New York State Department of Health, Wadsworth Center
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Charlton School
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: 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: 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: 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
PFI: Z973 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lynda M Stidham, M.D. Phone: (716) 942-3100 Fax: (716) 942-3440 Address: 5359 School St, West Valley, NY 14171 County: Cattaraugus Country: United States Single or Primary Contact: Stephanie Stock Contact Phone: (716) 942-3100 CLIA #: 33D2208608
PFI: Z974 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chester H Fox, M.D. Phone: (212) 875-1718 Fax: (212) 875-0921 Address: 216 W 72nd St, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Sherif El Tahawy Contact Phone: (212) 875-1718 CLIA #: 33D2210437
PFI: Z976 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin A. Gallagher, M.D. Phone: (518) 638-8243 Fax: (518) 638-6373 Address: 5023 St Hwy 40, Argyle, NY 12809 County: Washington Country: United States Single or Primary Contact: James Bennefield Contact Phone: (518) 638-8243 CLIA #: 33D2208611
Brewster Central School District Limited Service Laboratory
PFI: Z977 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louis A Corsaro, M.D. Phone: (845) 278-8570 Fax: (845) 278-8576 Address: 50 Foggintown Road, Brewster, NY 10509 County: Putnam Country: United States Single or Primary Contact: Elizabeth Kennedy Contact Phone: (845) 278-8570 CLIA #: 33D2208615
PFI: Z982 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohamad-Zahi M Kassas, M.D. Phone: (585) 973-3311 Fax: (585) 973-2023 Address: 46 W Main St, Friendship, NY 14739 County: Allegany Country: United States Single or Primary Contact: Judy May Contact Phone: (585) 973-3534 CLIA #: 33D2208650