PFI: E336 Secondary Site ID: 0000 Certification Type: WAIVER Director: Yurly Normatov, D.D.S. Phone: (718) 234-6500 Fax: (718) 234-6503 Address: 6415 Bay Pkwy, Brooklyn, NY 11204 County: Kings Country: United States Single or Primary Contact: Dr. Elizabeth Makh Contact Phone: (347) 845-4106 CLIA #: 33D2214542
PFI: E338 Secondary Site ID: 0000 Certification Type: WAIVER Director: Russell Kamer, M.D. Phone: (914) 288-9396 Fax: (914) 288-9516 Address: 15 N Broadway - Suite E, White Plains, NY 10601 County: Westchester Country: United States Single or Primary Contact: Russell Kamer, M.D. Contact Phone: CLIA #: 33D2205856
PFI: E342 Secondary Site ID: 0000 Certification Type: WAIVER Director: Johanna C Innes, M.D. Phone: (585) 599-5088 Fax: Address: 9993 Alleghany Rd, Darien Lake, NY 14040 County: Genesee Country: United States Single or Primary Contact: Peter Demmer Contact Phone: (585) 599-5088 CLIA #: 33D2236793
PFI: E348 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman E Younesi, M.D. Phone: (718) 634-3400 Fax: (718) 634-3403 Address: 115-02 Ocean Promenade, Rockaway Park, NY 11694 County: Queens Country: United States Single or Primary Contact: Elina L Veksler Contact Phone: (718) 840-3355 CLIA #: 33D2236733
TLC Health Care Services of Nassau Suffolk LLC dba TLC an Amedisys Co
PFI: E352 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam M Carpentieri, D.O. Phone: (914) 205-5708 Fax: (866) 380-0560 Address: 22 Saw Mill River Rd - Suite 306, Hawthorne, NY 10532 County: Westchester Country: United States Single or Primary Contact: Dina Malcomb Contact Phone: (225) 299-3531 CLIA #: 33D2236737
PFI: E360 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 869-1520 Fax: (518) 869-1574 Address: 2061 Western Ave, Guilderland, NY 12084 County: Albany Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237046
PFI: E363 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (716) 631-2701 Fax: (716) 631-2707 Address: 5305 Main St, Williamsville, NY 14221 County: Erie Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237056
PFI: E365 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (716) 683-9870 Fax: (716) 683-2561 Address: 578 Dick Rd, Depew, NY 14043 County: Erie Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2237062