PFI: H616 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin Hoyt, M.D. Phone: (315) 866-2242 Fax: Address: 125 N Washington St, Herkimer, NY 13350 County: Herkimer Country: United States Single or Primary Contact: Timothy Hartman Contact Phone: (315) 868-1604 CLIA #: 33D2351936
PFI: H618 Secondary Site ID: 0000 Certification Type: WAIVER Director: David S. Dinello, M.D. Phone: (315) 246-8015 Fax: (315) 776-4354 Address: 8115 High St, Montezuma, NY 13117 County: Cayuga Country: United States Single or Primary Contact: Kelly Thurston Contact Phone: (315) 246-8015 CLIA #: 33D2351937
PFI: H620 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Craig B Park, Ph.D. Phone: (332) 316-7579 Fax: (332) 237-7399 Address: 551 Madison Ave - Ste 500, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2273702
PFI: H622 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert G McHugh, M.D. Phone: (518) 371-2167 Fax: Address: 750 Grooms Rd, Rexford, NY 12148 County: Saratoga Country: United States Single or Primary Contact: Tim Brousseau Contact Phone: (518) 371-2167 CLIA #: 33D2352687
Xtra Care Pharmacy dba Freeport Medical Supply Inc
PFI: H623 Secondary Site ID: 0000 Certification Type: WAIVER Director: Horace A Hawthorne, D.O. Phone: (516) 208-7432 Fax: (516) 208-8096 Address: No Address Indicated, Freeport, NY 11520 County: Nassau Country: United States Single or Primary Contact: Chuck Madu Contact Phone: (718) 415-7440 CLIA #: 33D2351941
PFI: H624 Secondary Site ID: 0000 Certification Type: WAIVER Director: Beth A Preminger, M.D. Phone: (212) 706-1900 Fax: (917) 382-4126 Address: 969 Park Ave - Ste 1E, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2350698
Mount Sinai South Nassau Laboratory at Valley Stream
PFI: H625 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Kristin L Sticco, D.O. Phone: (516) 632-3313 Fax: (516) 632-3335 Address: One South Central Ave, Valley Stream, NY 11580 County: Nassau Country: United States Single or Primary Contact: Ronaldo Manuel Contact Phone: (516) 497-7593 CLIA #: 33D2059310
PFI: H626 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sunitha Korapati, M.D. Phone: (212) 448-5800 Fax: (877) 846-5908 Address: 63 Madison Ave - 11th Fl, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Rebecca Sorenson Contact Phone: (480) 868-0646 CLIA #: 33D2350884
PFI: H630 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Paul M Longphre, M.D. Phone: (657) 513-6301 Fax: Address: 1201 Wolf St, Syracuse, NY 13208 County: Onondaga Country: United States Single or Primary Contact: Regina Jimenez Contact Phone: (657) 513-6301 CLIA #: 33D2351948
PFI: H631 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric M Senaldi, M.D. Phone: (516) 805-8528 Fax: Address: 1200 Prospect Ave, Westbury, NY 11590 County: Suffolk Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (516) 805-8528 CLIA #: 33D2351950
PFI: H634 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd D. Duthaler, D.O. Phone: (518) 899-2511 Fax: Address: 13 Curry Rd, Round Lake, NY 12151 County: Saratoga Country: United States Single or Primary Contact: Michael Dreher Contact Phone: (518) 744-3280 CLIA #: 33D2350717
PFI: H636 Secondary Site ID: 0000 Certification Type: WAIVER Director: David S. Dinello, M.D. Phone: (315) 475-1771 Fax: (315) 475-4601 Address: 139 N Main St, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Damien Stiles Contact Phone: (607) 756-4167 CLIA #: 33D2350885
PFI: H638 Secondary Site ID: 0000 Certification Type: WAIVER Director: David D Wirtz, M.D. Phone: (607) 898-3135 Fax: Address: 308 Main St, Groton, NY 13073 County: Tompkins Country: United States Single or Primary Contact: Michael Lockwood Contact Phone: (607) 423-8997 CLIA #: 33D2351951