PFI: E658 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel O Paniagua, P.A. Phone: (631) 228-8700 Fax: Address: 251 Oakland Ave - Suite 1B, Port Jefferson, NY 11777 County: Suffolk Country: United States Single or Primary Contact: Mr. Brian McMahon Contact Phone: (631) 310-4318 CLIA #: 33D2245750
PFI: E663 Secondary Site ID: 0000 Certification Type: WAIVER Director: Arthur S Kurtz, M.D. Phone: (631) 474-4100 Fax: Address: 51 Tarryville Rd, Port Jefferson, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Ms. Crystal Inchiocca Contact Phone: (631) 336-9334 CLIA #: 33D2250442
PFI: E664 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew C Talbott, M.D. Phone: (315) 539-5386 Fax: (315) 539-2464 Address: 1645 North Road, Waterloo, NY 13165 County: Seneca Country: United States Single or Primary Contact: John Hanson Contact Phone: (315) 539-5407 CLIA #: 33D2248398
PFI: E667 Secondary Site ID: 0000 Certification Type: WAIVER Director: Laura H Churchill, N.P. Phone: (518) 589-9500 Fax: (518) 589-9501 Address: 5980 Main St, Tannersville, NY 12485 County: Greene Country: United States Single or Primary Contact: Mr. Edward Ullman Contact Phone: (518) 589-9500 CLIA #: 33D2199419
PFI: E668 Secondary Site ID: 0000 Certification Type: WAIVER Director: Owen J O'Neill, M.D. Phone: (914) 949-6968 Fax: Address: 40 W Red Oak Lane, White Plains, NY 10604 County: Westchester Country: United States Single or Primary Contact: Ms. Colleen Iodice Contact Phone: (914) 949-6968 CLIA #: 33D2243752
PFI: E671 Secondary Site ID: 0000 Certification Type: WAIVER Director: Darshan Shah, M.D. Phone: (929) 200-8890 Fax: (310) 861-1316 Address: 160 Madison Ave - Mezzanine Floor, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Angelica Lopez Contact Phone: (310) 295-2075 CLIA #: 33D2245383
PFI: E680 Secondary Site ID: 0000 Certification Type: WAIVER Director: Edward T Naumowicz, P.A. Phone: (518) 232-0652 Fax: Address: 12 6th St, Waterford, NY 12188 County: Saratoga Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2245755
PFI: E681 Secondary Site ID: 0001 Certification Type: WAIVER Director: Audra J Hanley, M.D. Phone: 518347360021101 Fax: (518) 346-0855 Address: 30 Worden Rd, Scotia, NY 12302 County: Schenectady Country: United States Single or Primary Contact: Ms. Susan M Swartz Contact Phone: 518347360071100 CLIA #: 33D2244767