PFI: Z395 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marie A Bentsianov, M.D. Phone: (718) 258-0609 Fax: (718) 258-0269 Address: 5518 Ave N, Brooklyn, NY 11234 County: Kings Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 341-6410 CLIA #: 33D2196530
PFI: Z398 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman E Younesi, M.D. Phone: (718) 273-8900 Fax: (718) 720-2415 Address: 70 Father Capodanno Blvd, Staten Island, NY 10305 County: Richmond Country: United States Single or Primary Contact: Elina Veksler Contact Phone: (718) 840-3355 CLIA #: 33D2196633
PFI: Z399 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman E Younesi, M.D. Phone: (718) 353-1400 Fax: (718) 353-1495 Address: 1526 New Haven Ave, Far Rockaway, NY 11691 County: Queens Country: United States Single or Primary Contact: Elina Veksler Contact Phone: (718) 840-3355 CLIA #: 33D2196651
PFI: Z407 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman E Younesi, M.D. Phone: (518) 643-2740 Fax: (518) 643-0923 Address: 2989 N Main St, Peru, NY 12972 County: Clinton Country: United States Single or Primary Contact: Elina Veksler Contact Phone: (718) 840-3355 CLIA #: 33D2196641
PFI: Z409 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman E Younesi, M.D. Phone: (631) 473-3304 Fax: (632) 473-2462 Address: 1350 NY 112, Port Jefferson Sta, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Elina Veksler Contact Phone: (718) 840-3355 CLIA #: 33D2196658
PFI: Z413 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (645) 584-7486 Fax: Address: 13250 Metropolitan Ave, Richmond Hill, NY 14118 County: Queens Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2196549
PFI: Z415 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (929) 244-5579 Fax: Address: 15345 Cross Island Pkwy, Whitestone, NY 11357 County: Queens Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2196545
PFI: Z416 Secondary Site ID: 0000 Certification Type: WAIVER Director: Henry E Moscicki, N.P. Phone: (585) 768-6291 Fax: (585) 768-6293 Address: 8678 Lake St Rd, Le Roy, NY 14482 County: Genesee Country: United States Single or Primary Contact: Bethany Hunt Contact Phone: (585) 768-6291 CLIA #: 33D2197425