Tiegerman at Woodside
PFI: Z662
Secondary Site ID: 0003
Certification Type: WAIVER
Director: Eileen M Fontanetta, M.D.
Phone: (516) 476-7163
Fax:
Address: 70-24 47th Ave, Woodside, NY 11377
County: Queens
Country: United States
Single or Primary Contact: Danielle Collins
Contact Phone: 5166092000118
CLIA #: 33D2203715
Tests:
COVID-19 ANTIGEN Community Screening COVID-19 MOLECULAR
12/14/2024
Tiegerman
PFI: Z662
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Eileen M Fontanetta, M.D.
Phone: (516) 609-2000
Fax: (516) 609-2015
Address: 100 Glen Cove Ave, Glen Cove, NY 11542
County: Nassau
Country: United States
Single or Primary Contact: Danielle Collins
Contact Phone: (516) 609-2000
CLIA #: 33D2203715
Tests:
COVID-19 ANTIGEN Community Screening COVID-19 MOLECULAR
12/14/2024
Albany County Sheriff's Office EMS Division
PFI: Z663
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Donald M. Doynow, M.D.
Phone: (518) 655-7847
Fax: (518) 655-7707
Address: 21 Voorheesville Ave, Voorheesville, NY 12186
County: Albany
Country: United States
Single or Primary Contact: Dennis Wood
Contact Phone: (518) 655-7848
CLIA #: 33D2207265
Tests:
12/28/2024
Sparke Elementary School
PFI: Z665
Secondary Site ID: 0001
Certification Type: WAIVER
Director: Jeffrey N Elfenbein, M.D.
Phone: (516) 520-2129
Fax: (516) 796-3631
Address: 100 Robin Place, Levittown, NY 11756
County: Nassau
Country: United States
Single or Primary Contact: Karen Stephens
Contact Phone: (516) 520-2129
CLIA #: 33D2203689
Tests:
COVID-19 ANTIGEN Community Screening
12/04/2024
Island Trees High School
PFI: Z665
Secondary Site ID: 0002
Certification Type: WAIVER
Director: Jeffrey N Elfenbein, M.D.
Phone: (516) 520-2148
Fax: (516) 495-7746
Address: 59 Straight Lane, Levittown, NY 11756
County: Nassau
Country: United States
Single or Primary Contact: Karen Stephens
Contact Phone: (516) 520-2148
CLIA #: 33D2203689
Tests:
COVID-19 ANTIGEN Community Screening
12/04/2024
Stokes Elementary School
PFI: Z665
Secondary Site ID: 0003
Certification Type: WAIVER
Director: Jeffrey N Elfenbein, M.D.
Phone: (516) 520-2106
Fax: (516) 796-4280
Address: 101 Owl Place, Levittown, NY 11756
County: Nassau
Country: United States
Single or Primary Contact: Karen Stephens
Contact Phone: (516) 520-2106
CLIA #: 33D2203689
Tests:
COVID-19 ANTIGEN Community Screening
12/04/2024
Island Trees School District
PFI: Z665
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Jeffrey N Elfenbein, M.D.
Phone: (516) 520-2164
Fax: (516) 520-0140
Address: 45 Wantagh Ave, Levittown, NY 11756
County: Nassau
Country: United States
Single or Primary Contact: Karen Stephens
Contact Phone: (516) 520-2164
CLIA #: 33D2203689
Tests:
COVID-19 ANTIGEN Community Screening
12/04/2024
EB Care at Farmingville LLC dba The Bristal at Holtsville
PFI: Z672
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mohammud M Alam, M.D.
Phone: (631) 732-2300
Fax: (631) 307-9680
Address: 5535 Expressway Dr, Holtsville, NY 11742
County: Suffolk
Country: United States
Single or Primary Contact: Latavia Ross
Contact Phone: (631) 828-3606
CLIA #: 33D2205492
Tests:
12/18/2024
EB Care at Massapequa LLC dba The Bristal at Massapequa
PFI: Z673
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mohammud M Alam, M.D.
