New York State Department of Health, Wadsworth Center
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Walk-In Clinic - Long Beach
PFI: G995 Secondary Site ID: 0000 Certification Type: WAIVER Director: Haran N Ratna, M.D. Phone: (516) 432-2004 Fax: (516) 544-2356 Address: 106 E Broadwalk, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Gary Vasquez Contact Phone: (917) 945-9731 CLIA #: 33D2312005
PFI: G998 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel A Wolf, D.O. Phone: (845) 355-5700 Fax: (845) 355-5752 Address: 1906 NY Rte 284, Slate Hill, NY 10973 County: Orange Country: United States Single or Primary Contact: Michael Bigg Contact Phone: (845) 629-6958 CLIA #: 33D2311309
PFI: G999 Secondary Site ID: 0000 Certification Type: WAIVER Director: Siva K Kolupoti, M.D. Phone: (631) 216-9242 Fax: (631) 216-9243 Address: 140 Belle Meade Rd - Suite J, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Isabella Scarpa Contact Phone: (631) 297-8889 CLIA #: 33D2310782
PFI: H001 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin C. Masarech, M.D. Phone: (607) 834-7951 Fax: Address: 20 Main St, Oxford, NY 13830 County: Chenango Country: United States Single or Primary Contact: Mark Forrest Contact Phone: (607) 316-4411 CLIA #: 33D2310783
PFI: H004 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott Cohen, M.D. Phone: (607) 334-1213 Fax: Address: 31 E Main St, Norwich, NY 13815 County: Chenango Country: United States Single or Primary Contact: Daniel Kerila Contact Phone: (607) 334-1213 CLIA #: 33D2311311
PFI: H005 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bipin R Subedi, M.D. Phone: (646) 614-0001 Fax: (646) 614-0290 Address: 462 1st Ave - 2nd Fl, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Glenia S Trifonas Contact Phone: (646) 614-0001 CLIA #: 33D2312006
PFI: H006 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dalia S Nagel, M.D. Phone: (646) 970-7804 Fax: (646) 568-5162 Address: 1200 Waters Place - Suite 310, Bronx, NY 10461 County: Bronx Country: United States Single or Primary Contact: Dillon Whiting Contact Phone: (617) 744-8542 CLIA #: 33D2310435
PFI: H007 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anne N Nafziger, M.D. Phone: (518) 650-2562 Fax: (716) 214-4460 Address: 1762 Central Ave - Suite 201, Albany, NY 12205 County: Albany Country: United States Single or Primary Contact: Phillip Sivils Contact Phone: (318) 737-1095 CLIA #: 33D2310857
PFI: H010 Secondary Site ID: 0000 Certification Type: WAIVER Director: Katrina M Kardos, M.D. Phone: (518) 853-5500 Fax: (518) 853-4096 Address: 200 Clark Ave, Fultonville, NY 12072 County: Montgomery Country: United States Single or Primary Contact: Justin Smith Contact Phone: (518) 853-5541 CLIA #: 33D2312009
PFI: H011 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louis M Emmer, M.D. Phone: (718) 477-6900 Fax: (718) 477-7862 Address: 1441 South Ave - 1st Fl, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Rosemarie Signorile Contact Phone: (917) 829-2679 CLIA #: 33D2311314
PFI: H012 Secondary Site ID: 0000 Certification Type: WAIVER Director: Benjamin J Saks, M.D. Phone: (607) 594-2157 Fax: Address: 300 E Main St, Odessa, NY 14869 County: Schuyler Country: United States Single or Primary Contact: Bryan Chapman Contact Phone: (607) 742-5476 CLIA #: 33D2311315
PFI: H013 Secondary Site ID: 0000 Certification Type: WAIVER Director: Edgar F Lerias, M.D. Phone: (631) 586-4766 Fax: (631) 586-4219 Address: 2017 Deer Park - 2nd Fl, Deer Park, NY 11729 County: Suffolk Country: United States Single or Primary Contact: Brandon Lerias Contact Phone: (631) 637-1303 CLIA #: 33D2313751
PFI: H019 Secondary Site ID: 0000 Certification Type: WAIVER Director: James L Nuendorf, M.D. Phone: (914) 295-7200 Fax: (347) 682-5807 Address: 115 S Broadway, Yonkers, NY 10701 County: Westchester Country: United States Single or Primary Contact: Manny Brodie Contact Phone: (914) 295-7200 CLIA #: 33D2311319