New York State Department of Health, Wadsworth Center
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Auburn Memorial Medical Svcs PC
PFI: U312 Secondary Site ID: 0001 Certification Type: WAIVER Director: Christopher B Gerlach, D.O. Phone: (315) 253-5151 Fax: (315) 253-0841 Address: 17 E Genesee Street, Auburn, NY 13021 County: Cayuga Country: United States Single or Primary Contact: John Bagenski Contact Phone: 31525575766310 CLIA #: 33D1094284
PFI: U312 Secondary Site ID: 0004 Certification Type: WAIVER Director: Christopher B Gerlach, D.O. Phone: (315) 567-0777 Fax: (315) 253-1859 Address: 37 W Garden St, Auburn, NY 13021 County: Cayuga Country: United States Single or Primary Contact: John Bagenski Contact Phone: 31525575766310 CLIA #: 33D1094284
PFI: U312 Secondary Site ID: 0008 Certification Type: WAIVER Director: Christopher B Gerlach, D.O. Phone: (315) 567-0388 Fax: (315) 370-4503 Address: 1551 US Rte 20 - Ste 300, Skaneateles, NY 13152 County: Onondaga Country: United States Single or Primary Contact: John Bagenski Contact Phone: (315) 255-7328 CLIA #: 33D1094284
PFI: U313 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louise M barimah, N.P. Phone: (516) 361-4165 Fax: (516) 806-4329 Address: 100 E Old Country Road, Hicksville, NY 11801 County: Nassau Country: United States Single or Primary Contact: Dr. Louise Barimah Contact Phone: (929) 798-6012 CLIA #: 33D2080928
PFI: U314 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louise M barimah, N.P. Phone: (631) 348-6288 Fax: (631) 291-4463 Address: 1650 Islip Avenue, Rm B9, Brentwood, NY 11717 County: Suffolk Country: United States Single or Primary Contact: Dr. Louise Barimah Contact Phone: (315) 247-8534 CLIA #: 33D2080930
PFI: U315 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louise M barimah, N.P. Phone: (646) 618-1205 Fax: (929) 214-5872 Address: 2 Hanson Place, 11th Flr, Brooklyn, NY 11217 County: Kings Country: United States Single or Primary Contact: Dr. Louise Barimah Contact Phone: (315) 247-8534 CLIA #: 33D2080931
PFI: U317 Secondary Site ID: 0000 Certification Type: WAIVER Director: Julia G Adamian, M.D. Phone: (212) 263-8313 Fax: (212) 263-8995 Address: 222 E 41st St, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Obi Ikpeze Contact Phone: (212) 263-8313 CLIA #: 33D2079079
PFI: U318 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam Rubin, M.D. Phone: (315) 377-3090 Fax: (315) 376-9983 Address: 7785 N State St - Suite 1, Lowville, NY 13367 County: Lewis Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 341-6410 CLIA #: 33D2074654
PFI: U326 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Paul R Hosking, M.D. Phone: (585) 758-7530 Fax: (585) 395-1847 Address: 156 West Ave, Brockport, NY 14220 County: Monroe Country: United States Single or Primary Contact: Staci Evenhouse Contact Phone: (585) 275-7675 CLIA #: 33D2075564
Fire Department City of New York - Williamsburg Station
PFI: U330 Secondary Site ID: 0020 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 384-7039 Fax: (718) 384-7050 Address: 332 Metropolitan Avenue, Brooklyn, NY 11211 County: Kings Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Fort Totten Outpost
PFI: U330 Secondary Site ID: 0037 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 281-8303 Fax: (718) 281-3343 Address: Fort Totten - Bldg 103, Bayside, NY 11359 County: Queens Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Wingate Station
PFI: U330 Secondary Site ID: 0021 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 221-8052 Fax: (718) 221-8071 Address: 554 Winthrop Street, Brooklyn, NY 11203 County: Kings Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Pennsylvania Station
PFI: U330 Secondary Site ID: 0022 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 385-7345 Fax: (718) 347-6390 Address: 265 Pennsylvania Avenue, Brooklyn, NY 11207 County: Kings Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Brownsville Station
PFI: U330 Secondary Site ID: 0023 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 566-1615 Fax: (718) 566-1797 Address: 266 Rockaway Avenue, Brooklyn, NY 11233 County: Kings Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Sunset Park Station
PFI: U330 Secondary Site ID: 0024 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 437-3539 Fax: (718) 437-0744 Address: 5011 7th Avenue, Brooklyn, NY 11220 County: Kings Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Gravesend Station
PFI: U330 Secondary Site ID: 0025 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 616-5551 Fax: (718) 616-4496 Address: 2601 Ocean Parkway, Brooklyn, NY 11235 County: Kings Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316
Fire Department City of New York - Bedford Stuyvesant Station
PFI: U330 Secondary Site ID: 0026 Certification Type: WAIVER Director: Douglas A. Isaacs, M.D. Phone: (718) 302-5660 Fax: (718) 302-5662 Address: 131 Throop Avenue, Brooklyn, NY 11206 County: Kings Country: United States Single or Primary Contact: Even Suchecki Contact Phone: (718) 999-1738 CLIA #: 33D2076316