New York State Department of Health, Wadsworth Center
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Syosset Ambulatory Surgery Center
PFI: F864 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard A McCormack, M.D. Phone: (347) 310-9841 Fax: Address: 115 Eileen Way - Suite 3, Syosset, NY 11791 County: Nassau Country: United States Single or Primary Contact: Elizabeth Ulitsch Contact Phone: (347) 310-9841 CLIA #: 33D2281809
PFI: F865 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alan Bloom, D.O. Phone: (845) 590-3174 Fax: Address: 1975 Rte 284, Slate Hill, NY 10973 County: Orange Country: United States Single or Primary Contact: Philip Camerlingo Contact Phone: (845) 590-3174 CLIA #: 33D2282353
PFI: F868 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ella A Leers, M.D. Phone: (888) 926-9385 Fax: (212) 273-4496 Address: 550 Washington St, New York, NY 10014 County: New York Country: United States Single or Primary Contact: Kate Myers Contact Phone: (615) 468-6564 CLIA #: 33D2284104
PFI: F869 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kirby P Black, M.D. Phone: (315) 363-1910 Fax: (315) 361-3437 Address: 109 N Main St, Oneida, NY 13421 County: Madison Country: United States Single or Primary Contact: David Hoffman Contact Phone: (315) 264-3413 CLIA #: 33D2280953
PFI: F870 Secondary Site ID: 0000 Certification Type: WAIVER Director: Evan W Shaw, M.D. Phone: (585) 493-5780 Fax: (585) 786-5280 Address: 67 W Main St, Pike, NY 14130 County: Wyoming Country: United States Single or Primary Contact: Alexandra Anderson Contact Phone: (585) 519-1710 CLIA #: 33D2280955
PFI: F874 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 375-2525 Fax: Address: 3261 W State St - Robinson Hall, St Bonaventure, NY 14778 County: Cattaraugus Country: United States Single or Primary Contact: Gary Segrue Contact Phone: (716) 375-2526 CLIA #: 33D2280840
PFI: F875 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gregory C Bunt, M.D. Phone: (718) 206-2000 Fax: Address: 362 E 148th St, Bronx, NY 10455 County: Bronx Country: United States Single or Primary Contact: Charles Madray Contact Phone: (917) 285-0913 CLIA #: 33D2280959
PFI: F876 Secondary Site ID: 0000 Certification Type: WAIVER Director: Josef D Schenker, M.D. Phone: (917) 398-9600 Fax: (718) 502-3888 Address: 64-02 108th St, Forest Hills, NY 11375 County: Queens Country: United States Single or Primary Contact: Ms. Sarah Alcables Contact Phone: (305) 389-8960 CLIA #: 33D2280960
PFI: F877 Secondary Site ID: 0000 Certification Type: WAIVER Director: Josef D Schenker, M.D. Phone: (718) 307-5725 Fax: (718) 502-3888 Address: 7825 3rd Ave, Brooklyn, NY 11209 County: Kings Country: United States Single or Primary Contact: Sarah Alrabes Contact Phone: (305) 389-8950 CLIA #: 33D2280961
PFI: F879 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ajay J Mirani, M.D. Phone: (917) 994-7613 Fax: (917) 730-9141 Address: 167 Madison Ave - Suite 205 No 510, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Ajay Mirani Contact Phone: (917) 994-7613 CLIA #: 33D2280965
PFI: F882 Secondary Site ID: 0000 Certification Type: PPMP Director: Alexandra J Coromilas, M.D. Phone: (212) 305-1725 Fax: (212) 326-8567 Address: 161 Fort Washington Ave - 12th Fl, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Caroll Duncanson Contact Phone: (212) 326-8568 CLIA #: 33D2282692
Columbia Doctors Eastside Department of Dermatology
PFI: F882 Secondary Site ID: 0002 Certification Type: PPMP Director: Alexandra J Coromilas, M.D. Phone: (646) 317-2725 Fax: (646) 317-2720 Address: 880 3rd Ave, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Caroll Duncanson Contact Phone: (212) 326-8568 CLIA #: 33D2282692
Columbia Doctors Midtown Department of Dermatology
PFI: F882 Secondary Site ID: 0001 Certification Type: PPMP Director: Alexandra J Coromilas, M.D. Phone: (212) 326-8560 Fax: (212) 326-8567 Address: 51 W 51st St, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Caroll Duncanson Contact Phone: (212) 326-8568 CLIA #: 33D2282692
PFI: F883 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erik P Peterson, D.O. Phone: (585) 599-3618 Fax: Address: 116 E Main St, Corfu, NY 14036 County: Genesee Country: United States Single or Primary Contact: Dean Eck Contact Phone: (585) 599-3618 CLIA #: 33D2283053
PFI: F885 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 965-4106 Fax: Address: 18 Chestnut St, Forestville, NY 14062 County: Chautauqua Country: United States Single or Primary Contact: Donna Mattoon Contact Phone: (716) 864-7062 CLIA #: 33D2318171