New York State Department of Health, Wadsworth Center
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Northville Central School District
PFI: G779 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul G Comber, M.D., Ph.D. Phone: (518) 863-7000 Fax: (518) 863-7011 Address: 131 S Third St, Northville, NY 12134 County: Fulton Country: United States Single or Primary Contact: Charlotte Kalkbrenner Contact Phone: (518) 863-7000 CLIA #: 33D2301071
PFI: G780 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard D Najac, M.D. Phone: (845) 608-0672 Fax: Address: 16 W 25th St - 2nd Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Debra Morfea Contact Phone: (845) 608-0672 CLIA #: 33D2302882
PFI: G781 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kwabena Boakye, M.D. Phone: (631) 974-5590 Fax: (212) 888-6024 Address: 349 Blue Point Road, Farmingdale, NY 11738 County: New York Country: United States Single or Primary Contact: Abullah I Chowdry Contact Phone: (631) 974-5590 CLIA #: 33D2301039
PFI: G782 Secondary Site ID: 0001 Certification Type: WAIVER Director: Erik P Peterson, D.O. Phone: (585) 746-1680 Fax: Address: 1820 Kent Rd, Kent, NY 14477 County: Orleans Country: United States Single or Primary Contact: David Bertsch Contact Phone: (585) 746-1648 CLIA #: 33D2311996
PFI: G782 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erik P Peterson, D.O. Phone: (585) 746-1648 Fax: Address: 13504 Waterport Carlton Rd, Waterport, NY 14571 County: Orleans Country: United States Single or Primary Contact: David Bertsch Contact Phone: (585) 746-1648 CLIA #: 33D2311996
PFI: G783 Secondary Site ID: 0000 Certification Type: WAIVER Director: Laura A Mulvey, M.D. Phone: (518) 597-3211 Fax: (518) 597-4700 Address: 2764 Main St, Crown Point, NY 12928 County: Essex Country: United States Single or Primary Contact: Joseph E Norton Contact Phone: (518) 586-2928 CLIA #: 33D2303575
PFI: G784 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian W Shinkle, D.O. Phone: (347) 563-4421 Fax: (856) 324-9095 Address: 300 E 50th St, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Toledo Y Ayers Contact Phone: (856) 394-2358 CLIA #: 33D2301041
PFI: G785 Secondary Site ID: 0000 Certification Type: WAIVER Director: Toni M Murphy, D.O. Phone: (716) 332-2121 Fax: (716) 332-2122 Address: 600 Harlem Rd, West Seneca, NY 14224 County: Erie Country: United States Single or Primary Contact: Rachel A Merta Contact Phone: (716) 332-2121 CLIA #: 33D2301046
PFI: G786 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maria Lufrano, D.O. Phone: (914) 713-3228 Fax: (914) 713-3231 Address: 141 S Central Ave, Hartsdale, NY 10530 County: Westchester Country: United States Single or Primary Contact: Nancy Magliocca Contact Phone: (914) 964-4769 CLIA #: 33D2975539
PFI: G787 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael M Ziegelbaum, M.D. Phone: (516) 563-7788 Fax: (516) 465-9568 Address: 2200 Northern Blvd - Suite 120, East Hills, NY 11548 County: Nassau Country: United States Single or Primary Contact: Donna DeRocco Contact Phone: (631) 813-0649 CLIA #: 33D2301047
PFI: G788 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anzhela Izrailova, N.P. Phone: (212) 689-2425 Fax: (212) 689-2187 Address: 98 Middle Neck Road, Great Neck, NY 11021 County: New York Country: United States Single or Primary Contact: Carlos Perez Contact Phone: (917) 535-0041 CLIA #: 33D2301072
PFI: G793 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel D Refoua, M.D. Phone: (718) 592-6400 Fax: (718) 592-1400 Address: 111-26 Corona Ave, Flushing, NY 11368 County: Queens Country: United States Single or Primary Contact: Sheela Alexander Contact Phone: (516) 815-8345 CLIA #: 33D2302050
PFI: G795 Secondary Site ID: 0000 Certification Type: WAIVER Director: William T. Fisher, M.D. Phone: (607) 326-7691 Fax: (607) 326-3024 Address: 53613 State Hwy 30, Roxbury, NY 12474 County: Delaware Country: United States Single or Primary Contact: Joseph Aulino Contact Phone: (607) 434-1461 CLIA #: 33D2303280
PFI: G797 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas C George, M.D. Phone: (518) 846-7326 Fax: (518) 846-8957 Address: 9666 US Rte 9, Chazy, NY 12921 County: Clinton Country: United States Single or Primary Contact: Carol Myatt Contact Phone: (518) 645-5703 CLIA #: 33D2311342
PFI: G798 Secondary Site ID: 0000 Certification Type: WAIVER Director: Angie K Wu, N.P. Phone: (410) 963-1436 Fax: Address: 211 E 43 St - Suite 718, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2302060
PFI: G799 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leesa M Galatz, M.D. Phone: (973) 713-2090 Fax: Address: 787 11th Ave - 6th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Randy Hagen Contact Phone: (973) 713-2090 CLIA #: 33D2302063
PFI: G800 Secondary Site ID: 0000 Certification Type: WAIVER Director: Keith A. Nichols, M.D. Phone: (607) 699-3810 Fax: (607) 644-0174 Address: 106 W River Rd, Nichols, NY 13812 County: Tioga Country: United States Single or Primary Contact: Sheldon Cammer Contact Phone: (607) 348-3153 CLIA #: 33D2302066