New York State Department of Health, Wadsworth Center
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Northern FamilyCare Laboratory
PFI: F707 Secondary Site ID: 0000 Certification Type: PPMP Director: Sue A Stucker, N.P. Phone: (315) 668-3910 Fax: (315) 668-1940 Address: 4 Gertrude Drive, Central Square, NY 13036 County: Onondaga Country: United States Single or Primary Contact: Christine Monroe Contact Phone: (315) 668-3908 CLIA #: 33D2276652
PFI: F714 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 761-6700 Fax: (716) 761-6701 Address: 122 Park St, Sherman, NY 14781 County: Chautauqua Country: United States Single or Primary Contact: Jamie Spacht Contact Phone: (716) 708-0714 CLIA #: 33D2277116
PFI: F716 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert Wicelinski, D.O. Phone: (585) 968-3138 Fax: Address: 8854 County Road 40, West Clarksville, NY 14786 County: Allegany Country: United States Single or Primary Contact: Vanessa White Contact Phone: (585) 296-9324 CLIA #: 33D2276679
PFI: F717 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 366-2577 Fax: (716) 363-6376 Address: 311 Eagle St, Dunkirk, NY 14048 County: Chautauqua Country: United States Single or Primary Contact: Nicholas Barter Contact Phone: (716) 366-2577 CLIA #: 33D2276680
PFI: F718 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammed A Siddiqi, M.D. Phone: (607) 722-8987 Fax: (607) 352-4777 Address: 5 Merrick St, Binghamton, NY 13904 County: Broome Country: United States Single or Primary Contact: Patrick Haley Contact Phone: (607) 722-8987 CLIA #: 33D2276980
PFI: F721 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 372-4523 Fax: Address: 253 Rte 16 South, Knapp Creek, NY 14760 County: Cattaraugus Country: United States Single or Primary Contact: Franklin Grimes Contact Phone: (716) 378-0985 CLIA #: 33D2276683
PFI: F722 Secondary Site ID: 0000 Certification Type: WAIVER Director: Edward K Chiu, M.D. Phone: (212) 538-7770 Fax: (212) 656-1780 Address: 11 Madison Ave - Level 1B, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Carolyn Irelan Contact Phone: (615) 468-6540 CLIA #: 33D2276684
PFI: F723 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason A. Borton, M.D. Phone: (716) 693-2201 Fax: (716) 693-2216 Address: 495 Zimmerman St, North Tonawanda, NY 14120 County: Niagara Country: United States Single or Primary Contact: Douglas Orlowski Contact Phone: (716) 693-2201 CLIA #: 33D2277106
PFI: F724 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W. Dailey, M.D. Phone: (518) 768-2823 Fax: Address: 2178 Tarrytown Rd, Clarksville, NY 12041 County: Albany Country: United States Single or Primary Contact: Matthew Latham Contact Phone: (518) 417-9840 CLIA #: 33D2276685
PFI: F725 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 792-9296 Fax: Address: 6481 W Main St, Portland, NY 14769 County: Chautauqua Country: United States Single or Primary Contact: Charles R Robertson Contact Phone: (716) 410-2010 CLIA #: 33D2276686
PFI: F726 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi P Cordi, M.D. Phone: (518) 584-2110 Fax: Address: 342 Jefferson St, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Thomas Bennett Contact Phone: (518) 937-4032 CLIA #: 33D2276687
Monte Nido Rockland - Eating Dis Treat of NY dba Monte Nido Rockland
PFI: F730 Secondary Site ID: 0000 Certification Type: WAIVER Director: Molly M Perlman, M.D. Phone: (845) 393-0555 Fax: (845) 634-0737 Address: 290 Phillips Hill Rd, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Chris King Contact Phone: (786) 478-9881 CLIA #: 33D2278249
LaGuardia Community College Student Health Services
PFI: F731 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel E Charnoff, M.D. Phone: (718) 482-5280 Fax: (718) 609-2016 Address: 31-10 Thomson Ave, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Pratuang Jimenez Contact Phone: (718) 730-7659 CLIA #: 33D2277129