New York State Department of Health, Wadsworth Center
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The Ryan Clinic at West Side High School
PFI: P690 Secondary Site ID: 0002 Certification Type: WAIVER Director: Rashanna D Lynch, M.D. Phone: (212) 678-7379 Fax: (212) 663-1560 Address: 140 W 102nd St, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Jonathan Fried Contact Phone: (646) 891-8200 CLIA #: 33D1014761
PFI: P694 Secondary Site ID: 0000 Certification Type: PPMP Director: Megan B Vaules, M.D. Phone: (585) 368-4000 Fax: (585) 225-2685 Address: 2655 Ridgeway Avenue Suite 180, Rochester, NY 14626 County: Monroe Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 922-4977 CLIA #: 33D1015855
PFI: P703 Secondary Site ID: 0000 Certification Type: WAIVER Director: Philip M Sauvageau, M.D. Phone: (716) 298-2900 Fax: (716) 298-2800 Address: 5285 Lewiston Road, Lewiston, NY 14092 County: Niagara Country: United States Single or Primary Contact: Laura Brown Contact Phone: (716) 298-3703 CLIA #: 33D1015425
PFI: P711 Secondary Site ID: 0001 Certification Type: PPMP Director: Hyoseong Nuna Kim, M.D. Phone: (212) 226-8866 Fax: (212) 226-2289 Address: 125 Walker St - 2nd Floor, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Sumana Rao Contact Phone: (212) 379-6999 CLIA #: 33D0671190
PFI: P711 Secondary Site ID: 0002 Certification Type: PPMP Director: Hyoseong Nuna Kim, M.D. Phone: (718) 886-1212 Fax: (718) 886-2568 Address: 136-26 37th Ave, Flushing, NY 11354 County: New York Country: United States Single or Primary Contact: Sumana Rao Contact Phone: (718) 886-1212 CLIA #: 33D0671190
PFI: P711 Secondary Site ID: 0003 Certification Type: PPMP Director: Hyoseong Nuna Kim, M.D. Phone: (929) 362-3018 Fax: (929) 362-3023 Address: 137-43 45th Avenue, Flushing, NY 11355 County: New York Country: United States Single or Primary Contact: Sumana Rao Contact Phone: (718) 886-1212 CLIA #: 33D0671190
PFI: P711 Secondary Site ID: 0000 Certification Type: PPMP Director: Hyoseong Nuna Kim, M.D. Phone: (212) 379-6999 Fax: (212) 379-6929 Address: 268 Canal Street, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Sumana Rao Contact Phone: (212) 379-6999 CLIA #: 33D0671190
PFI: P714 Secondary Site ID: 0000 Certification Type: PPMP Director: Amy E Cocina, M.D. Phone: (845) 257-3400 Fax: (845) 257-3415 Address: 802 South Rd, New Paltz, NY 12561 County: Ulster Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1014726
PFI: P716 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott F Berry, M.D. Phone: (585) 295-8500 Fax: (585) 295-9300 Address: 980 Westfall Rd - Suite 300, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Brenda Carpenter Contact Phone: (585) 295-8500 CLIA #: 33D1015932
PFI: P717 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sanford M Ratner, M.D. Phone: (516) 466-4435 Fax: (516) 466-4437 Address: 170 East Shore Rd, Great Neck, NY 11023 County: Nassau Country: United States Single or Primary Contact: Lee Genser Contact Phone: (516) 225-3029 CLIA #: 33D1016254
PFI: P718 Secondary Site ID: 0000 Certification Type: WAIVER Director: Venkata H Chintaluri, M.D. Phone: (718) 655-3568 Fax: (347) 273-2073 Address: 3356 Perry Avenue, Bronx, NY 10467 County: Bronx Country: United States Single or Primary Contact: Sheela Alexander Contact Phone: (718) 655-3568 CLIA #: 33D1015433
PFI: P722 Secondary Site ID: 0002 Certification Type: WAIVER Director: Roger A Barrowman, M.D. Phone: (518) 386-2824 Fax: (518) 386-2278 Address: 650 Franklin St - Suite 200, Schenectady, NY 12305 County: Schenectady Country: United States Single or Primary Contact: Keith R Brown Contact Phone: (518) 386-2824 CLIA #: 33D1018216
PFI: P722 Secondary Site ID: 0000 Certification Type: WAIVER Director: Roger A Barrowman, M.D. Phone: (518) 386-2824 Fax: (518) 386-2278 Address: 107 Nott Terrace, Schenectady, NY 12308 County: Schenectady Country: United States Single or Primary Contact: Keith R Brown Contact Phone: (518) 386-2824 CLIA #: 33D1018216
PFI: P723 Secondary Site ID: 0001 Certification Type: WAIVER Director: Dahlia Raymond, M.D. Phone: (212) 243-3434 Fax: (877) 302-8872 Address: 17 Battery Place - 8th Flr, New York, NY 10004 County: New York Country: United States Single or Primary Contact: Juan Jordan Contact Phone: 2122433434330 CLIA #: 33D1015507
PFI: P723 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dahlia Raymond, M.D. Phone: (212) 243-3434 Fax: (877) 302-8872 Address: 17 Battery Pl - 8th floor, New York, NY 10004 County: New York Country: United States Single or Primary Contact: Juan Jordan Contact Phone: (212) 243-3434 CLIA #: 33D1015507
PFI: P730 Secondary Site ID: 0005 Certification Type: WAIVER Director: Linda M. Styer, Ph.D. Phone: (914) 654-7187 Fax: (914) 654-7020 Address: 145 Huguenot St - 6th Floor, New Rochelle, NY 10801 County: Westchester Country: United States Single or Primary Contact: Megan Johnson Contact Phone: (518) 402-6811 CLIA #: 33D1010195