New York State Department of Health, Wadsworth Center
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St Ann's Home for the Aged
PFI: L741 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kim Petrone, M.D. Phone: (585) 697-6000 Fax: (585) 342-9166 Address: 1500 Portland Ave, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: Eve Scofield Contact Phone: (585) 697-6411 CLIA #: 33D0173513
PFI: L751 Secondary Site ID: 0052 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 433-1790 Fax: (607) 433-6520 Address: 125 Main Street, Oneonta, NY 13820 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0051 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 431-1015 Fax: (607) 431-1050 Address: 739 State Highway 28, Oneonta, NY 13820 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0049 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (845) 676-3663 Fax: (845) 676-3665 Address: 245 Lower Main Street, Andes, NY 13731 County: Delaware Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0047 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 847-6050 Fax: (607) 847-7519 Address: 4238 State Highway 8, New Berlin, NY 13411 County: Chenango Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0046 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 547-7646 Fax: (607) 547-7650 Address: 4580 State Hwy 28, Milford, NY 13807 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0040 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 674-8417 Fax: (607) 674-8403 Address: 15 School Street, Sherburne, NY 13460 County: Chenango Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0039 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (518) 827-3793 Fax: (518) 827-5419 Address: 245-1 Main Street, Middleburgh, NY 12122 County: Schoharie Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0038 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 286-7909 Fax: (607) 286-3307 Address: 42 W Main Street, Milford, NY 13807 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0037 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 638-5402 Fax: (607) 638-5205 Address: 159 Main Street, Schenevus, NY 12155 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0053 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 825-3111 Fax: (315) 825-3017 Address: 1055 Madison Market Pl PO Box 629, Hamilton, NY 13346 County: Madison Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0054 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 875-4334 Fax: (866) 603-9093 Address: 29 N Chenango Street, Greene, NY 13778 County: Chenango Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0055 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 858-0610 Fax: (315) 858-0479 Address: 93 Main Street, Richfield Springs, NY 13439 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
Gilbertsville Mount Upton School Based Health Center
PFI: L751 Secondary Site ID: 0058 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 783-2207 Fax: (607) 783-2254 Address: 693 State Hwy 51, Gilbertsville, NY 13776 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0060 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 433-6300 Fax: (607) 433-6345 Address: One Associate Dr, Oneonta, NY 13820 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
Bassett Healthcare Little Falls Specialty Limited Service
PFI: L751 Secondary Site ID: 0061 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 823-4506 Fax: (315) 823-4284 Address: 140 Burwell St, Little Falls, NY 13365 County: Herkimer Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114