New York State Department of Health, Wadsworth Center
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Wood Park Primary School
PFI: Z660 Secondary Site ID: 0005 Certification Type: WAIVER Director: Eugene N Gerardi, M.D. Phone: (631) 858-3680 Fax: (631) 858-3698 Address: 15 New Highway, Commack, NY 11725 County: Suffolk Country: United States Single or Primary Contact: Michael Inforna Contact Phone: (631) 858-3680 CLIA #: 33D2203012
Albany County Sheriff's Dept Advanced Life Support
PFI: Z663 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donald M. Doynow, M.D. Phone: (518) 655-7847 Fax: (518) 655-7707 Address: 21 Voorheesville Ave, Voorheesville, NY 12186 County: Albany Country: United States Single or Primary Contact: Dennis Wood Contact Phone: (518) 655-7848 CLIA #: 33D2207265
EB Care at Farmingville LLC dba The Bristal at Holtsville
PFI: Z672 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammud M Alam, M.D. Phone: (631) 732-2300 Fax: (631) 307-9680 Address: 5535 Expressway Dr, Holtsville, NY 11742 County: Suffolk Country: United States Single or Primary Contact: Christina Clark Contact Phone: (631) 828-3606 CLIA #: 33D2205492
EB Care at Massapequa LLC dba The Bristal at Massapequa
PFI: Z673 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammud M Alam, M.D. Phone: (516) 804-7200 Fax: (516) 804-7204 Address: 400 County Line Rd, Massapequa, NY 11758 County: Nassau Country: United States Single or Primary Contact: Jennifer Amarante Contact Phone: (516) 804-7396 CLIA #: 33D2205495
EB Care at Lake Success LLC dba The Bristal at Lake Success
PFI: Z676 Secondary Site ID: 0000 Certification Type: WAIVER Director: Farzin Sehati, D.O. Phone: (516) 600-1800 Fax: (516) 600-1900 Address: 69 N Service Rd, Lake Success, NY 11020 County: Nassau Country: United States Single or Primary Contact: Miguel Moronta Contact Phone: (516) 600-1850 CLIA #: 33D2205501