PFI: L992 Secondary Site ID: 0001 Certification Type: WAIVER Director: Elizabeth F. Plocharczyk, M.D. Phone: (607) 535-6080 Fax: (607) 535-9613 Address: 401 W Main St - Suite 130, Montour Falls, NY 14865 County: Schuyler Country: United States Single or Primary Contact: Stephen Rapp Contact Phone: (607) 274-4474 CLIA #: 33D0914101
PFI: L992 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth F. Plocharczyk, M.D. Phone: (607) 869-2541 Fax: (607) 869-3001 Address: 2138 W Seneca St, Ovid, NY 14521 County: Seneca Country: United States Single or Primary Contact: Stephen Rapp Contact Phone: (607) 274-4474 CLIA #: 33D0914101
PFI: L996 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neil A Pasco, M.D. Phone: (212) 924-2510 Fax: (212) 812-3800 Address: 160 West 26th Street, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Neil Pasco Contact Phone: (212) 812-3749 CLIA #: 33D0954343
PFI: M006 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donna Willenbrock, N.P. Phone: (516) 463-6745 Fax: (516) 463-5161 Address: 250 Wellness and Campus Living Ctr, Hempstead, NY 11549 County: Nassau Country: United States Single or Primary Contact: Robert Stahl Contact Phone: (516) 463-6745 CLIA #: 33D0954337
PFI: M009 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abiola Familusi, M.D. Phone: (646) 505-3500 Fax: (212) 873-0658 Address: 150 Riverside Dr, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Dan Muskin Contact Phone: (646) 505-3500 CLIA #: 33D0132108
Starlight Pediatrics of The Monroe County Dept of Public Health
PFI: M010 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marielena Velez de Brown, M.D. Phone: (585) 753-5927 Fax: (585) 753-1783 Address: 451 E Henrietta Rd - 2nd Floor, Rochester, NY 14620 County: Monroe Country: United States Single or Primary Contact: Kristen Marrese Contact Phone: (585) 753-5172 CLIA #: 33D0860151
PFI: M011 Secondary Site ID: 0000 Certification Type: WAIVER Director: David Schulsinger, M.D. Phone: (631) 444-6280 Fax: (631) 444-6552 Address: 24 Research Way - 500, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Anne Klassert Contact Phone: (631) 444-1205 CLIA #: 33D0954449
PFI: M017 Secondary Site ID: 0000 Certification Type: PPMP Director: Adam R Stracher, M.D. Phone: (646) 962-7800 Fax: (646) 962-0415 Address: 12 West 72nd St, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Haziza Vukovic Contact Phone: (646) 962-7321 CLIA #: 33D0865160
PFI: M019 Secondary Site ID: 0002 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 444-2329 Fax: (631) 444-7552 Address: 60 Adams Avenue, Hauppauge, NY 11788 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 444-2329 CLIA #: 33D0718507
PFI: M019 Secondary Site ID: 0001 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 638-1750 Fax: (631) 638-1761 Address: 285 Sills Road - Bldg 12 - Suite C, East Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 444-2198 CLIA #: 33D0718507
PFI: M019 Secondary Site ID: 0000 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 444-5858 Fax: (631) 444-1899 Address: 4 Smithhaven Mall - Suite 202, Lake Grove, NY 11755 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 444-2198 CLIA #: 33D0718507
PFI: M019 Secondary Site ID: 0003 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 444-2329 Fax: (631) 444-7552 Address: 1444 Fifth Avenue, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 444-2329 CLIA #: 33D0718507
PFI: M019 Secondary Site ID: 0005 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 444-5858 Fax: (631) 444-5854 Address: 465 Blue Point Road, Farmingville, NY 11738 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 496-9116 CLIA #: 33D0718507
PFI: M026 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alan S. Friedman, M.D. Phone: (718) 862-9245 Fax: (718) 862-9238 Address: 4026 Boston Rd, Bronx, NY 10475-1122 County: Bronx Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 341-6410 CLIA #: 33D0955534
Family Health Network Pediatric and Family Practice Health Center
PFI: M029 Secondary Site ID: 0009 Certification Type: PPMP Director: Douglas A. Rahner, M.D. Phone: (607) 753-3774 Fax: Address: 24 Groton Ave, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Carol Hill Contact Phone: (607) 753-3797 CLIA #: 33D0869330
PFI: M029 Secondary Site ID: 0000 Certification Type: PPMP Director: Douglas A. Rahner, M.D. Phone: (607) 758-3008 Fax: (607) 758-3019 Address: 4038 West Road, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Carol Hill Contact Phone: (607) 753-3797 CLIA #: 33D0869330