PFI: Z620 Secondary Site ID: 0001 Certification Type: WAIVER Director: Albert L. Riddle, M.D. Phone: (845) 338-2273 Fax: (845) 485-7321 Address: 153 Sawkill Road, Kingston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Ann Rand Contact Phone: (845) 242-3316 CLIA #: 33D2200361
PFI: Z620 Secondary Site ID: 0002 Certification Type: WAIVER Director: Albert L. Riddle, M.D. Phone: (845) 240-7565 Fax: (845) 790-0003 Address: 542 Violet Ave, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Ann Rand Contact Phone: (845) 473-2273 CLIA #: 33D2200361
PFI: Z620 Secondary Site ID: 0000 Certification Type: WAIVER Director: Albert L. Riddle, M.D. Phone: (845) 473-2273 Fax: (845) 485-7321 Address: 374 Violet Ave, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Ann Rand Contact Phone: (845) 473-2273 CLIA #: 33D2200361
PFI: Z622 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph R Takats, III, D.O. Phone: (716) 897-1564 Fax: (716) 896-9209 Address: 55 Gates, Sloan, NY 14212 County: Erie Country: United States Single or Primary Contact: Alan Wieberg Contact Phone: (716) 812-7451 CLIA #: 33D2200384
PFI: Z627 Secondary Site ID: 0000 Certification Type: WAIVER Director: Winnie S Su, M.D. Phone: (716) 815-5715 Fax: (716) 815-5746 Address: 3520 Main St - Ste 400, Amherst, NY 14226 County: Erie Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 341-6410 CLIA #: 33D2200381
PFI: Z631 Secondary Site ID: 0003 Certification Type: WAIVER Director: Gerald A Lauria, M.D. Phone: (716) 646-3370 Fax: (716) 646-3209 Address: 301 Charlotte Ave, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Barbara Sporyz Contact Phone: (716) 983-8495 CLIA #: 33D2201167
PFI: Z631 Secondary Site ID: 0002 Certification Type: WAIVER Director: Gerald A Lauria, M.D. Phone: (716) 646-3280 Fax: (716) 646-3209 Address: 150 Pleasant Ave, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Barbara Sporyz Contact Phone: (716) 983-8495 CLIA #: 33D2201167
PFI: Z631 Secondary Site ID: 0001 Certification Type: WAIVER Director: Gerald A Lauria, M.D. Phone: (716) 646-3240 Fax: (716) 646-3209 Address: 7476 Back Creek Rd, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Barbara Sporyz Contact Phone: (716) 983-8495 CLIA #: 33D2201167