New York State Department of Health, Wadsworth Center
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CVS Pharmacy 232
PFI: F250 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rebecca L Cummings, Pharm.D. Phone: (585) 226-4500 Fax: (401) 652-1360 Address: 277 E Main St, Avon, NY 14414 County: Livingston Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2258506
PFI: F252 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristy E Richard, N.P. Phone: (347) 834-0484 Fax: Address: 1731 E 46th St, Brooklyn, NY 11234 County: Kings Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2258482
Federal Reserve Bank of New York Health and Wellness
PFI: F253 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael Shahbaz, M.D. Phone: (212) 720-6222 Fax: (212) 720-7775 Address: 33 Liberty St - 14th Fl, New York, NY 10045 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2258447
PFI: F254 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 492-0821 Fax: Address: 85 S Main St, Delevan, NY 14042 County: Cattaraugus Country: United States Single or Primary Contact: Christopher Hazeltine Contact Phone: (716) 512-1894 CLIA #: 33D2261585
PFI: F257 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 938-6646 Fax: (716) 938-9716 Address: 101 Third St, Little Valley, NY 14755 County: Cattaraugus Country: United States Single or Primary Contact: Kelly Hesse Contact Phone: (716) 697-4625 CLIA #: 33D2261864
PFI: F259 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 353-4611 Fax: (716) 353-4454 Address: 9548 Main St, Machias, NY 14101 County: Cattaraugus Country: United States Single or Primary Contact: Nathan Scrivani Contact Phone: (716) 796-7290 CLIA #: 33D2258507
PFI: F263 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael D Mendoza, M.D. Phone: (585) 292-2018 Fax: (585) 292-3856 Address: 1000 E Henritta Rd, Rochester, NY 14623 County: Monroe Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2260596
PFI: F264 Secondary Site ID: 0000 Certification Type: PPMP Director: Ray R Min, D.O. Phone: (888) 663-6331 Fax: (212) 867-4353 Address: 185 Broadway - 2nd Fl, New York, NY 10007 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2258724
PFI: F267 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew D Maynard, D.O. Phone: (315) 646-2770 Fax: Address: 112 N Broad St, Sackets Harbor, NY 13685 County: Jefferson Country: United States Single or Primary Contact: Niklas Brazie Contact Phone: (315) 486-7723 CLIA #: 33D2261698
PFI: F270 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 925-7251 Fax: Address: 5886 Church St, Limestone, NY 14753 County: Cattaraugus Country: United States Single or Primary Contact: Jessica Baker Contact Phone: (585) 307-8751 CLIA #: 33D2276743
PFI: F272 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 676-2539 Fax: (716) 676-2539 Address: 75 N Main St, Franklinville, NY 14737 County: Cattaraugus Country: United States Single or Primary Contact: Emil Westfall Contact Phone: (716) 378-2552 CLIA #: 33D2261931
PFI: F276 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard Castaldo, M.D. Phone: (716) 278-4402 Fax: Address: 620 10th St Ste 703, Niagara Falls, NY 14301 County: Niagara Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2261582
Nuvance Health Medical Practice - Imaging Center KMM
PFI: F277 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher G Kyriakakos, M.D. Phone: (845) 443-8720 Fax: (845) 336-5016 Address: 1240 Ulster Ave - Suite 102, Kingston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Joe Gallivan Contact Phone: (845) 443-8720 CLIA #: 33D2264206
PFI: F279 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 532-4045 Fax: Address: 12006 Main St, Perrysburg, NY 14129 County: Cattaraugus Country: United States Single or Primary Contact: Jamie Watkins Contact Phone: (716) 481-2506 CLIA #: 33D2275209