New York State Department of Health, Wadsworth Center
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Northwell Health Physician Partners Medical Oncology at Woodbury
PFI: F469 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Vincent A Streva, Ph.D. Phone: (516) 921-5533 Fax: (516) 364-4080 Address: 40 Crossways Park Dr - Suite 103, Woodbury, NY 11797 County: Nassau Country: United States Single or Primary Contact: Lenore Brathwaite Contact Phone: (516) 272-2930 CLIA #: 33D2268551
Personal Pediatrics Div of Boston Children's Health Physician LLP
PFI: F470 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jennifer M Byrne, D.O. Phone: (631) 928-4888 Fax: (631) 928-4889 Address: 111 Sylvan Ave, Miller Place, NY 11764 County: Suffolk Country: United States Single or Primary Contact: Nydia Prussen Contact Phone: CLIA #: 33D0158320
PFI: F471 Secondary Site ID: 0002 Certification Type: WAIVER Director: Walter R. Burack, M.D., Ph.D. Phone: (585) 275-2838 Fax: (585) 273-1068 Address: 158 Sawgrass Dr - Suite 200, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Staci Evenhouse Contact Phone: (585) 275-7675 CLIA #: 33D2266882
PFI: F472 Secondary Site ID: 0000 Certification Type: WAIVER Director: James R. Powell, M.D. Phone: (844) 553-6246 Fax: Address: 35 W 35th St - 4th Floor, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Damaris Pichardo Contact Phone: (844) 553-6246 CLIA #: 33D2267064
PFI: F473 Secondary Site ID: 0000 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: (716) 413-4661 Fax: (716) 203-7042 Address: 303 Main St, Dunkirk, NY 14048 County: Chautauqua Country: United States Single or Primary Contact: James Oritz Contact Phone: (646) 299-1292 CLIA #: 33D2278001
PFI: F480 Secondary Site ID: 0000 Certification Type: WAIVER Director: Myeongha P Jo,RPh Phone: (718) 359-3373 Fax: (718) 321-8647 Address: 29-26 Union St, Flushing, NY 11354 County: Queens Country: United States Single or Primary Contact: Moon Kim Contact Phone: (718) 359-3373 CLIA #: 33D2269475
PFI: F481 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammed A Mojid, M.D. Phone: (631) 615-7439 Fax: (631) 615-7440 Address: 24 Railroad Ave, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Joseph Lancelot Contact Phone: (516) 346-5091 CLIA #: 33D2232760
PFI: F488 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vanagn Avesian, Pharm.D. Phone: (212) 423-1110 Fax: (212) 423-1114 Address: 1873 2nd Ave, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2223072