PFI: H440 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel G Kyung, M.D. Phone: (315) 493-0434 Fax: (315) 519-5699 Address: 3 Bridge St - Ste 1, Carthage, NY 13619 County: Jefferson Country: United States Single or Primary Contact: Jessica Morley Contact Phone: (315) 713-6210 CLIA #: 33D2332647
PFI: H441 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kirby P Black, M.D. Phone: (315) 245-2180 Fax: Address: 14 Church St, Camden, NY 13316 County: Oneida Country: United States Single or Primary Contact: Donna Campbell Contact Phone: (315) 335-5830 CLIA #: 33D2332740
PFI: H442 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrew M Wight, M.D. Phone: (315) 829-3475 Fax: Address: 5233 W Seneca St, Vernon, NY 13476 County: Oneida Country: United States Single or Primary Contact: Scott Nell Contact Phone: (315) 723-9665 CLIA #: 33D2333064
PFI: H448 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd M. Podkowka, M.D. Phone: (315) 684-9342 Fax: (315) 684-1165 Address: 27 Cedar St, Morrisville, NY 13408 County: Madison Country: United States Single or Primary Contact: Hayden Scott Contact Phone: (315) 750-0656 CLIA #: 33D2335119
PFI: H449 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nancy A Girard, D.O. Phone: (315) 482-4222 Fax: Address: 43859 Cross Island Rd, Wellesley Island, NY 13640 County: Jefferson Country: United States Single or Primary Contact: Elliot J Russell Contact Phone: (315) 778-6052 CLIA #: 33D2335397
PFI: H450 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael C Hoban, D.O. Phone: (315) 744-1570 Fax: (315) 744-1992 Address: 4000 Medical Center Dr, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Angela Bero Contact Phone: (315) 671-1469 CLIA #: 33D2337981
Richmond University Medical Center Family Health Center
PFI: H454 Secondary Site ID: 0000 Certification Type: WAIVER Director: Svetoslav S. Bardarov, M.D. Phone: (718) 818-2107 Fax: (718) 818-1666 Address: 2655 Richmond Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ann Marie Brown Contact Phone: (718) 818-3061 CLIA #: 33D2333395
PFI: H456 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrea M Rosa, N.P. Phone: (914) 885-1991 Fax: (914) 885-2008 Address: 3151 Stony Brook, Mohegan Lake, NY 10547 County: Westchester Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2339824
PFI: H458 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jack B. Davidoff, M.D. Phone: (585) 624-2200 Fax: Address: 210 East St, Honeoye Falls, NY 14472 County: Monroe Country: United States Single or Primary Contact: Julie Jordan Contact Phone: (585) 737-6654 CLIA #: 33D2335128