendale, NY 11385 County: Queens Country: United States Single or Primary Contact: Mr. Lionel Q Lowery Contact Phone: (210) 287-9763 CLIA #: 33D2191033
PFI: Z158 Secondary Site ID: 0000 Certification Type: WAIVER Director: John J Pershing, M.D. Phone: (304) 985-6152 Fax: Address: 34-02 Star Ave, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Mr. Lionel Q Lowery Contact Phone: (210) 287-9763 CLIA #: 33D2191034
PFI: Z159 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew Jones, M.D. Phone: (607) 293-7741 Fax: (607) 293-7741 Address: 3088 County Hwy 11, Hartwick, NY 13348 County: Otsego Country: United States Single or Primary Contact: Roxanne Moore Contact Phone: (978) 995-8549 CLIA #: 33D2191164
PFI: Z164 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sebastian P Avolese, M.D. Phone: (516) 394-3215 Fax: (844) 528-4416 Address: 50 Clinton St, Hempstead, NY 11550 County: Nassau Country: United States Single or Primary Contact: Rivka Shapiro Contact Phone: (516) 394-3215 CLIA #: 33D2191362
PFI: Z167 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrew N Bazos, M.D. Phone: (888) 912-7693 Fax: Address: 244 W 54th St - Suite 503, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Connor Fitzpatrick Contact Phone: (888) 912-7693 CLIA #: 33D2190847
Mount Sinai Beth Israel - Business Health Services
PFI: Z170 Secondary Site ID: 0000 Certification Type: WAIVER Director: David H Coun, M.D. Phone: (212) 420-2882 Fax: (212) 844-1761 Address: 226 W 14th St - First Floor, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Mary Elizabeth Kearney Contact Phone: (212) 420-2882 CLIA #: 33D2190828
PFI: Z170 Secondary Site ID: 0001 Certification Type: WAIVER Director: David H Coun, M.D. Phone: (646) 312-2045 Fax: (646) 312-2041 Address: 138 E 26th St - Ground Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Mary Elizabeth Kearney Contact Phone: (646) 312-2045 CLIA #: 33D2190828
Mount Sinai at Dow Zanghi Student Health Center at Marymount College
PFI: Z170 Secondary Site ID: 0002 Certification Type: WAIVER Director: David H Coun, M.D. Phone: (212) 759-5870 Fax: (212) 759-5879 Address: 231 E 55th St, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Mary Elizabeth Kearney Contact Phone: (212) 759-5870 CLIA #: 33D2190828
PFI: Z170 Secondary Site ID: 0005 Certification Type: WAIVER Director: David H Coun, M.D. Phone: (646) 312-5059 Fax: (646) 312-5041 Address: 55 Lexington Ave - Rm B3-116, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Mary Elizabeth Kearney Contact Phone: (646) 754-2100 CLIA #: 33D2190828
PFI: Z171 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neil Hadpawat, M.D. Phone: (212) 202-5810 Fax: (212) 979-1719 Address: 99 The Plaza - Suite 9, Atlantic Beach, NY 11509 County: Nassau Country: United States Single or Primary Contact: Kayla Ford Contact Phone: (212) 979-0334 CLIA #: 33D2190769
PFI: Z172 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marc Immerman, M.D. Phone: (607) 589-7892 Fax: Address: 321 State Rte 224, Van Etten, NY 14889 County: Chemung Country: United States Single or Primary Contact: David Lanning Contact Phone: (607) 589-7892 CLIA #: 33D2190780
PFI: Z173 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dmitry Volfson, D.O. Phone: (646) 647-1261 Fax: (646) 647-1262 Address: 1412 Broadway, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Ilana Kantor Contact Phone: (908) 588-3635 CLIA #: 33D2190782
PFI: Z174 Secondary Site ID: 0000 Certification Type: WAIVER Director: Samantha D Herman, N.P. Phone: (518) 704-2739 Fax: (518) 794-6024 Address: 110 Darrow Rd, New Lebanon, NY 12125 County: Columbia Country: United States Single or Primary Contact: Gerald Russell Contact Phone: (518) 704-2739 CLIA #: 33D2191373
PFI: Z176 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Biernbaum, D.O. Phone: (585) 347-3689 Fax: (585) 347-3690 Address: 1867 Empire Blvd, Webster, NY 14580 County: Monroe Country: United States Single or Primary Contact: Sheryl Carleo-Gaines Contact Phone: (315) 454-6000 CLIA #: 33D2190792
PFI: Z177 Secondary Site ID: 0001 Certification Type: WAIVER Director: Harvey S Bennett, M.D. Phone: 71854827271511 Fax: (718) 548-4400 Address: 503 W 259th St, Bronx, NY 10471 County: Bronx Country: United States Single or Primary Contact: Ms. Debra May Contact Phone: 71854827271511 CLIA #: 33D2190817