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: Contact Phone: CLIA #: 33D2280965
PFI: F880 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erik P Peterson, D.O. Phone: (585) 548-2206 Fax: Address: 6357 E Main St, Byron, NY 14422 County: Genesee Country: United States Single or Primary Contact: Bradford Nickerson Contact Phone: (585) 330-3584 CLIA #: 33D2281479
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
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 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: Contact Phone: 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
PFI: F889 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 426-2720 Fax: (585) 426-7444 Address: 2355 Chili Ave, Rochester, NY 14624 County: Monroe Country: United States Single or Primary Contact: Sarah Yale Contact Phone: (585) 426-2720 CLIA #: 33D2280967
The Guidance Center of Westchester Inc Sunrise Program
PFI: F890 Secondary Site ID: 0001 Certification Type: WAIVER Director: Francis Hayden, M.D. Phone: (914) 613-0700 Fax: (914) 355-5425 Address: 256 Washington St, Mount Vernon, NY 10553 County: Westchester Country: United States Single or Primary Contact: Wendy Tejeda Castillo Contact Phone: 91461307007105 CLIA #: 33D2282397
PFI: F893 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason A. Borton, M.D. Phone: (585) 590-0619 Fax: Address: 4677 S Gravel Rd, Medina, NY 14103 County: Orleans Country: United States Single or Primary Contact: Tiffany Petry Contact Phone: (585) 590-0619 CLIA #: 33D2280968
PFI: F895 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W. Dailey, M.D. Phone: (518) 733-5151 Fax: (518) 733-5171 Address: 396 Rte 43, Stephentown, NY 12168 County: Rensselaer Country: United States Single or Primary Contact: Jennifer Peabody Contact Phone: (781) 775-9140 CLIA #: 33D2283055