PFI: G907 Secondary Site ID: 0000 Certification Type: WAIVER Director: Priti Jain, M.D. Phone: (917) 310-3371 Fax: (516) 938-1554 Address: 232 W Old Country Rd, Hicksville, NY 11801 County: Queens Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2309201
PFI: G909 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph U Artale, D.O. Phone: (631) 772-7338 Fax: Address: 343 Neighborhood Rd, Mastic Beach, NY 11951 County: Suffolk Country: United States Single or Primary Contact: Richard A Tvelia Contact Phone: (516) 315-8747 CLIA #: 33D2307360
PFI: G910 Secondary Site ID: 0000 Certification Type: PPMP Director: Nyonnoweh R Greene, M.D. Phone: (212) 523-1100 Fax: (212) 523-1101 Address: 2875 Broadway, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Alexandra Alfred Contact Phone: (646) 899-4505 CLIA #: 33D2305906
PFI: G912 Secondary Site ID: 0000 Certification Type: WAIVER Director: James E Rodriguez, M.D. Phone: (845) 225-3730 Fax: 84562250460 Address: 851 Rte 52, Carmel, NY 10512 County: Putnam Country: United States Single or Primary Contact: Victoria Cecere Contact Phone: (914) 625-0496 CLIA #: 33D2313842
PFI: G913 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jerry A Rubano, M.D. Phone: (631) 924-3200 Fax: Address: 31 Main St, Yaphank, NY 11980 County: Suffolk Country: United States Single or Primary Contact: Richard A Tvelia Contact Phone: (516) 315-8747 CLIA #: 33D2306266
PFI: G916 Secondary Site ID: 0000 Certification Type: WAIVER Director: John J Khadem, M.D. Phone: (212) 604-9800 Fax: (212) 242-4757 Address: 450 W 31st St - Unit 2A, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Cristina Rodriguez Contact Phone: (212) 604-9800 CLIA #: 33D2309216
PFI: G917 Secondary Site ID: 0000 Certification Type: WAIVER Director: Timothy A Mathis, M.D. Phone: (315) 348-5271 Fax: (315) 348-5271 Address: 3907 High St, Lyons Falls, NY 13368 County: Lewis Country: United States Single or Primary Contact: Lisa Covey Contact Phone: (315) 777-3800 CLIA #: 33D2307546
PFI: G918 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew Jones, M.D. Phone: (607) 925-8020 Fax: (607) 965-8020 Address: 27 East St, Edmeston, NY 13335 County: Otsego Country: United States Single or Primary Contact: Deborah A Klingler Contact Phone: (607) 435-9339 CLIA #: 33D2306264
PFI: G920 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrew R Poreda, M.D. Phone: (716) 836-2181 Fax: Address: 440 Cleveland Dr, Cheektowaga, NY 14225 County: Erie Country: United States Single or Primary Contact: Brian Fischer Contact Phone: (716) 957-4176 CLIA #: 33D2308248
PFI: G921 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Katalin Banki, M.D. Phone: (315) 473-3859 Fax: (315) 473-3860 Address: 5584 E Main St, Verona, NY 13478 County: Oneida Country: United States Single or Primary Contact: Sophia Lustrinelli Contact Phone: (315) 464-6709 CLIA #: 33D2287059
PFI: G922 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason D Kofinas, M.D. Phone: (718) 682-8180 Fax: (718) 682-8181 Address: 4855 Hylan Blvd, Staten Island, NY 10312 County: Richmond Country: United States Single or Primary Contact: Gabriel Figueroa Contact Phone: (718) 682-8180 CLIA #: 33D2309032
PFI: G924 Secondary Site ID: 0000 Certification Type: WAIVER Director: Omolara A Olaniyi, Ph.D., N.P. Phone: (929) 648-0918 Fax: (973) 291-6089 Address: 4470 Broadway Ave, New York, NY 10040 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2309256
Little Neck-Douglaston Community Ambulance Corps Inc
PFI: G926 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael L Hundert, M.D. Phone: (718) 423-2333 Fax: Address: 42-18 Marathon Pkwy, Little Neck, NY 11363 County: Queens Country: United States Single or Primary Contact: Justin Chen Contact Phone: (718) 423-2333 CLIA #: 33D2307547