PFI: Z949 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kenneth D Riley, M.D. Phone: (518) 568-7280 Fax: (518) 568-5407 Address: 44 Center St, Saint Johnsville, NY 13452 County: Montgomery Country: United States Single or Primary Contact: Adam Heroth Contact Phone: (518) 568-7280 CLIA #: 33D2208037
Oppenheim-Ephratah-St Johnsville Elementary School
PFI: Z949 Secondary Site ID: 0001 Certification Type: WAIVER Director: Kenneth D Riley, M.D. Phone: (518) 568-5943 Fax: (518) 568-2941 Address: 6486 State Hwy 29, Saint Johnsville, NY 13452 County: Fulton Country: United States Single or Primary Contact: Adam Heroth Contact Phone: (518) 568-5943 CLIA #: 33D2208037
PFI: Z953 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lawrence J Purpura, M.D. Phone: (646) 575-6179 Fax: Address: 64-78 W 9th St - Suite 2E, Brooklyn, NY 11231 County: Kings Country: United States Single or Primary Contact: Mr. Adam Thayer Contact Phone: (708) 829-7892 CLIA #: 33D2208068
PFI: Z961 Secondary Site ID: 0000 Certification Type: PPMP Director: Francesco Callipari, M.D. Phone: (212) 534-0200 Fax: (212) 534-2648 Address: 157 E 72nd St, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Melissa Smith Contact Phone: (516) 770-6334 CLIA #: 33D2208450
PFI: Z964 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristen M Taylor, N.P. Phone: (518) 399-8182 Fax: (518) 709-0920 Address: 322 Lake Hill Rd, Burnt Hills, NY 12027 County: Saratoga Country: United States Single or Primary Contact: Abbey Gamble Contact Phone: (518) 399-8182 CLIA #: 33D2208468
PFI: Z965 Secondary Site ID: 0000 Certification Type: WAIVER Director: Keith L Harden, M.D. Phone: (607) 753-0234 Fax: (607) 753-0286 Address: 165 Main St, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Amanda Stout Contact Phone: (607) 753-0234 CLIA #: 33D2208453
PFI: Z965 Secondary Site ID: 0002 Certification Type: WAIVER Director: Keith L Harden, M.D. Phone: (315) 280-0400 Fax: (315) 280-0087 Address: 201 Cedar St, Oneida, NY 13421 County: Madison Country: United States Single or Primary Contact: Amanda Stout Contact Phone: (315) 280-0400 CLIA #: 33D2208453
PFI: Z965 Secondary Site ID: 0001 Certification Type: WAIVER Director: Keith L Harden, M.D. Phone: (607) 296-6209 Fax: (607) 729-1858 Address: 257 Main Street, Binghamton, NY 13905 County: Broome Country: United States Single or Primary Contact: Amanda Stout Contact Phone: (607) 729-6206 CLIA #: 33D2208453
PFI: Z966 Secondary Site ID: 0000 Certification Type: WAIVER Director: Josef D Schenker, M.D. Phone: (718) 215-7340 Fax: (718) 502-3888 Address: 1202 Elton St, Brooklyn, NY 11239 County: Kings Country: United States Single or Primary Contact: Sarah Aceables Contact Phone: (305) 389-8960 CLIA #: 33D2208607
305 West End Avenue Operating LLC dba 305 West End Assisted Living
PFI: Z972 Secondary Site ID: 0000 Certification Type: WAIVER Director: Farzin Sehati, D.O. Phone: (212) 874-5000 Fax: (212) 918-6936 Address: 305 West End Ave, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Jonathan Davidov Contact Phone: (212) 874-5000 CLIA #: 33D2208459