New York State Department of Health, Wadsworth Center
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Wyoming County Family Medicine Arcade
PFI: F335 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmed M Bayoumi, M.D. Phone: (585) 492-5088 Fax: (585) 786-1568 Address: 401 Main St, Arcade, NY 14009 County: Wyoming Country: United States Single or Primary Contact: Jennifer Burke Contact Phone: (585) 786-8940 CLIA #: 33D0686074
PFI: F337 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leonid Isakov, M.D. Phone: (718) 395-1000 Fax: (718) 414-1105 Address: 1268 E 14th St - Suite M101, Brooklyn, NY 11230 County: Kings Country: United States Single or Primary Contact: Kristina DiDonato Contact Phone: (929) 564-8160 CLIA #: 33D2261490
Saratoga Hospital Medical Group Primary Care - Wilton
PFI: F339 Secondary Site ID: 0000 Certification Type: PPMP Director: Daniel J Eldredge, D.O. Phone: (518) 886-5800 Fax: (518) 886-5880 Address: 3065 NY-50, Suite 30, Unit 106, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Shayna Blanchette Contact Phone: (518) 583-8743 CLIA #: 33D2261493
PFI: F340 Secondary Site ID: 0000 Certification Type: WAIVER Director: Werner K Brammer, M.D. Phone: (607) 622-3901 Fax: (607) 776-7671 Address: 7007 Rumsey St Ext, Bath, NY 14810 County: Steuben Country: United States Single or Primary Contact: James Allard Contact Phone: (607) 622-3901 CLIA #: 33D2261920
PFI: F343 Secondary Site ID: 0000 Certification Type: WAIVER Director: Edwin Marshall, M.D. Phone: (315) 221-7026 Fax: (315) 788-8899 Address: 1222 Arsenal St - Suite 10A, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Melissa D Falvey Contact Phone: (703) 578-6030 CLIA #: 33D2261450
PFI: F344 Secondary Site ID: 0000 Certification Type: WAIVER Director: Binod P Shah, M.D. Phone: (646) 376-0730 Fax: (212) 888-6024 Address: 5000 Broadway, New York, NY 10034 County: New York Country: United States Single or Primary Contact: Norman Fields Contact Phone: CLIA #: 33D2262794
PFI: F349 Secondary Site ID: 0000 Certification Type: WAIVER Director: Muhammad Shams, P.A. Phone: (718) 641-9100 Fax: (718) 641-9101 Address: 116-13 Liberty Ave, South Richmond Hill, NY 11419 County: Queens Country: United States Single or Primary Contact: Ismat U Chaudhary Contact Phone: (718) 641-9100 CLIA #: 33D2261923
PFI: F350 Secondary Site ID: 0000 Certification Type: WAIVER Director: Keith Stanley,RPh Phone: (585) 288-4422 Fax: (401) 652-9541 Address: 185 Winton Rd North, Rochester, NY 14610 County: Monroe Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261662
PFI: F351 Secondary Site ID: 0000 Certification Type: WAIVER Director: Katie A Ogden,RPh Phone: (518) 459-4550 Fax: (401) 652-9541 Address: 885 Central Ave, Albany, NY 12206 County: Albany Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261659
PFI: F352 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rajen R Pandya,RPh Phone: (845) 462-2791 Fax: (401) 652-9541 Address: 2503 South Rd, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261657
PFI: F353 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniella A Pina, Pharm.D. Phone: (516) 694-6210 Fax: (401) 652-9541 Address: 450 Main St, Farmingdale, NY 11735 County: Nassau Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261655
PFI: F355 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Sold, Pharm.D. Phone: (585) 742-1910 Fax: (401) 652-9541 Address: 1259 Rte 332, Farmington, NY 14425 County: Ontario Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261652