New York State Department of Health, Wadsworth Center
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Central Bridge Fire District Ambulance
PFI: H021 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph M Luz, M.D. Phone: (518) 868-4641 Fax: (518) 868-4641 Address: 137 S Main St, Central Bridge, NY 12035 County: Schoharie Country: United States Single or Primary Contact: Brian Baker Contact Phone: (518) 868-4641 CLIA #: 33D2312965
Glen Cove Hospital Family Medicine Ambulatory Care Center
PFI: H023 Secondary Site ID: 0000 Certification Type: WAIVER Director: James A. Kraus, III, M.D. Phone: (516) 674-7631 Fax: (516) 674-7649 Address: 10 Medical Plaza - Suite 301, Glen Cove, NY 11542 County: Nassau Country: United States Single or Primary Contact: Chandrawatee Ramsawak Contact Phone: (347) 443-6906 CLIA #: 33D2310968
PFI: H025 Secondary Site ID: 0000 Certification Type: WAIVER Director: Desta R Anthony, N.P. Phone: (315) 283-3435 Fax: Address: 1101 Erie Blvd East - Suite 201, Syracuse, NY 13210 County: Onondaga Country: United States Single or Primary Contact: Kristen Stebbins Contact Phone: (315) 283-3435 CLIA #: 33D2311323
PFI: H026 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nicki E Maxwell, M.D. Phone: (845) 888-2544 Fax: Address: 68 Sullivan St, Wurtsboro, NY 12790 County: Sullivan Country: United States Single or Primary Contact: Peter C Goodman Contact Phone: (845) 798-4154 CLIA #: 33D2316946
PFI: H028 Secondary Site ID: 0000 Certification Type: WAIVER Director: Laura A Mulvey, M.D. Phone: (518) 962-4701 Fax: Address: 15 Commercial Park Lane, Westport, NY 12993 County: Essex Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2313752
PFI: H030 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael T Mangione, M.D. Phone: (716) 824-0264 Fax: Address: 4112 Big Tree Rd, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: David Carberry Contact Phone: (716) 807-6107 CLIA #: 33D2312013
PFI: H031 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan W Coates, D.O. Phone: (315) 262-2333 Fax: (315) 262-2333 Address: 80 Riverside Dr, Colton, NY 13625 County: St. Lawrence Country: United States Single or Primary Contact: Jacqueline Johnson Contact Phone: (315) 729-1348 CLIA #: 33D2311347
PFI: H032 Secondary Site ID: 0000 Certification Type: PPMP Director: Ali A Mencin, M.D. Phone: (646) 317-2130 Fax: (914) 750-4625 Address: 5 Columbus Circle - 11th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Judith Rivera Contact Phone: (646) 317-2130 CLIA #: 33D2313765
PFI: H033 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael R Waldrop, M.D. Phone: (518) 442-5555 Fax: Address: 1400 Washington Ave - Svc Bldg A, Albany, NY 12222 County: Albany Country: United States Single or Primary Contact: Harjup Singh Contact Phone: (914) 299-0432 CLIA #: 33D2312893
PFI: H037 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert H Meyer, M.D. Phone: (347) 728-1604 Fax: Address: 839 New York Ave - Lobby Level, Huntington, NY 11743 County: Suffolk Country: United States Single or Primary Contact: Raymond Miranti Contact Phone: (347) 728-1604 CLIA #: 33D2311228
PFI: H040 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Passanante, M.D. Phone: (646) 593-8773 Fax: (917) 979-2645 Address: 265 Utica Ave, Brooklyn, NY 11213 County: Kings Country: United States Single or Primary Contact: Mary McGuire Contact Phone: (646) 741-1566 CLIA #: 33D2311745
NYU Langone Medical Associates - Chelsea W 25th St
PFI: H041 Secondary Site ID: 0000 Certification Type: WAIVER Director: David D. Kim, M.D. Phone: (212) 253-2968 Fax: (212) 253-2925 Address: 147 W 25th St, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Uliana Saites Contact Phone: (646) 754-4554 CLIA #: 33D0958105