New York State Department of Health, Wadsworth Center
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Split Rock Elementary School
PFI: E738 Secondary Site ID: 0001 Certification Type: WAIVER Director: Ryan Planer, M.D. Phone: (315) 487-4656 Fax: (315) 487-5394 Address: 4151 Split Rock Rd, Camillus, NY 13031 County: Onondaga Country: United States Single or Primary Contact: Mr. David Bills Contact Phone: (315) 487-4658 CLIA #: 33D2245856
PFI: E738 Secondary Site ID: 0005 Certification Type: WAIVER Director: Ryan Planer, M.D. Phone: (315) 487-4653 Fax: (315) 487-2598 Address: 703 Onondaga Rd, Syracuse, NY 13219 County: Onondaga Country: United States Single or Primary Contact: Mr. David Bills Contact Phone: (315) 487-4655 CLIA #: 33D2245856
PFI: E738 Secondary Site ID: 0006 Certification Type: WAIVER Director: Ryan Planer, M.D. Phone: (315) 487-4601 Fax: (315) 487-4582 Address: 500 Sanderson Dr, Syracuse, NY 13031 County: Onondaga Country: United States Single or Primary Contact: Mr. David Bills Contact Phone: (315) 487-4626 CLIA #: 33D2245856
PFI: E738 Secondary Site ID: 0002 Certification Type: WAIVER Director: Ryan Planer, M.D. Phone: (315) 487-4633 Fax: (315) 487-4699 Address: 400 Sanderson Drive, Camillus, NY 13031 County: Onondaga Country: United States Single or Primary Contact: Mr. David Bills Contact Phone: (315) 487-4887 CLIA #: 33D2245856
PFI: E738 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan Planer, M.D. Phone: (315) 487-4601 Fax: (315) 487-4582 Address: 5201 W Genesee St, Camillus, NY 13031 County: Onondaga Country: United States Single or Primary Contact: Mr. David Bills Contact Phone: (315) 487-4562 CLIA #: 33D2245856
PFI: E739 Secondary Site ID: 0000 Certification Type: PPMP Director: Victor Gaur, D.O. Phone: (212) 530-2288 Fax: (212) 867-4353 Address: 2633 Broadway, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2265226
PFI: E740 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert J Tuite, M.D. Phone: (585) 288-7120 Fax: (585) 288-7966 Address: 1437 Blossom Rd, Rochester, NY 14610 County: Monroe Country: United States Single or Primary Contact: Mr. Anthony Yandek Contact Phone: (585) 288-7120 CLIA #: 33D2258340
PFI: E742 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin Hoyt, M.D. Phone: (315) 894-6048 Fax: (315) 895-4601 Address: 1 Central Ave, Ilion, NY 13357 County: Herkimer Country: United States Single or Primary Contact: Andrew Vandawalker Contact Phone: (315) 895-4001 CLIA #: 33D2248424
PFI: E747 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alexander Z Selioutski, M.D. Phone: (716) 322-2780 Fax: (716) 322-2778 Address: 490 Delaware Avenue, Buffalo, NY 14202 County: Erie Country: United States Single or Primary Contact: Igor Yuzbashev Contact Phone: (716) 444-2120 CLIA #: 33D2246415
PFI: E748 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad R Azaz, M.D. Phone: (631) 937-4018 Fax: (833) 797-2273 Address: 205 Harrison Avenue, Harrison, NY 10528 County: Suffolk Country: United States Single or Primary Contact: Lawerence Foz Contact Phone: (516) 983-8803 CLIA #: 33D2246409
PFI: E749 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad R Azaz, M.D. Phone: (631) 937-4018 Fax: (833) 797-2273 Address: 6277 Jericho Turnpike Suite B, Commack, NY 11725 County: Suffolk Country: United States Single or Primary Contact: Lawrence Fox Contact Phone: (516) 983-8803 CLIA #: 33D2246410
PFI: E750 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad R Azaz, M.D. Phone: (631) 937-4018 Fax: (833) 797-2273 Address: 161 Saint Nicholas Avenue, Brooklyn, NY 11779 County: Suffolk Country: United States Single or Primary Contact: Lawrence Fox Contact Phone: (516) 983-8803 CLIA #: 33D2246411
PFI: E751 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad R Azaz, M.D. Phone: (631) 937-4018 Fax: (833) 797-2273 Address: 35 Middle Country Rd Suite M, Coram, NY 11727 County: Suffolk Country: United States Single or Primary Contact: Lawrence Fox Contact Phone: (516) 983-8803 CLIA #: 33D2246412
PFI: E752 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad R Azaz, M.D. Phone: (631) 937-4018 Fax: (833) 797-2273 Address: 3505 Veterans Highway Suite B, Ronkonkoma, NY 11779 County: Suffolk Country: United States Single or Primary Contact: Lawrence Fox Contact Phone: (516) 983-8803 CLIA #: 33D2246366