PFI: G851 Secondary Site ID: 0000 Certification Type: PPMP Director: Eric B Stamberg, M.D. Phone: (845) 443-8725 Fax: (845) 347-6141 Address: 1240 Ulster Ave, Kingston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Dawn Dambach Contact Phone: (203) 702-0888 CLIA #: 33D2306192
PFI: G854 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zachary Z Brener, M.D. Phone: (718) 372-4500 Fax: (929) 363-9452 Address: 3035 W 24th St, Brooklyn, NY 11224 County: Kings Country: United States Single or Primary Contact: Miles Davis Contact Phone: (800) 975-5201 CLIA #: 33D2315315
PFI: G855 Secondary Site ID: 0000 Certification Type: WAIVER Director: Deborah L. Funk Valois, M.D. Phone: (518) 352-7710 Fax: (518) 352-7711 Address: 3454 State Rte 28, Blue Mountain Lake, NY 12812 County: Hamilton Country: United States Single or Primary Contact: Timothy Leach Contact Phone: (518) 636-8336 CLIA #: 33D2303281
PFI: G856 Secondary Site ID: 0001 Certification Type: WAIVER Director: Douglas H Girling, D.O. Phone: (518) 761-3825 Fax: Address: 98 Broad St, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Issachar Modert Contact Phone: (518) 761-3822 CLIA #: 33D2303283
PFI: G857 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joshua N. Kugler, M.D. Phone: (516) 431-2434 Fax: Address: 1 W Chester St, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: William Piazza Contact Phone: (516) 242-8811 CLIA #: 33D2304031
PFI: G863 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin K Johnson, M.D. Phone: (315) 363-8345 Fax: (315) 361-1466 Address: 239 Broad St, Oneida, NY 13421 County: Madison Country: United States Single or Primary Contact: Kristen Beeles Contact Phone: (315) 363-8345 CLIA #: 33D2304032
PFI: G865 Secondary Site ID: 0000 Certification Type: WAIVER Director: Janelle Solomon, N.P. Phone: (877) 345-2787 Fax: (877) 345-2787 Address: 150 Broadway - Suite 1010, New York, NY 10038 County: New York Country: United States Single or Primary Contact: Funmi Awe Contact Phone: (877) 345-2787 CLIA #: 33D2306195
PFI: G866 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Cristina E Aguilar, M.D. Phone: (607) 756-3616 Fax: (607) 756-3123 Address: 134 Homer Ave, Cortland, NY 13045 County: Onondaga Country: United States Single or Primary Contact: Courtney Williams Contact Phone: (607) 756-3623 CLIA #: 33D0165476
PFI: G868 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael P Pond, M.D. Phone: (518) 946-7179 Fax: (518) 946-7124 Address: 7 Community Dr, Wilmington, NY 12997 County: Essex Country: United States Single or Primary Contact: Bruce Barry Contact Phone: (518) 524-0050 CLIA #: 33D2320819