New York State Department of Health, Wadsworth Center
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Sackets Harbor Central School
PFI: Z871 Secondary Site ID: 0004 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 646-3575 Fax: (315) 646-1038 Address: 215 S Broad St, Sackets Harbor, NY 13685 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z871 Secondary Site ID: 0005 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 649-2417 Fax: (315) 649-2663 Address: 11868 Academy St, Chaumont, NY 13622 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z871 Secondary Site ID: 0006 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 658-2241 Fax: (315) 658-4223 Address: 20414 Sunrise Ave, LaFargeville, NY 13656 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z871 Secondary Site ID: 0007 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 779-2300 Fax: (315) 639-6916 Address: 17643 Cemetery Rd - Box 500, Dexter, NY 13634 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z871 Secondary Site ID: 0008 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 493-5120 Fax: (315) 493-7036 Address: 25059 Woolworth St, Carthage, NY 13619 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z871 Secondary Site ID: 0009 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 846-5411 Fax: (315) 846-5617 Address: 8372 County Rte 75, Adams, NY 13605 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z871 Secondary Site ID: 0010 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 482-9971 Fax: (315) 482-9973 Address: 34 Bolton Ave, Alexandria Bay, NY 13607 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z871 Secondary Site ID: 0000 Certification Type: WAIVER Director: D Peter VanEenenaam, M.D. Phone: (315) 779-7000 Fax: (315) 779-7028 Address: 20104 State Rte 3, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Stephen Todd Contact Phone: (315) 779-7000 CLIA #: 33D2208090
PFI: Z872 Secondary Site ID: 0001 Certification Type: WAIVER Director: Donna M Jones, N.P. Phone: 71673168002206 Fax: (585) 798-1943 Address: 3181 Saunders Settlement Rd, Sanborn, NY 14132 County: Niagara Country: United States Single or Primary Contact: Dr. Ronald Barstys Contact Phone: 71673168002206 CLIA #: 33D2208085
PFI: Z872 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donna M Jones, N.P. Phone: (716) 731-6800 Fax: (585) 793-1943 Address: 4232 Shelby Basin Rd, Medina, NY 14103 County: Orleans Country: United States Single or Primary Contact: Dr. Ronald Barstys Contact Phone: (716) 731-6800 CLIA #: 33D2208085
PFI: Z874 Secondary Site ID: 0003 Certification Type: WAIVER Director: Paul G Comber, M.D., Ph.D. Phone: (518) 775-5720 Fax: Address: 234 Lincoln St, Gloversville, NY 12078 County: Fulton Country: United States Single or Primary Contact: Aaron Bochniak Contact Phone: 51875557202202 CLIA #: 33D2206876