New York State Department of Health, Wadsworth Center
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Port Jervis Outpatient Clinic
PFI: Z923 Secondary Site ID: 0008 Certification Type: WAIVER Director: Paul Salzberg, M.D. Phone: 84579480801425 Fax: (845) 791-1716 Address: 150 Pike Street, Port Jervis, NY 12771 County: Orange Country: United States Single or Primary Contact: Shannon Kelly Contact Phone: 84579480802010 CLIA #: 33D2212367
PFI: Z924 Secondary Site ID: 0001 Certification Type: WAIVER Director: Gaylen M Bigelow, N.P. Phone: (518) 942-6691 Fax: Address: 3092 Plank Rd, Mineville, NY 12956 County: Essex Country: United States Single or Primary Contact: Mr. Eric Bell Contact Phone: 5185610100230 CLIA #: 33D2208583
PFI: Z924 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gaylen M Bigelow, N.P. Phone: (518) 561-0100 Fax: Address: 1585 Military Turnpike, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Mr. Eric Bell Contact Phone: (518) 561-0100 CLIA #: 33D2208583
PFI: Z926 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert G Fafalak, M.D. Phone: (212) 933-0072 Fax: (646) 684-4511 Address: 36 West 9th St, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2037566
PFI: Z931 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (914) 738-5814 Fax: (718) 338-5548 Address: 1797 Dutch Broadway, Elmont, NY 11003 County: Nassau Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2215540
PFI: Z935 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd R Howland, M.D. Phone: (315) 344-2426 Fax: Address: 95 State St, Heuvelton, NY 13654 County: St. Lawrence Country: United States Single or Primary Contact: Jennifer Hynes Contact Phone: (315) 276-0483 CLIA #: 33D2208417
PFI: Z938 Secondary Site ID: 0001 Certification Type: WAIVER Director: Virginia M Valenti, N.P. Phone: (716) 821-5610 Fax: (716) 821-5625 Address: 500 Martin Rd, Lackawanna, NY 14218 County: Erie Country: United States Single or Primary Contact: Nadia Nashir Contact Phone: 71682156107775 CLIA #: 33D2208271
PFI: Z938 Secondary Site ID: 0003 Certification Type: WAIVER Director: Virginia M Valenti, N.P. Phone: (716) 821-5610 Fax: (716) 821-5625 Address: 135 Martin Rd, Lackawanna, NY 14218 County: Erie Country: United States Single or Primary Contact: Nadia Nashir Contact Phone: 71682156107775 CLIA #: 33D2208271
PFI: Z938 Secondary Site ID: 0000 Certification Type: WAIVER Director: Virginia M Valenti, N.P. Phone: (716) 821-5610 Fax: (716) 821-5625 Address: 500 Martin Rd, Lackawanna, NY 14218 County: Erie Country: United States Single or Primary Contact: Nadia Nashir Contact Phone: (716) 821-5610 CLIA #: 33D2208271