PFI: P077 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark P St. John, N.P. Phone: (315) 638-2521 Fax: (315) 638-2552 Address: 7740 Meigs Road, Baldwinsville, NY 13027 County: Onondaga Country: United States Single or Primary Contact: Mark Murphy Contact Phone: (315) 638-2521 CLIA #: 33D0654534
PFI: P079 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Muratori, M.D. Phone: (631) 727-5353 Fax: (631) 727-5268 Address: 185 Old Country Road, Suite 3, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Aivars Sics Contact Phone: (913) 814-2674 CLIA #: 33D0993511
PFI: P090 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher Thomas Tanski, M.D. Phone: (315) 458-7514 Fax: (315) 458-4567 Address: 603 Main Street, North Syracuse, NY 13212-0215 County: Onondaga Country: United States Single or Primary Contact: Evan Grenier Contact Phone: (315) 458-7514 CLIA #: 33D0890243
PFI: P098 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erik A. Rueckmann, M.D. Phone: (585) 546-2525 Fax: (585) 546-1937 Address: 811 West Ave, Rochester, NY 14611 County: Monroe Country: United States Single or Primary Contact: Corey Youells Contact Phone: (585) 530-1242 CLIA #: 33D0994625
Regal Heights Rehabilitation and Health Care Center
PFI: P103 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman E Younesi, M.D. Phone: (718) 662-5100 Fax: (718) 565-9700 Address: 70-05 35th Avenue, Jackson Heights, NY 11372 County: Queens Country: United States Single or Primary Contact: Ari Zadeh Contact Phone: (718) 662-5100 CLIA #: 33D0994743
PFI: P107 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Faitell, M.D. Phone: (516) 327-5555 Fax: (516) 327-5556 Address: 1574 Hillside Avenue, New Hyde Park, NY 11040 County: Nassau Country: United States Single or Primary Contact: Marlon B Mendoza Contact Phone: (516) 327-5555 CLIA #: 33D0995965
PFI: P122 Secondary Site ID: 0000 Certification Type: WAIVER Director: Faisal M. Huq Ronny, M.D., Ph.D. Phone: (646) 815-4612 Fax: (347) 671-8448 Address: 50 Water Street, 6th Floor, New York, NY 10004 County: New York Country: United States Single or Primary Contact: Yelena Shevchenko Contact Phone: (646) 458-6437 CLIA #: 33D0995123
PFI: P125 Secondary Site ID: 0018 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 624-7026 Fax: (315) 624-0377 Address: 116 Business Park Dr, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
PFI: P125 Secondary Site ID: 0016 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 624-5252 Fax: (315) 624-5225 Address: 1676 Sunset Ave, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
MVHS Medical Group Sister Rose Vincent Family Medicine Center
PFI: P125 Secondary Site ID: 0019 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 798-1149 Fax: (315) 801-3565 Address: 120 Hobart St, Utica, NY 13501 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
PFI: P125 Secondary Site ID: 0020 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 738-7186 Fax: (315) 738-0188 Address: 1256 Culver Ave, Utica, NY 13501 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349