New York State Department of Health, Wadsworth Center
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Healthsource Pharmacy II Inc
PFI: D262 Secondary Site ID: 0000 Certification Type: WAIVER Director: Linda Niyazov, P.A. Phone: (212) 481-6600 Fax: (212) 481-6606 Address: 120 E 34th St, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Boris Niyazov Contact Phone: (212) 481-6600 CLIA #: 33D2212702
PFI: D263 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nicholas P Roussis, M.D. Phone: (718) 682-1900 Fax: (718) 682-1893 Address: 236 Richmond Valley Road, Staten Island, NY 10309 County: Richmond Country: United States Single or Primary Contact: Contact Phone: (718) 682-1900 CLIA #: 33D2213487
PFI: D264 Secondary Site ID: 0000 Certification Type: WAIVER Director: Linda Niyazov, P.A. Phone: (212) 310-0111 Fax: (212) 310-0144 Address: 1000 First Ave, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Boris Niyazov Contact Phone: (212) 310-0111 CLIA #: 33D2213496
PFI: D272 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nadhia Celestin, M.D. Phone: (833) 272-7336 Fax: (833) 272-7336 Address: 276 Fifth Ave - Suite 704, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Monica Shahani Contact Phone: (833) 272-7336 CLIA #: 33D2212220
PFI: D274 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman Eli Younesi, M.D. Phone: (718) 881-9100 Fax: (718) 709-7744 Address: 799 East Gun Hill Rd, Bronx, NY 10467 County: Bronx Country: United States Single or Primary Contact: Elina Veksler Contact Phone: (718) 840-3355 CLIA #: 33D2212221
PFI: D275 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louis A Corsaro, M.D. Phone: (914) 273-4198 Fax: (914) 273-4199 Address: 10 Tripp Lane, Armonk, NY 10504 County: Westchester Country: United States Single or Primary Contact: Jen Lamia Contact Phone: (914) 273-4198 CLIA #: 33D2213200
PFI: D277 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter B Schrier, M.D. Phone: (347) 982-2420 Fax: (800) 975-5201 Address: 100 W Kingsbridge Rd, Bronx, NY 10468 County: Bronx Country: United States Single or Primary Contact: Miles Davis Contact Phone: (800) 975-5201 CLIA #: 33D2213330
PFI: D282 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael Mannino, M.D. Phone: (516) 622-3828 Fax: (516) 719-0595 Address: 146 Manetto Hill Rd - Suite 120, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Sue Fiorello Contact Phone: (516) 365-0044 CLIA #: 33D2213341
PFI: D287 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (847) 527-4296 Fax: Address: 290 W Merrick Rd, Valley Stream, NY 11580 County: Nassau Country: United States Single or Primary Contact: Aurora Linang Contact Phone: (847) 527-4296 CLIA #: 33D2212236
PFI: D295 Secondary Site ID: 0000 Certification Type: PPMP Director: Joseph Hatem, M.D. Phone: (585) 922-8400 Fax: (585) 922-8405 Address: 224 Alexander St - Suite 200, Rochester, NY 14607 County: Monroe Country: United States Single or Primary Contact: Gretchen Smith Contact Phone: (585) 922-3851 CLIA #: 33D2213348
PFI: D295 Secondary Site ID: 0004 Certification Type: PPMP Director: Joseph Hatem, M.D. Phone: (585) 922-9206 Fax: (585) 736-9198 Address: 3349 Monroe Ave, Pittsford, NY 14618 County: Monroe Country: United States Single or Primary Contact: Gretchen Smith Contact Phone: (585) 259-1578 CLIA #: 33D2213348
PFI: D295 Secondary Site ID: 0003 Certification Type: PPMP Director: Joseph Hatem, M.D. Phone: (585) 922-9790 Fax: (585) 922-9799 Address: 10 Hagen Dr - Suite 300, Rochester, NY 14625 County: Monroe Country: United States Single or Primary Contact: Gretchen Smith Contact Phone: (585) 259-1578 CLIA #: 33D2213348
PFI: D295 Secondary Site ID: 0001 Certification Type: PPMP Director: Joseph Hatem, M.D. Phone: (585) 922-4003 Fax: Address: 1299 Portland Ave - Suite 17, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: Gretchen Smith Contact Phone: (585) 259-1578 CLIA #: 33D2213348