New York State Department of Health, Wadsworth Center
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Risser Road IRA
PFI: F112 Secondary Site ID: 0005 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (585) 393-0635 Fax: (585) 393-9683 Address: 2124 Risser Rd, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Ryan Burba Contact Phone: (585) 551-0649 CLIA #: 33D2253767
PFI: F112 Secondary Site ID: 0004 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (585) 396-0964 Fax: (585) 396-0748 Address: 187 Parrish St, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Ryan Burba Contact Phone: (585) 551-0649 CLIA #: 33D2253767
PFI: F112 Secondary Site ID: 0003 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (585) 396-2644 Fax: (585) 396-2983 Address: 5630 County Rd 32, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Ryan Burba Contact Phone: (585) 551-0649 CLIA #: 33D2253767
PFI: F112 Secondary Site ID: 0002 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (585) 396-3060 Fax: (585) 396-3437 Address: 2975 County Rd 48, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Ryan Burba Contact Phone: (585) 551-0649 CLIA #: 33D2253767
PFI: F112 Secondary Site ID: 0001 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (585) 394-1226 Fax: (585) 394-1491 Address: 2394 County Rd 28, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Ryan Burba Contact Phone: (585) 551-0649 CLIA #: 33D2253767
PFI: F112 Secondary Site ID: 0011 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (315) 789-5925 Fax: (315) 789-5926 Address: 211 Jay St, Geneva, NY 14456 County: Ontario Country: United States Single or Primary Contact: Ryan Burba Contact Phone: (585) 551-0649 CLIA #: 33D2253767
PFI: F113 Secondary Site ID: 0000 Certification Type: WAIVER Director: Omolara A Olaniyi, Ph.D., N.P. Phone: (347) 356-4434 Fax: Address: 5000 Broadway, New York, NY 10034 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2256951
PFI: F114 Secondary Site ID: 0000 Certification Type: WAIVER Director: Olateju I Odumosu, N.P. Phone: (315) 610-6702 Fax: (315) 610-6703 Address: 2025 Central Park Ave, Suite 203, Yonkers, NY 10710 County: Westchester Country: United States Single or Primary Contact: Teju Odumosu Contact Phone: (315) 610-6702 CLIA #: 33D2256954
PFI: F119 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gordon C Davis, D.O. Phone: (718) 749-9059 Fax: (718) 749-9428 Address: 2517 86th St, Brooklyn, NY 11214 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2254634
PFI: F120 Secondary Site ID: 0002 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (315) 612-0100 Fax: (315) 612-0183 Address: 1521 Clark Street Road, Auburn, NY 13021 County: Cayuga Country: United States Single or Primary Contact: Denise Vreeland Contact Phone: (315) 612-0136 CLIA #: 33D2255480
PFI: F120 Secondary Site ID: 0001 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (315) 536-7447 Fax: (315) 612-0183 Address: 235 North Ave, Penn Yan, NY 14527 County: Yates Country: United States Single or Primary Contact: Denise Vreeland Contact Phone: (315) 612-0136 CLIA #: 33D2255480
PFI: F126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark Costanza, M.D. Phone: (716) 901-8700 Fax: (716) 901-8718 Address: 2049 George Urban Blvd, Depew, NY 14043 County: Erie Country: United States Single or Primary Contact: Katherine Thomas Contact Phone: (716) 901-8802 CLIA #: 33D2256066