PFI: G843 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sarah A Owens, N.P. Phone: (518) 249-6889 Fax: (518) 249-6890 Address: 26 Mall Way - Ste 20, West Sand Lake, NY 12196 County: Rensselaer Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2302919
PFI: G846 Secondary Site ID: 0000 Certification Type: PPMP Director: Matthew G Davis, M.D. Phone: (716) 415-8380 Fax: (585) 288-0893 Address: 1491 Sheridan Dr - Suite 600, Buffalo, NY 14217 County: Erie Country: United States Single or Primary Contact: Kelley Powers Contact Phone: (716) 415-8380 CLIA #: 33D2302920
PFI: G850 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jennifer L Stoeber, M.D. Phone: (518) 877-3250 Fax: (855) 784-3622 Address: 1 Liebich Lane, Halfmoon, NY 12065 County: Saratoga Country: United States Single or Primary Contact: Dana Betts Contact Phone: (518) 877-3250 CLIA #: 33D2303570
PFI: G852 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vin S Pillai, M.D. Phone: (425) 213-8813 Fax: Address: 4 W Red Oak Lane - Suite 104, White Plains, NY 10604 County: Westchester Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2304030
PFI: G854 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zachary Z Brener, M.D. Phone: (718) 372-4500 Fax: (929) 363-9452 Address: 3035 W 24th St, Brooklyn, NY 11224 County: Kings Country: United States Single or Primary Contact: Miles Davis Contact Phone: (800) 975-5201 CLIA #: 33D2315315
Blue Mountain Lake Volunteer Fire Department Ambulance Squad
PFI: G855 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dianna N Bryan, M.D. Phone: (518) 352-7710 Fax: (518) 352-7711 Address: 3454 State Rte 28, Blue Mountain Lake, NY 12812 County: Hamilton Country: United States Single or Primary Contact: Timothy Leach Contact Phone: (518) 636-8336 CLIA #: 33D2303281
PFI: G856 Secondary Site ID: 0001 Certification Type: WAIVER Director: Douglas H Girling, D.O. Phone: (518) 761-3825 Fax: Address: 98 Broad St, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Issachar Modert Contact Phone: (518) 761-3822 CLIA #: 33D2303283
PFI: G857 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joshua N. Kugler, M.D. Phone: (516) 431-2434 Fax: Address: 1 W Chester St, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: William Piazza Contact Phone: (516) 242-8811 CLIA #: 33D2304031