New York State Department of Health, Wadsworth Center
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Montgomery County Correctional Facility
PFI: F570 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael J Gandt, P.A. Phone: (518) 853-5528 Fax: (518) 853-5511 Address: 200 Clark Drive, Fultonville, NY 12072 County: Montgomery Country: United States Single or Primary Contact: Jeffery Smith Contact Phone: (518) 853-5561 CLIA #: 33D2270590
NYU Langone Health Gastroenterology and Hepatology Associates
PFI: F571 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ira M Jacobson, M.D. Phone: (212) 263-3643 Fax: (212) 263-3751 Address: 150 E 32nd St - Suite 101, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Dana Affinito Contact Phone: (212) 263-3643 CLIA #: 33D2273745
PFI: F572 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian W Shinkle, D.O. Phone: (347) 620-8032 Fax: (856) 324-9095 Address: 1901 1st Ave, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Toledo Ayers Contact Phone: (856) 394-2358 CLIA #: 33D2270071
PFI: F576 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Biernbaum, D.O. Phone: (716) 246-3028 Fax: (716) 246-3029 Address: 860 Center St, Lewiston, NY 14902 County: Orange Country: United States Single or Primary Contact: Sheryl Carleo-Gaines Contact Phone: (315) 454-6000 CLIA #: 33D2278246
PFI: F577 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Biernbaum, D.O. Phone: (315) 605-3079 Fax: (315) 605-3080 Address: 725 Canton St, Ogdensburg, NY 13669 County: St. Lawrence Country: United States Single or Primary Contact: Sheryl Carleo-Gaines Contact Phone: (315) 454-6000 CLIA #: 33D2273431
City College of New York - CUNY School of Medicine
PFI: F579 Secondary Site ID: 0000 Certification Type: WAIVER Director: Darwin Deen, M.D. Phone: (212) 650-8742 Fax: Address: 160 Convent Ave - Harris Hall H-14, New York, NY 10031 County: New York Country: United States Single or Primary Contact: David W Matthews Contact Phone: (212) 650-8742 CLIA #: 33D2270289
PFI: F580 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jorge L. Gardyn, M.D. Phone: (516) 599-5328 Fax: Address: 160 Vincent Ave, Lynbrook, NY 11563 County: Nassau Country: United States Single or Primary Contact: David Linzer Contact Phone: (516) 924-6168 CLIA #: 33D2270836
PFI: F581 Secondary Site ID: 0000 Certification Type: WAIVER Director: Virginia L Cronin, N.P. Phone: (315) 641-2385 Fax: (315) 570-7728 Address: 1050 W Genesee St, Syracuse, NY 13204 County: Onondaga Country: United States Single or Primary Contact: Andrea Lazarek-LaQuay Contact Phone: (315) 477-9598 CLIA #: 33D2273747
PFI: F583 Secondary Site ID: 0000 Certification Type: WAIVER Director: Emmanuel H Saintjean, M.D. Phone: (518) 521-3757 Fax: (518) 521-3757 Address: 5680 State Rte 11, Burke, NY 12917 County: Franklin Country: United States Single or Primary Contact: John Bashaw Contact Phone: (518) 651-5964 CLIA #: 33D2269952
PFI: F584 Secondary Site ID: 0000 Certification Type: WAIVER Director: Giuseppe Ventre, M.D. Phone: (518) 297-5502 Fax: (518) 297-6432 Address: 48 Lake St, Rouses Point, NY 12979 County: Clinton Country: United States Single or Primary Contact: Junior Moore Contact Phone: (518) 593-3937 CLIA #: 33D2271758
PFI: F588 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elena Bover,RPh Phone: (718) 533-6623 Fax: (718) 533-6623 Address: 79-08 37th Ave, Jackson Heights, NY 11372 County: Queens Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2187692
PFI: F591 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mudasar A Khan, Pharm.D. Phone: (718) 273-2033 Fax: (718) 273-8263 Address: 2343 Forest Ave - Suite 8, Staten Island, NY 10303 County: Richmond Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2270672