PFI: Z987 Secondary Site ID: 0013 Certification Type: WAIVER Director: Amy L Grace, M.D. Phone: (315) 867-2055 Fax: (315) 867-2008 Address: 77 East North St, Ilion, NY 13357 County: Herkimer Country: United States Single or Primary Contact: Adam Hutchinson Contact Phone: (315) 867-2028 CLIA #: 33D2208516
PFI: Z987 Secondary Site ID: 0014 Certification Type: WAIVER Director: Amy L Grace, M.D. Phone: (315) 858-0610 Fax: (315) 858-2440 Address: 93 West Main St, Richfield Springs, NY 13429 County: Herkimer Country: United States Single or Primary Contact: Adam Hutchinson Contact Phone: (315) 867-2028 CLIA #: 33D2208516
PFI: Z987 Secondary Site ID: 0016 Certification Type: WAIVER Director: Amy L Grace, M.D. Phone: (315) 369-3222 Fax: (315) 269-6219 Address: 3002 Main St, Old Forge, NY 13420 County: Herkimer Country: United States Single or Primary Contact: Adam Hutchinson Contact Phone: (315) 867-2028 CLIA #: 33D2208516
PFI: Z996 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bibi N Zainul, M.D. Phone: (631) 666-1400 Fax: Address: 24 E Main St, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Jessica G Avila Contact Phone: (631) 666-1400 CLIA #: 33D0902618
PFI: Z997 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmed M Bayoumi, M.D. Phone: (585) 786-2290 Fax: (585) 786-1568 Address: 34 Duncan St, Warsaw, NY 14569 County: Wyoming Country: United States Single or Primary Contact: Jennifer Burke Contact Phone: (585) 786-8940 CLIA #: 33D0938966