New York State Department of Health, Wadsworth Center
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Gouverneur Volunteer Rescue Squad
PFI: H461 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan W Coates, D.O. Phone: (315) 287-1321 Fax: (315) 287-3954 Address: 10024 US Hwy 11, Gouverneur, NY 13642 County: St. Lawrence Country: United States Single or Primary Contact: Ann Smith Contact Phone: (315) 842-1382 CLIA #: 33D2335296
PFI: H462 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammed A Al Saied, M.D. Phone: (617) 315-5050 Fax: (617) 314-5051 Address: 400 W Commons Way - Ste 100, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Josh Pascucci Contact Phone: (607) 423-4799 CLIA #: 33D2335298
PFI: H464 Secondary Site ID: 0000 Certification Type: WAIVER Director: William T. Fisher, M.D. Phone: (518) 399-7066 Fax: (518) 399-0420 Address: 1123 Rte 146A, Ballston Lake, NY 12019 County: Saratoga Country: United States Single or Primary Contact: Michael Siiss Contact Phone: (518) 858-2222 CLIA #: 33D2335300
PFI: H466 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad R Azaz, M.D. Phone: (631) 462-6644 Fax: (631) 462-9890 Address: 6277 Jericho Tpke, Commack, NY 11725 County: Suffolk Country: United States Single or Primary Contact: Henry Williams Contact Phone: (856) 221-8225 CLIA #: 33D2335089
PFI: H467 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad R Azaz, M.D. Phone: (631) 467-3621 Fax: (631) 462-9890 Address: 3505 Veterans Memorial Hwy - Ste B, Ronkonkoma, NY 11779 County: Suffolk Country: United States Single or Primary Contact: Henry Williams Contact Phone: (856) 221-8225 CLIA #: 33D2335091
PFI: H468 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael F Kaplan, N.P. Phone: (845) 290-8912 Fax: (845) 354-3305 Address: 142 NY Rte 59, Monsey, NY 10952 County: Rockland Country: United States Single or Primary Contact: Lori Masterson Contact Phone: CLIA #: 33D2336468
PFI: H469 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Dunn, M.D. Phone: (315) 222-8398 Fax: (315) 324-5917 Address: 300 Lake St, Hammond, NY 13646 County: St. Lawrence Country: United States Single or Primary Contact: Denise Norstrom Contact Phone: (315) 222-8398 CLIA #: 33D2335303
PFI: H472 Secondary Site ID: 0000 Certification Type: WAIVER Director: Steven H Silber, D.O. Phone: (718) 257-3355 Fax: (718) 257-4562 Address: 1222 E 96th St - 2nd Fl, Brooklyn, NY 11236 County: Kings Country: United States Single or Primary Contact: Iryna Gleyzer Contact Phone: (646) 589-1582 CLIA #: 33D2335394
PFI: H479 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (516) 233-9138 Fax: (516) 663-6409 Address: 200 Garden City Plaza - Ste 100, Garden City, NY 11552 County: Nassau Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2336450
PFI: H479 Secondary Site ID: 0009 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (516) 309-2923 Fax: (518) 692-3322 Address: 112-41 Queens Blvd, Forest Hills, NY 11375 County: Queens Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2336450
PFI: H479 Secondary Site ID: 0008 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (347) 821-0343 Fax: (347) 642-4996 Address: 64-63 Austin St - Ste 1A, Rego Park, NY 11374 County: Queens Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2336450
PFI: H479 Secondary Site ID: 0007 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (347) 821-6100 Fax: (917) 262-0733 Address: 260 E 67th St - Ste B, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2336450
PFI: H479 Secondary Site ID: 0006 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (934) 947-6796 Fax: (917) 675-6466 Address: 7 W 51st St - 4th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2336450
PFI: H479 Secondary Site ID: 0005 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (516) 574-3564 Fax: (516) 304-5334 Address: 3333 New Hyde Park Rd - Ste 100, New Hyde Park, NY 11042 County: Nassau Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2336450
PFI: H479 Secondary Site ID: 0001 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (516) 996-8514 Fax: (929) 295-4778 Address: 1575 E 19th St, Brooklyn, NY 11230 County: Kings Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2336450