New York State Department of Health, Wadsworth Center
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Jordan Health at CCIA
PFI: N620 Secondary Site ID: 0010 Certification Type: PPMP Director: Linda L Clark, M.D. Phone: (585) 396-0222 Fax: (585) 396-0222 Address: 120 N Main St - Suite 11, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Joyce Land Contact Phone: 58539602225201 CLIA #: 33D0978221
PFI: N620 Secondary Site ID: 0011 Certification Type: PPMP Director: Linda L Clark, M.D. Phone: (585) 454-2630 Fax: (585) 454-2885 Address: 273 Upper Falls Blvd, Rochester, NY 14605 County: Monroe Country: United States Single or Primary Contact: Joyce Land Contact Phone: (585) 454-2630 CLIA #: 33D0978221
PFI: N620 Secondary Site ID: 0012 Certification Type: PPMP Director: Linda L Clark, M.D. Phone: (585) 254-6480 Fax: (585) 254-1092 Address: 322 Lake Avenue, Rochester, NY 14608 County: Monroe Country: United States Single or Primary Contact: Joyce Land Contact Phone: (585) 254-6480 CLIA #: 33D0978221
PFI: N620 Secondary Site ID: 0016 Certification Type: PPMP Director: Linda L Clark, M.D. Phone: (585) 784-9540 Fax: (585) 454-7138 Address: 145 Parsells Avenue, Rochester, NY 14609 County: Monroe Country: United States Single or Primary Contact: Joyce Land Contact Phone: (585) 784-9540 CLIA #: 33D0978221
PFI: N620 Secondary Site ID: 0017 Certification Type: PPMP Director: Linda L Clark, M.D. Phone: (585) 324-3726 Fax: (585) 336-5525 Address: 950 Norton Street, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: Joyce Land Contact Phone: (585) 784-9540 CLIA #: 33D0978221
PFI: N620 Secondary Site ID: 0000 Certification Type: PPMP Director: Linda L Clark, M.D. Phone: (585) 436-3040 Fax: (585) 295-6009 Address: 480 Genesee St, Rochester, NY 14611 County: Monroe Country: United States Single or Primary Contact: Joyce Land Contact Phone: (585) 672-1773 CLIA #: 33D0978221
PFI: N627 Secondary Site ID: 0001 Certification Type: WAIVER Director: Michael K Burke, M.D. Phone: (518) 280-8000 Fax: (518) 280-8379 Address: 1 Ascot Lane, Niskayuna, NY 12309 County: Schenectady Country: United States Single or Primary Contact: Alexandra Smith Contact Phone: (518) 280-8360 CLIA #: 33D0161688
PFI: N627 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael K Burke, M.D. Phone: (518) 274-9890 Fax: (518) 274-5407 Address: 2256 Burdett Ave, Troy, NY 12180 County: Rensselaer Country: United States Single or Primary Contact: Alexandra Smith Contact Phone: (518) 274-9890 CLIA #: 33D0161688
PFI: N627 Secondary Site ID: 0004 Certification Type: WAIVER Director: Michael K Burke, M.D. Phone: (518) 371-1400 Fax: (518) 371-1240 Address: 1 Abele Blvd, Clifton Park, NY 12065 County: Saratoga Country: United States Single or Primary Contact: Alexandra Smith Contact Phone: (518) 371-1400 CLIA #: 33D0161688
PFI: N627 Secondary Site ID: 0003 Certification Type: WAIVER Director: Michael K Burke, M.D. Phone: (518) 832-7800 Fax: (518) 832-7891 Address: 39 Longview Dr, Queensbury, NY 12804 County: Warren Country: United States Single or Primary Contact: Alexandra Smith Contact Phone: (518) 832-7865 CLIA #: 33D0161688
PFI: N627 Secondary Site ID: 0002 Certification Type: WAIVER Director: Michael K Burke, M.D. Phone: (518) 833-1111 Fax: (518) 279-5307 Address: 30 Community Way, East Greenbush, NY 12061 County: Rensselaer Country: United States Single or Primary Contact: Alexandra Smith Contact Phone: (518) 279-5320 CLIA #: 33D0161688
PFI: N633 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sudershan K Dang, M.D. Phone: (315) 797-7392 Fax: (315) 797-8267 Address: 1657 Sunset Ave, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Erik Howard Contact Phone: (315) 797-7392 CLIA #: 33D0663415
Eddy Heritage House Nursing and Rehabilitation Center
PFI: N635 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael K Burke, M.D. Phone: (518) 274-4125 Fax: (518) 274-4337 Address: 2920 Tibbits Ave, Troy, NY 12180 County: Rensselaer Country: United States Single or Primary Contact: Sherri Mier Contact Phone: (518) 274-4125 CLIA #: 33D0868620
PFI: N638 Secondary Site ID: 0000 Certification Type: WAIVER Director: David P Petrie, M.D. Phone: (315) 792-3094 Fax: (315) 792-3700 Address: 1600 Burrstone Rd, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Dawn DeGironimo Contact Phone: (315) 792-3094 CLIA #: 33D0868437
PFI: N644 Secondary Site ID: 0000 Certification Type: WAIVER Director: Henry I. Lipner, M.D. Phone: (718) 252-8440 Fax: (718) 252-6490 Address: 3915 Ave V - Suite 104, Brooklyn, NY 11234 County: Kings Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 341-6410 CLIA #: 33D0979707