PFI: Z635 Secondary Site ID: 0001 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: 845338123442702 Fax: (845) 338-6284 Address: 139 Cornell St, Kingston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0002 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (845) 278-7272 Fax: (845) 338-6284 Address: 7 Sutton Place, Brewster, NY 10509 County: Putnam Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0004 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (518) 622-9650 Fax: (845) 338-6284 Address: 18 Forgione Rd, Cairo, NY 12413 County: Greene Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0005 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (845) 225-3637 Fax: (845) 338-6284 Address: 97 Old Rte 6, Carmel, NY 10512 County: Putnam Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0006 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (845) 225-5650 Fax: (845) 338-6284 Address: 1938 Rte 6, Carmel, NY 10512 County: Putnam Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0015 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (518) 943-9592 Fax: (845) 338-6284 Address: 311 W Bridge St, Catskill, NY 12414 County: Greene Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0017 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (845) 802-5350 Fax: (845) 338-6284 Address: 1920 Lucas Ave, Cottekill, NY 12419 County: Ulster Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0018 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (845) 647-7505 Fax: (845) 338-6284 Address: 198 Canal St, Ellenville, NY 12428 County: Ulster Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z635 Secondary Site ID: 0021 Certification Type: WAIVER Director: Kim M Gembecki, N.P. Phone: (845) 691-8326 Fax: (845) 338-6284 Address: 109 Vineyard Ave, Highland, NY 12528 County: Ulster Country: United States Single or Primary Contact: Dr. Nancy Dib Contact Phone: 845338123442732 CLIA #: 33D2205227
PFI: Z637 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sumir Sahgal, M.D. Phone: (646) 213-1900 Fax: (347) 597-8616 Address: 542 E 138th St - Suite A, Bronx, NY 10454 County: Bronx Country: United States Single or Primary Contact: Vinodha Christopher Contact Phone: (646) 362-4140 CLIA #: 33D2206229
Champlain Valley Fam Ctr for Drug Treatment and Youth Svcs Rec Campus
PFI: Z639 Secondary Site ID: 0000 Certification Type: WAIVER Director: George A Disney, M.D. Phone: (518) 643-0148 Fax: (518) 643-2456 Address: 516 Norrisville Rd, Schuyler Falls, NY 12985 County: Clinton Country: United States Single or Primary Contact: Jared Croy Contact Phone: (518) 643-0148 CLIA #: 33D2201575
PFI: Z640 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel R Raio, P.A. Phone: (631) 636-6880 Fax: (631) 209-5129 Address: 5018 Express Dr South - Suite 201, Ronkonkoma, NY 11779 County: Suffolk Country: United States Single or Primary Contact: Nicholas Vaccaro Contact Phone: (833) 266-7171 CLIA #: 33D2201574
PFI: Z643 Secondary Site ID: 0001 Certification Type: WAIVER Director: Kimberly B Prise, M.D. Phone: (716) 892-6956 Fax: (716) 891-6435 Address: 166 Halstead Ave, Sloan, NY 14212 County: Erie Country: United States Single or Primary Contact: Andrea L Galenski Contact Phone: 71689778002402 CLIA #: 33D2201571
PFI: Z643 Secondary Site ID: 0002 Certification Type: WAIVER Director: Kimberly B Prise, M.D. Phone: (716) 891-6424 Fax: (716) 891-6435 Address: 2495 William St, Cheektowaga, NY 14206 County: Erie Country: United States Single or Primary Contact: Andrea L Galenski Contact Phone: 71689778002402 CLIA #: 33D2201571