PFI: M577 Secondary Site ID: 0000 Certification Type: WAIVER Director: John V Dellosso, M.D. Phone: (212) 337-9400 Fax: (212) 255-9459 Address: 214 West Houston St, New York, NY 10014 County: New York Country: United States Single or Primary Contact: Cristel Santos Contact Phone: (212) 337-9400 CLIA #: 33D0866342
PFI: M580 Secondary Site ID: 0000 Certification Type: WAIVER Director: William C Gehrhardt, M.D. Phone: (631) 425-5250 Fax: (631) 425-0140 Address: 1572 New York Ave, Huntington Station, NY 11746 County: Suffolk Country: United States Single or Primary Contact: Marilyn Jean Contact Phone: (631) 425-5240 CLIA #: 33D0906391
PFI: M580 Secondary Site ID: 0001 Certification Type: WAIVER Director: William C Gehrhardt, M.D. Phone: (631) 253-1710 Fax: (631) 328-4915 Address: 1448 Fifth Ave, Bayshore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Marilyn Jean Contact Phone: (516) 416-6220 CLIA #: 33D0906391
PFI: M583 Secondary Site ID: 0001 Certification Type: PPMP Director: Christen L Bidwell, N.P. Phone: (716) 701-3438 Fax: Address: 9824 Rte 16, Machias, NY 14101 County: Cattaraugus Country: United States Single or Primary Contact: Lynne E Moore Contact Phone: (716) 701-3438 CLIA #: 33D0964122
PFI: M583 Secondary Site ID: 0004 Certification Type: PPMP Director: Christen L Bidwell, N.P. Phone: (716) 373-8055 Fax: (716) 375-5994 Address: 1 Leo Moss Drive, Olean, NY 14760 County: Cattaraugus Country: United States Single or Primary Contact: Lynne E Moore Contact Phone: (716) 701-3438 CLIA #: 33D0964122
PFI: M583 Secondary Site ID: 0000 Certification Type: PPMP Director: Christen L Bidwell, N.P. Phone: (716) 701-3438 Fax: (716) 375-5994 Address: 1 Leo Moss Drive, Olean, NY 14760 County: Cattaraugus Country: United States Single or Primary Contact: Lynne E Moore Contact Phone: (716) 701-3438 CLIA #: 33D0964122
Yertle Operations, LLC dba Fishkill-Home Care Division
PFI: M590 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ion Oltean, M.D. Phone: (845) 831-0165 Fax: (845) 241-9040 Address: 22 Robert R Kasin Way, Beacon, NY 12508 County: Dutchess Country: United States Single or Primary Contact: Christina Ricottilli Contact Phone: (845) 831-0165 CLIA #: 33D0913265
PFI: M595 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian H Son, D.O. Phone: (585) 395-6052 Fax: (585) 395-6007 Address: 170 West Ave, Brockport, NY 14420 County: Monroe Country: United States Single or Primary Contact: Kimberly Klinetob Contact Phone: (585) 395-6052 CLIA #: 33D0654836
PFI: M607 Secondary Site ID: 0000 Certification Type: WAIVER Director: Yuri A Stippa, M.D. Phone: (518) 822-6511 Fax: (518) 822-0047 Address: 3 Newman Rd, Hudson, NY 12534 County: Columbia Country: United States Single or Primary Contact: Keith Barksdale Contact Phone: (516) 828-5175 CLIA #: 33D0964441