New York State Department of Health, Wadsworth Center
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Smithville South Hook Ladder and Engine Co 1
PFI: F633 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joseph Bottner, M.D. Phone: (516) 409-4710 Fax: Address: 1550 Newbridge Rd, North Bellemeore, NY 11710 County: Nassau Country: United States Single or Primary Contact: Matthew Corless Contact Phone: (516) 351-5645 CLIA #: 33D2275223
PFI: F633 Secondary Site ID: 0002 Certification Type: WAIVER Director: Joseph Bottner, M.D. Phone: (516) 409-4710 Fax: Address: 829 Newbridge Rd, North Bellmore, NY 11710 County: Nassau Country: United States Single or Primary Contact: Matthew Corless Contact Phone: (516) 351-5645 CLIA #: 33D2275223
PFI: F633 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph Bottner, M.D. Phone: (516) 409-4701 Fax: (516) 409-4727 Address: 1500 Newbridge Rd, North Bellmore, NY 11710 County: Nassau Country: United States Single or Primary Contact: Matthew Corless Contact Phone: (516) 351-5645 CLIA #: 33D2275223
PFI: F634 Secondary Site ID: 0000 Certification Type: PPMP Director: Philip C Clements, M.D. Phone: (518) 271-3900 Fax: (518) 271-5559 Address: 2231 Burdett Ave - Suite 220, Troy, NY 12180 County: Rensselaer Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2273611
PFI: F634 Secondary Site ID: 0001 Certification Type: PPMP Director: Philip C Clements, M.D. Phone: (518) 373-4555 Fax: (518) 373-4493 Address: 855 Rte 146, Clifton Park, NY 12065 County: Albany Country: United States Single or Primary Contact: Contact Phone: (518) 373-4555 CLIA #: 33D2273611
PFI: F635 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Turner, D.O. Phone: (877) 432-5152 Fax: Address: 86th St and 2nd Ave, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Jesse Ohayon Contact Phone: (877) 342-5152 CLIA #: 33D2273271
PFI: F645 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Turner, D.O. Phone: (877) 432-5152 Fax: Address: 500 E 14th St, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Jesse Ohayon Contact Phone: (877) 342-5152 CLIA #: 33D2273272
PFI: F646 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Turner, D.O. Phone: (877) 432-5152 Fax: Address: 1529 3rd St, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Jesse Ohayon Contact Phone: (877) 342-5152 CLIA #: 33D2273273
PFI: F647 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahsaan Qadir, Pharm.D. Phone: (212) 427-4382 Fax: (212) 427-9019 Address: 1590 Madison Ave, New Yoprk, NY 10514 County: New York Country: United States Single or Primary Contact: Ahsaan Qadir Contact Phone: (212) 427-4382 CLIA #: 33D2273751
PFI: F648 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jonas M Sokolof, D.O. Phone: (516) 302-8535 Fax: (516) 465-9549 Address: 2200 Northern Blvd - Suite 127, Greenvale, NY 11548 County: Nassau Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2273752
PFI: F650 Secondary Site ID: 0000 Certification Type: PPMP Director: Jada L Hamilton, M.D. Phone: (607) 253-6099 Fax: (607) 253-6099 Address: 110 Ho Plaza, Ithaca, NY 14853 County: Tompkins Country: United States Single or Primary Contact: Janice Wetzel Contact Phone: (607) 255-6207 CLIA #: 33D0707337