PFI: M912 Secondary Site ID: 0000 Certification Type: WAIVER Director: Spencer M Eisenberg, D.O. Phone: (607) 798-1002 Fax: (607) 770-3475 Address: 286 Deyo Hill Rd, Johnson City, NY 13790-5135 County: Broome Country: United States Single or Primary Contact: Jacqueline Otremba Contact Phone: (607) 798-1002 CLIA #: 33D0669972
PFI: M917 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ion Oltean, M.D. Phone: (845) 360-1200 Fax: (845) 291-3737 Address: 46 Harriman Drive, Goshen, NY 10924 County: Orange Country: United States Single or Primary Contact: Andrew Turk Contact Phone: (845) 360-1207 CLIA #: 33D0919104
PFI: M918 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas B. Mayhle, M.D. Phone: (585) 567-2207 Fax: (585) 567-4530 Address: 9876 Luckey Drive, Houghton, NY 14744 County: Allegany Country: United States Single or Primary Contact: Chelsea Sawyer Contact Phone: (585) 567-2207 CLIA #: 33D0654971
PFI: M921 Secondary Site ID: 0000 Certification Type: WAIVER Director: Felix O Oduwa, M.D. Phone: (315) 483-9118 Fax: (315) 483-9432 Address: 6884 Maple Ave, Sodus, NY 14551-9304 County: Wayne Country: United States Single or Primary Contact: Shaina Olton Contact Phone: (315) 483-9118 CLIA #: 33D0901925
St Johnsville Rehabilitation and Nursing Center Inc
PFI: M925 Secondary Site ID: 0000 Certification Type: WAIVER Director: David D Liu, M.D. Phone: (518) 568-5037 Fax: (888) 241-4392 Address: 7 Timmerman Ave, St Johnsville, NY 13452 County: Montgomery Country: United States Single or Primary Contact: Durr Christopher Contact Phone: (518) 568-5037 CLIA #: 33D0663406
PFI: M926 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael J Celotti, D.O. Phone: (518) 873-3500 Fax: (518) 873-3507 Address: 132 Water Street, Elizabethtown, NY 12932 County: Essex Country: United States Single or Primary Contact: Linda Beers Contact Phone: (518) 873-3500 CLIA #: 33D0693677
PFI: M936 Secondary Site ID: 0000 Certification Type: PPMP Director: Mary E Stock, M.D. Phone: (716) 829-3316 Fax: (716) 829-2564 Address: 4350 Maple Road, Amherst, NY 14226 County: Erie Country: United States Single or Primary Contact: Susan Snyder Contact Phone: (716) 829-2476 CLIA #: 33D0684541
PFI: M938 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maximo E. Mora, M.D. Phone: (718) 206-5100 Fax: (718) 206-5005 Address: 89-40 135th St, Jamaica, NY 11418 County: Queens Country: United States Single or Primary Contact: Thomas Younghans Contact Phone: (718) 206-5100 CLIA #: 33D0886525