New York State Department of Health, Wadsworth Center
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Park Avenue Extended Care Facility
PFI: M729 Secondary Site ID: 0000 Certification Type: WAIVER Director: Polina Khanina, M.D. Phone: (516) 431-2600 Fax: (516) 670-3166 Address: 425 National Blvd, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Vicky Shaw Contact Phone: (516) 431-2600 CLIA #: 33D0965492
PFI: M734 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brenainn M Flanagan, M.D. Phone: (631) 878-4400 Fax: (631) 878-6865 Address: 6 Frowein Rd, Center Moriches, NY 11934 County: Suffolk Country: United States Single or Primary Contact: Andrea J Serie Contact Phone: (631) 878-4400 CLIA #: 33D0654252
PFI: M739 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam M Carpentieri, D.O. Phone: (516) 935-3737 Fax: (516) 932-5537 Address: 1 Old Country Rd - Ste PL03, Carle Place, NY 11514 County: Nassau Country: United States Single or Primary Contact: Dina Malcomb Contact Phone: (225) 299-3531 CLIA #: 33D0692416
PFI: M745 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sheryl A Pearl, M.D. Phone: (212) 867-6530 Fax: (212) 867-6535 Address: 80 Broad St - 14th Floor, New York, NY 10004 County: New York Country: United States Single or Primary Contact: Mercy Rose Barias Contact Phone: (720) 749-8090 CLIA #: 33D0134557
PFI: M746 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sheryl A Pearl, M.D. Phone: (585) 381-6240 Fax: (585) 381-2555 Address: 1344 University Ave - Suite 100, Rochester, NY 14607 County: Monroe Country: United States Single or Primary Contact: Mercy Rose Barias Contact Phone: (720) 749-8090 CLIA #: 33D0172492
PFI: M748 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sheryl A Pearl, M.D. Phone: (315) 453-5537 Fax: (315) 453-7138 Address: 1020 Seventh North Ave - Suite 230, Liverpool, NY 13088 County: Onondaga Country: United States Single or Primary Contact: Mercy Rose Barias Contact Phone: (720) 749-8090 CLIA #: 33D0965608
Davis Health Center - State University of New York at Canton
PFI: M749 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tammy M Rotonde, P.A. Phone: (315) 386-7333 Fax: (315) 386-7932 Address: Campus Center 004, SUNY, Canton, NY 13617 County: St. Lawrence Country: United States Single or Primary Contact: Julie Cruickshank Contact Phone: (315) 386-7333 CLIA #: 33D0874050
PFI: M758 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael K Burke, M.D. Phone: (518) 237-5630 Fax: (518) 238-4002 Address: 421 Columbia St., Cohoes, NY 12047 County: Albany Country: United States Single or Primary Contact: Melanie Cole Contact Phone: (518) 238-4131 CLIA #: 33D0654292
GORNC LLC dba Gowanda Rehabilitation and Nursing Center
PFI: M759 Secondary Site ID: 0000 Certification Type: WAIVER Director: Steven E Barnes, D.O. Phone: (716) 532-5700 Fax: (716) 532-5703 Address: 100 Miller St, Gowanda, NY 14070 County: Cattaraugus Country: United States Single or Primary Contact: Martin Mackenzie Contact Phone: (716) 532-5700 CLIA #: 33D0890106
PFI: M763 Secondary Site ID: 0000 Certification Type: WAIVER Director: Philip J. Gara, M.D. Phone: (518) 747-2811 Fax: (518) 747-2740 Address: 319 Broadway, Fort Edward, NY 12828 County: Washington Country: United States Single or Primary Contact: Holly Vaughn Contact Phone: (518) 747-2811 CLIA #: 33D0164714
PFI: M764 Secondary Site ID: 0000 Certification Type: WAIVER Director: Steven Buslovich, M.D. Phone: (585) 223-3633 Fax: (585) 425-2961 Address: 6745 Pittsford Palmyra Rd, Fairport, NY 14450 County: Monroe Country: United States Single or Primary Contact: Michele Rose Contact Phone: (585) 223-3633 CLIA #: 33D0171846
PFI: M767 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmad M Al-Salameh, M.D. Phone: (315) 598-3108 Fax: (315) 598-9301 Address: 7 Morrill Place, Fulton, NY 13069 County: Oswego Country: United States Single or Primary Contact: Kay Wallon Contact Phone: (315) 598-3108 CLIA #: 33D0869778
UH Canton Nursing Home Inc dba UH Rehabilitation and Senior Care
PFI: M768 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gregory J. Healey, M.D. Phone: (315) 386-4541 Fax: (315) 229-4890 Address: 205 State St Rd, Canton, NY 13617 County: St. Lawrence Country: United States Single or Primary Contact: Timothy A Parsons Contact Phone: (315) 386-4541 CLIA #: 33D0721078