New York State Department of Health, Wadsworth Center
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Citizens Hose Company of Shortsville Inc
PFI: G726 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott M Glick, D.O. Phone: (585) 289-4489 Fax: (585) 289-8218 Address: 5 Sheldon St, Shortsville, NY 14548 County: Ontario Country: United States Single or Primary Contact: Daniel McWilliams Contact Phone: (585) 285-5176 CLIA #: 33D2302599
PFI: G727 Secondary Site ID: 0000 Certification Type: WAIVER Director: Timothy F Barcomb, M.D. Phone: (518) 827-5880 Fax: Address: 453 State Rte 145, Middleburgh, NY 12122 County: Schoharie Country: United States Single or Primary Contact: Brian Chichester Contact Phone: (518) 231-5195 CLIA #: 33D2296608
PFI: G728 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd R Howland, M.D. Phone: (315) 769-2380 Fax: Address: 34 Andrews St, Massena, NY 13662 County: St. Lawrence Country: United States Single or Primary Contact: Tyler Mulvenna Contact Phone: (315) 769-2380 CLIA #: 33D2302906
PFI: G729 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter K Davidson, M.D. Phone: (800) 771-0088 Fax: (888) 339-2566 Address: 63 Marcus Garvey Blvd, Brooklyn, NY 11206 County: Kings Country: United States Single or Primary Contact: Susan Aldrich Contact Phone: (800) 771-0088 CLIA #: 33D2298895
PFI: G730 Secondary Site ID: 0000 Certification Type: WAIVER Director: Max H Minnerop, M.D. Phone: (631) 324-6868 Fax: Address: 1 Cedar St, East Hampton, NY 11937 County: Suffolk Country: United States Single or Primary Contact: Gerard Turza Contact Phone: (631) 324-0124 CLIA #: 33D2304028
PFI: G732 Secondary Site ID: 0000 Certification Type: WAIVER Director: William Wind, M.D. Phone: (716) 553-1000 Fax: (716) 204-4337 Address: 111 N Maplemere Rd - Suite 170, Williamsville, NY 14221 County: Erie Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2298896
PFI: G733 Secondary Site ID: 0001 Certification Type: WAIVER Director: Rose M. Purrazzella, M.D. Phone: (516) 705-2200 Fax: Address: 1000 N Village Ave - FCC Bldg, Rockville Centre, NY 11570 County: Nassau Country: United States Single or Primary Contact: Hyacinth Hariprashad Contact Phone: (516) 705-1049 CLIA #: 33D2298899
PFI: G733 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rose M. Purrazzella, M.D. Phone: (516) 705-2200 Fax: Address: 2000 N Village Ave, Rockville Centre, NY 11570 County: Nassau Country: United States Single or Primary Contact: Hyacinth Hariprashad Contact Phone: (516) 705-1049 CLIA #: 33D2298899
PFI: G735 Secondary Site ID: 0000 Certification Type: WAIVER Director: Laura A Mulvey, M.D. Phone: (518) 546-7012 Fax: Address: 628 Tarbell Hill Rd, Moriah, NY 12960 County: Essex Country: United States Single or Primary Contact: Dakotah Olcott Contact Phone: (518) 569-7752 CLIA #: 33D2302645
PFI: G736 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 499-9342 Fax: (631) 499-8318 Address: 200 Burr Rd, Commack, NY 11725 County: Suffolk Country: United States Single or Primary Contact: Joseph Cassano Contact Phone: (631) 499-9342 CLIA #: 33D2302907
PFI: G741 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 652-1353 Fax: (716) 652-0111 Address: 1864 Davis Rd, West Falls, NY 14170 County: Erie Country: United States Single or Primary Contact: James q Walczyk Contact Phone: (716) 796-5497 CLIA #: 33D2315796
PFI: G743 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donald P McLauren, M.D. Phone: (518) 233-3100 Fax: (518) 233-3131 Address: 55 Mohawk St, Cohoes, NY 12047 County: Albany Country: United States Single or Primary Contact: April Johnson Contact Phone: (518) 233-3120 CLIA #: 33D2299464
PFI: G743 Secondary Site ID: 0003 Certification Type: WAIVER Director: Donald P McLauren, M.D. Phone: (718) 722-3008 Fax: (718) 722-3009 Address: 55 Hanson Place - 2nd Floor, Brooklyn, NY 11217 County: Kings Country: United States Single or Primary Contact: April Johnson Contact Phone: (518) 233-3120 CLIA #: 33D2299464
PFI: G743 Secondary Site ID: 0002 Certification Type: WAIVER Director: Donald P McLauren, M.D. Phone: (518) 457-7486 Fax: (518) 457-1596 Address: 50 Wolf Rd - EHS Nurse Station, Albany, NY 12232 County: Albany Country: United States Single or Primary Contact: April Johnson Contact Phone: (518) 233-3120 CLIA #: 33D2299464
PFI: G743 Secondary Site ID: 0005 Certification Type: WAIVER Director: Donald P McLauren, M.D. Phone: (518) 436-2828 Fax: (518) 471-5076 Address: 200 Southern Blvd - A Level, Albany, NY 12209 County: Albany Country: United States Single or Primary Contact: April Johnson Contact Phone: (518) 233-3120 CLIA #: 33D2299464
PFI: G743 Secondary Site ID: 0004 Certification Type: WAIVER Director: Donald P McLauren, M.D. Phone: (631) 952-1656 Fax: (631) 952-7031 Address: 250 Veterans Mem Hwy - SOB Rm 349, Hauppauge, NY 11788 County: Suffolk Country: United States Single or Primary Contact: April Johnson Contact Phone: (518) 233-3120 CLIA #: 33D2299464
PFI: G743 Secondary Site ID: 0006 Certification Type: WAIVER Director: Donald P McLauren, M.D. Phone: (518) 457-5619 Fax: (518) 457-0620 Address: State Campus - Bldg 12 Rm 317, Albany, NY 12240 County: Albany Country: United States Single or Primary Contact: April Johnson Contact Phone: (518) 233-3120 CLIA #: 33D2299464