Phone: (516) 804-7200
Fax: (516) 804-7204
Address: 400 County Line Rd, Massapequa, NY 11758
County: Nassau
Country: United States
Single or Primary Contact: Jennifer Amarante
Contact Phone: (516) 804-7396
CLIA #: 33D2205495
Tests:
12/28/2024
EB Care at Garden City LLC dba The Bristal at Garden City
PFI: Z674
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 833-5515
Fax: (516) 833-5514
Address: 1001 Axinn Ave, Garden City, NY 11530
County: Nassau
Country: United States
Single or Primary Contact: Olga Loi
Contact Phone: (516) 530-6681
CLIA #: 33D2205498
Tests:
12/28/2024
Engel Burman Senior Care at Jericho LLC dba The Bristal at Jericho
PFI: Z675
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 802-8020
Fax: (516) 802-7160
Address: 310 Jericho Tpke, Jericho, NY 11753
County: Nassau
Country: United States
Single or Primary Contact: Gina Young
Contact Phone: (516) 530-6181
CLIA #: 33D2205499
Tests:
12/28/2024
EB Care at Lake Success LLC dba The Bristal at Lake Success
PFI: Z676
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 600-1800
Fax: (516) 600-1900
Address: 69 N Service Rd, Lake Success, NY 11020
County: Nassau
Country: United States
Single or Primary Contact: AnnMarie Coombs
Contact Phone: (516) 600-1850
CLIA #: 33D2205501
Tests:
12/28/2024
Sayville Senior Care LLC dba The Bristal at Sayville
PFI: Z677
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mohammud M Alam, M.D.
Phone: (631) 563-1160
Fax: (631) 563-1161
Address: 129 Lakeland Ave, Sayville, NY 11782
County: Suffolk
Country: United States
Single or Primary Contact: Carolyn Ciatto
Contact Phone: (631) 750-9675
CLIA #: 33D2205533
Tests:
12/28/2024
Engel Burman Sr Housing at East Meadow Inc dba Bristal at East Meadow
PFI: Z678
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 542-0800
Fax: (516) 465-0165
Address: 40 Merrick Ave, East Meadow, NY 11554
County: Nassau
Country: United States
Single or Primary Contact: Stephanie Chapusette-Desir
Contact Phone: (516) 918-8602
CLIA #: 33D2205536
Tests:
12/28/2024
Lynbrook Senior Care LLC dba The Bristal at Lynbrook
PFI: Z679
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 593-2424
Fax: (516) 593-2653
Address: 8 Freer St, Lynbrook, NY 11563
County: Nassau
Country: United States
Single or Primary Contact: Wendy Gregg
Contact Phone: (516) 593-2424
CLIA #: 33D2205537
Tests:
12/28/2024
Engel Burman Sr Housing at North Hills Inc dba Bristal at North Hills
PFI: Z680
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 869-1300
Fax: (516) 233-3300
Address: 99 S Service Rd, North Hills, NY 11040
County: Nassau
Country: United States
Single or Primary Contact: Loudjina Auguste
Contact Phone: (516) 233-3143
CLIA #: 33D2205568
Tests:
12/28/2024
EB Care at Mount Sinai LLC dba The Bristal at Mount Sinai
PFI: Z681
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mohammud M Alam, M.D.
Phone: (631) 828-6688
Fax: (631) 828-8448
Address: 400 Sutton Court, Mount Sinai, NY 11766
County: Suffolk
Country: United States
Single or Primary Contact: Karen Caroppoli
Contact Phone: (631) 439-8505
CLIA #: 33D2205573
Tests:
12/28/2024
Hungry Harbor Care LLC dba The Bristal at North Woodmere
PFI: Z683
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 792-5100
Fax: (516) 792-5402
Address: 477 Hungry Harbor Rd, North Woodmere, NY 11581
County: Nassau
Country: United States
Single or Primary Contact: Dana Mori
Contact Phone: (516) 792-5130
CLIA #: 33D2205584
Tests:
12/28/2024
Westbury Senior Living Inc dba The Bristal at Westbury
PFI: Z684
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Farzin Sehati, D.O.
Phone: (516) 333-9828
Fax: (516) 333-0134
Address: 117 Post Ave, Westbury, NY 11590
County: Nassau
Country: United States
Single or Primary Contact: Kimberly Bent
Contact Phone: (516) 918-4012
CLIA #: 33D2205587
Tests:
12/28/2024
Engel Burman Sr Housing at E Northport LLC dba Bristal at E Northport
PFI: Z685
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mohammud M Alam, M.D.
Phone: (631) 651-2111
Fax: (631) 858-0201
Address: 760 Larkfield Rd, East Northport, NY 11731
County: Suffolk
Country: United States
Single or Primary Contact: Bonnie Hope
Contact Phone: (631) 651-2111
CLIA #: 33D2205588
Tests:
12/28/2024