New York State Department of Health, Wadsworth Center
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Walgreens No 10157
PFI: Z914 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 447-5025 Fax: Address: 150 Grant Ave, Auburn, NY 13021 County: Cayuga Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2207250
PFI: Z915 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 447-5025 Fax: Address: 1659 Penfield Rd, Rochester, NY 14625 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2207251
PFI: Z917 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 447-5025 Fax: Address: 2100 E Ridge Rd, Irondequoit, NY 14622 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2207253
PFI: Z918 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 447-5025 Fax: Address: 5173 W Taft Rd, North Syracuse, NY 13212 County: Onondaga Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2207256
PFI: Z919 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 730-5579 Fax: Address: 1850 Central Ave, Colonie, NY 12205 County: Albany Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2207257
PFI: Z921 Secondary Site ID: 0000 Certification Type: WAIVER Director: Janak Patel,RPh Phone: (212) 228-0764 Fax: (212) 529-2859 Address: 178 Ave C, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Janak Patel Contact Phone: (212) 228-0764 CLIA #: 33D2208397
PFI: Z923 Secondary Site ID: 0005 Certification Type: WAIVER Director: Paul Salzberg, M.D. Phone: 84579480801325 Fax: (845) 791-1716 Address: 305 North St, Middletown, NY 10940 County: Orange Country: United States Single or Primary Contact: Shannon Kelly Contact Phone: 84579480802010 CLIA #: 33D2212367
PFI: Z923 Secondary Site ID: 0008 Certification Type: WAIVER Director: Paul Salzberg, M.D. Phone: 84579480801425 Fax: (845) 791-1716 Address: 150 Pike Street, Port Jervis, NY 12771 County: Orange Country: United States Single or Primary Contact: Shannon Kelly Contact Phone: 84579480802010 CLIA #: 33D2212367
PFI: Z924 Secondary Site ID: 0001 Certification Type: WAIVER Director: Gaylen M Bigelow, N.P. Phone: (518) 942-6691 Fax: Address: 3092 Plank Rd, Mineville, NY 12956 County: Essex Country: United States Single or Primary Contact: Mr. Eric Bell Contact Phone: 5185610100230 CLIA #: 33D2208583
PFI: Z924 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gaylen M Bigelow, N.P. Phone: (518) 561-0100 Fax: Address: 1585 Military Turnpike, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Mr. Eric Bell Contact Phone: (518) 561-0100 CLIA #: 33D2208583
PFI: Z926 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert G Fafalak, M.D. Phone: (212) 933-0072 Fax: (646) 684-4511 Address: 36 West 9th St, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Dr. Robert Fafalak Contact Phone: (212) 933-0072 CLIA #: 33D2037566
PFI: Z935 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd R Howland, M.D. Phone: (315) 344-2426 Fax: Address: 95 State St, Heuvelton, NY 13654 County: St. Lawrence Country: United States Single or Primary Contact: Jennifer Hynes Contact Phone: (315) 276-0483 CLIA #: 33D2208417