New York State Department of Health, Wadsworth Center
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Hudson Headwaters Family Health at Malone
PFI: G664 Secondary Site ID: 0000 Certification Type: PPMP Director: Kevin A. Gallagher, M.D. Phone: (518) 824-2562 Fax: (833) 941-5091 Address: 16 3rd St - Suite A, Malone, NY 12953 County: Franklin Country: United States Single or Primary Contact: Debra Galatioto Contact Phone: (518) 761-0300 CLIA #: 33D2296689
PFI: G669 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael P Pond, M.D. Phone: (518) 523-9512 Fax: (518) 523-5379 Address: 388 Mill Pond Dr, Lake Placid, NY 12946 County: Essex Country: United States Single or Primary Contact: Sara Ashley Contact Phone: (719) 306-5287 CLIA #: 33D2304026
PFI: G672 Secondary Site ID: 0000 Certification Type: WAIVER Director: Frederic Laporte, M.D. Phone: (518) 624-4599 Fax: (518) 624-0343 Address: 111 South Hill Rd, Long Lake, NY 12847 County: Hamilton Country: United States Single or Primary Contact: Anthony Catalfamo Contact Phone: (518) 624-4599 CLIA #: 33D2318203
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: 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: 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