PFI: M632 Secondary Site ID: 0003 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 332-3070 Fax: (716) 332-3075 Address: 4233 Lake Avenue, Blasdell, NY 14219-1216 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0000 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 875-2904 Fax: (716) 332-0771 Address: 155 Lawn Avenue, Buffalo, NY 14207 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: (716) 875-2904 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0005 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 755-7077 Fax: Address: 1050 Niagara St, Buffalo, NY 14213 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0004 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 427-7000 Fax: (716) 875-5346 Address: 1569 Niagara St, Buffalo, NY 14213 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0001 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 648-4345 Fax: (716) 648-4385 Address: 151 Elmview Dr, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0002 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 242-8600 Fax: Address: 300 Niagara Street, Buffalo, NY 14201 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0011 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (929) 243-0254 Fax: (631) 841-7348 Address: 555 Albany Avenue, Amityville, NY 11701 County: Suffolk Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (718) 515-8600 Fax: (315) 750-7764 Address: 136-65 37th Avenue, Flushing, NY 11354 County: Bronx Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (347) 306-2746 CLIA #: 33D0701727
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0019 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (718) 688-7008 Fax: (718) 688-7008 Address: 2401 White Plains Rd, Bronx, NY 10467 County: Bronx Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727
Centerlight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0015 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (646) 872-2229 Fax: (718) 388-0875 Address: 130 Bushwick Avenue, Brooklyn, NY 11211 County: Kings Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0014 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (315) 750-7764 Fax: Address: 136-65 37th Avenue, Flushing, NY 11354 County: Queens Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0012 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (646) 734-8281 Fax: (718) 571-6395 Address: 11-40 Seneca Avenue, Ridgewood, NY 11385 County: Queens Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0008 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (646) 872-2229 Fax: (718) 688-7185 Address: 205 Rockaway Parkway, Brooklyn, NY 11212 County: Kings Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0007 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (646) 688-7008 Fax: (646) 536-5514 Address: 216 E 99th Street, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727