PFI: H219 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jennifer L Keefer, M.D. Phone: (518) 505-1315 Fax: Address: 22 Clubhouse Ct, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Crystal Baker Contact Phone: (518) 505-1315 CLIA #: 33D2322756
The Educational Alliance Inc Center For Recovery And Wellness
PFI: H221 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tiffany A Cummins, M.D. Phone: (646) 395-4400 Fax: (212) 658-9136 Address: 25-29 Ave D, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Robert Anderson Contact Phone: (646) 395-4384 CLIA #: 33D2321759
PFI: H222 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael Lioudis, M.D. Phone: (607) 272-1693 Fax: Address: 201 Dates Dr - Suite 206, Ithaca, NY 14850-1345 County: Tompkins Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 320-4414 CLIA #: 33D2321767
Jennifer Lynn Holmberg Family Nurse Practitioner Services PLLC
PFI: H223 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jennifer L Holmberg, N.P. Phone: (607) 237-0065 Fax: (888) 832-4418 Address: 400 Plaza Dr - Suite C, Vestal, NY 13850 County: Broome Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2321765
PFI: H224 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joseph N. Savasta, M.D. Phone: 5169313546220 Fax: (516) 931-2385 Address: 411 N Broadway, Jericho, NY 11753 County: Nassau Country: United States Single or Primary Contact: John McGuire Contact Phone: 5169323546265 CLIA #: 33D2321768
PFI: H224 Secondary Site ID: 0002 Certification Type: WAIVER Director: Joseph N. Savasta, M.D. Phone: 5169313546230 Fax: (516) 931-2385 Address: 680 Cantigue Rock Rd, Jericho, NY 11753 County: Nassau Country: United States Single or Primary Contact: John McGuire Contact Phone: 5169323546265 CLIA #: 33D2321768
PFI: H224 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph N. Savasta, M.D. Phone: (516) 931-3546 Fax: (516) 931-2385 Address: 424 N Broadway, Jericho, NY 11753 County: Nassau Country: United States Single or Primary Contact: John McGuire Contact Phone: (516) 931-3546 CLIA #: 33D2321768
PFI: H225 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jordan K Holliday, M.D. Phone: (315) 457-1294 Fax: Address: 1110 Oswego St, Liverpool, NY 13088 County: Onondaga Country: United States Single or Primary Contact: Alexander Dawley Contact Phone: (315) 457-1294 CLIA #: 33D2321770
PFI: H226 Secondary Site ID: 0000 Certification Type: WAIVER Director: Aaron N Farney, M.D. Phone: (585) 638-6884 Fax: Address: 7 Thomas St, Holley, NY 14470 County: Orleans Country: United States Single or Primary Contact: Mark B Porter Contact Phone: (585) 322-5015 CLIA #: 33D2321771
Stanley Makowski ECC Kaleida School Based Health Center
PFI: H229 Secondary Site ID: 0000 Certification Type: WAIVER Director: Fred D Archer, III, M.D. Phone: (716) 816-4483 Fax: (716) 883-9483 Address: 1095 Jefferson Ave, Buffalo, NY 14208 County: Erie Country: United States Single or Primary Contact: Lori Nowadly Contact Phone: (716) 712-7578 CLIA #: 33D2321776
PFI: H230 Secondary Site ID: 0000 Certification Type: WAIVER Director: Patrick D O'Callahan, M.D. Phone: (585) 242-4612 Fax: Address: 800 Lee Rd, Rochester, NY 14606 County: Monroe Country: United States Single or Primary Contact: Regina Jimenez Contact Phone: (657) 513-6301 CLIA #: 33D2321777
PFI: H231 Secondary Site ID: 0000 Certification Type: WAIVER Director: Patrick D O'Callahan, M.D. Phone: (585) 269-6523 Fax: Address: 1350 Jefferson Rd, Rochester, NY 14623 County: Monroe Country: United States Single or Primary Contact: Regina Jimenez Contact Phone: (657) 513-6301 CLIA #: 33D2321779
PFI: H234 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donald Kotler, M.D. Phone: (212) 426-3895 Fax: Address: 127 W 127th St - Suite 109, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Kwame Thompson Contact Phone: (203) 988-8801 CLIA #: 33D2322759