New York State Department of Health, Wadsworth Center
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Midtown Endoscopy and Surgical Center LLC
PFI: G674 Secondary Site ID: 0000 Certification Type: WAIVER Director: Shawn Khodadadian, M.D. Phone: (212) 427-8761 Fax: (212) 427-8762 Address: 147 E 26th St, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Shawn Khodadadian Contact Phone: (516) 313-8642 CLIA #: 33D2297520
PFI: G675 Secondary Site ID: 0000 Certification Type: WAIVER Director: Frederick M Limson, M.D. Phone: (212) 659-8190 Fax: (212) 659-9291 Address: 1160 5th Ave, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Evanilda Bayon Contact Phone: (212) 659-9271 CLIA #: 33D2308393
PFI: G676 Secondary Site ID: 0000 Certification Type: WAIVER Director: John J McNamara, D.O. Phone: (716) 438-3171 Fax: Address: 5574 Niagara St Ext, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Thomas Eggert Contact Phone: (716) 536-3198 CLIA #: 33D2297517
PFI: G678 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tiffany Bombard, M.D. Phone: (518) 483-6659 Fax: (518) 483-4440 Address: 347 Elm St, Malone, NY 12953 County: Franklin Country: United States Single or Primary Contact: Vicki L Rockhill Contact Phone: (518) 483-6659 CLIA #: 33D2297518
PFI: G680 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas H Girling, D.O. Phone: (518) 696-6629 Fax: Address: 35 Lake Ave, Lake Luzerne, NY 12846 County: Warren Country: United States Single or Primary Contact: Eric Catalfamo Contact Phone: (518) 696-6629 CLIA #: 33D2297761
PFI: G681 Secondary Site ID: 0001 Certification Type: WAIVER Director: Adam F Wos, M.D. Phone: (631) 744-2741 Fax: Address: 90 King St, Rocky Point, NY 11778 County: Suffolk Country: United States Single or Primary Contact: Heather Stewart Contact Phone: (631) 448-1682 CLIA #: 33D2297760
PFI: G681 Secondary Site ID: 0002 Certification Type: WAIVER Director: Adam F Wos, M.D. Phone: (631) 744-2231 Fax: Address: Rocky Point Landing Rd, Rocky Point, NY 11778 County: Suffolk Country: United States Single or Primary Contact: Heather Stewart Contact Phone: (631) 448-1682 CLIA #: 33D2297760
PFI: G681 Secondary Site ID: 0003 Certification Type: WAIVER Director: Adam F Wos, M.D. Phone: (631) 744-2390 Fax: Address: 47 Rte 25A, Shoreham, NY 11778 County: Suffolk Country: United States Single or Primary Contact: Heather Stewart Contact Phone: (631) 448-1682 CLIA #: 33D2297760
PFI: G681 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam F Wos, M.D. Phone: (631) 209-0027 Fax: (631) 744-8081 Address: 49 Rte 25A, Shoreham, NY 11786 County: Suffolk Country: United States Single or Primary Contact: Heather Stewart Contact Phone: (631) 448-1682 CLIA #: 33D2297760
PFI: G682 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew D Maynard, D.O. Phone: (315) 229-5555 Fax: Address: 76 Park St, Canton, NY 13617 County: St. Lawrence Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2297522
PFI: G683 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas H Girling, D.O. Phone: (518) 854-7199 Fax: (518) 854-7199 Address: 152 E Broadway, Salem, NY 12865 County: Washington Country: United States Single or Primary Contact: Vicky A Campbell Contact Phone: (518) 321-6343 CLIA #: 33D2304025
PFI: G684 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas H Girling, D.O. Phone: (518) 532-7477 Fax: (518) 532-7608 Address: 28 Industrial Dr, Schroon Lake, NY 12870 County: Essex Country: United States Single or Primary Contact: Tony Ramirez Contact Phone: (518) 532-7477 CLIA #: 33D2297378
PFI: G685 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph U Artale, D.O. Phone: (631) 399-5380 Fax: (631) 399-0638 Address: 3 Plymouth Place, Shirley, NY 11967 County: Suffolk Country: United States Single or Primary Contact: James Deutcsh Contact Phone: (631) 860-1170 CLIA #: 33D2324664
PFI: G687 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin C. Masarech, M.D. Phone: (607) 656-4415 Fax: Address: 5333 State Hwy 41, Smithville Flats, NY 13841 County: Chenango Country: United States Single or Primary Contact: Pamela Seeley Contact Phone: (607) 345-4280 CLIA #: 33D2302747
PFI: G688 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel S Crough, M.D. Phone: (631) 324-9811 Fax: Address: 179 Fort Pond Blvd, East Hampton, NY 11937 County: Suffolk Country: United States Single or Primary Contact: David Baumrind Contact Phone: (631) 478-5199 CLIA #: 33D2297759
PFI: G690 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam R Stracher, M.D. Phone: (646) 962-6828 Fax: (929) 332-7533 Address: 211 E 80th St, New York, NY 10075 County: New York Country: United States Single or Primary Contact: Haziza Vukovic Contact Phone: (646) 962-7321 CLIA #: 33D2298492
PFI: G691 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael T Mangione, M.D. Phone: (716) 434-4800 Fax: Address: 7801 Chestnut Ridge Rd, Gasport, NY 14067 County: Niagara Country: United States Single or Primary Contact: Nicholas Baes Contact Phone: (716) 523-1924 CLIA #: 33D2297512