New York State Department of Health, Wadsworth Center
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Unity Family Medicine at Parkway
PFI: L707 Secondary Site ID: 0000 Certification Type: PPMP Director: Michael H Loeb, M.D. Phone: (585) 368-6000 Fax: (585) 368-6010 Address: 500 Island Cottage Rd, Rochester, NY 14612 County: Monroe Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 922-4977 CLIA #: 33D0874522
PFI: L710 Secondary Site ID: 0000 Certification Type: WAIVER Director: Melanie R Conolly, M.D. Phone: (585) 368-6620 Fax: (585) 368-6621 Address: 4 Land Re Way, Spencerport, NY 14559 County: Monroe Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 922-4977 CLIA #: 33D0704849
PFI: L713 Secondary Site ID: 0000 Certification Type: WAIVER Director: Orli Etingin, M.D. Phone: (212) 821-0558 Fax: (212) 746-8163 Address: 425 E 61st St - 11th Fl, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Jane Yuen Contact Phone: (212) 821-0558 CLIA #: 33D0948080
PFI: L719 Secondary Site ID: 0001 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 762-3161 Fax: (518) 762-4902 Address: 700 S Perry Street, Johnstown, NY 12095 County: Fulton Country: United States Single or Primary Contact: Erika Iler Contact Phone: (518) 841-7441 CLIA #: 33D0888868
PFI: L719 Secondary Site ID: 0004 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 773-8894 Fax: Address: 84 E State Street, Gloversville, NY 12078 County: Fulton Country: United States Single or Primary Contact: Erika Iler Contact Phone: (518) 841-7441 CLIA #: 33D0888868
PFI: L719 Secondary Site ID: 0005 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 843-7000 Fax: (518) 843-7099 Address: 425 Guy Park Ave - Suites 104, 203, Amsterdam, NY 12010 County: Montgomery Country: United States Single or Primary Contact: Erika Iler Contact Phone: (518) 770-7841 CLIA #: 33D0888868
PFI: L722 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas J Kim, M.D. Phone: (518) 963-4275 Fax: (518) 963-8862 Address: 39 Farrell Road, Willsboro, NY 12996 County: Essex Country: United States Single or Primary Contact: Lia McFarline Contact Phone: (802) 388-4717 CLIA #: 33D0165167
PFI: L732 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 782-9450 Fax: (315) 782-2643 Address: 238 Arsenal St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: (315) 782-9450 CLIA #: 33D0167550
North Country Family Health Center at North Elementary School
PFI: L732 Secondary Site ID: 0002 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 786-1767 Fax: (315) 786-1856 Address: 171 E Hoard St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: (315) 786-1767 CLIA #: 33D0167550
PFI: L732 Secondary Site ID: 0014 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 376-4600 Fax: (315) 376-5587 Address: 5402 Dayan St, Lowville, NY 13367 County: Lewis Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: (315) 376-6400 CLIA #: 33D0167550
PFI: L732 Secondary Site ID: 0013 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 782-2628 Fax: (315) 782-6406 Address: 26908 Independence Way, Evans Mills, NY 13637 County: Jefferson Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: 31578294508034 CLIA #: 33D0167550
North Country Family Health Center at JCC Health and Wellness Center
PFI: L732 Secondary Site ID: 0012 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 786-1042 Fax: (315) 786-7162 Address: 1220 Coffeen St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: (315) 782-2020 CLIA #: 33D0167550
PFI: L732 Secondary Site ID: 0010 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 376-6427 Fax: (315) 376-6173 Address: 7785 N State Street, Lowville, NY 13367 County: Lewis Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: (315) 376-6427 CLIA #: 33D0167550