New York State Department of Health, Wadsworth Center
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Keith Haring ASC Harlem Center
PFI: R205 Secondary Site ID: 0002 Certification Type: WAIVER Director: Leah H. Strock, N.P. Phone: 2126450875500 Fax: (212) 645-0705 Address: 315 E 104th Street, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Ramona Cummings Contact Phone: (347) 204-0164 CLIA #: 33D1040355
PFI: R209 Secondary Site ID: 0003 Certification Type: WAIVER Director: Rafael G Frias, M.D. Phone: (212) 289-2378 Fax: (212) 497-2640 Address: 321 W 125th Street 2nd Floor, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Lielcy Rosa Contact Phone: 21280328502444 CLIA #: 33D1022604
PFI: R209 Secondary Site ID: 0005 Certification Type: WAIVER Director: Rafael G Frias, M.D. Phone: (212) 531-1300 Fax: (212) 531-1085 Address: 123-125 W 124th St, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Lielcy Rosa Contact Phone: 21280328502444 CLIA #: 33D1022604
PFI: R209 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rafael G Frias, M.D. Phone: (646) 672-4950 Fax: (646) 672-4953 Address: 169 W 133rd St, New York, NY 10030 County: New York Country: United States Single or Primary Contact: Lielcy Rosa Contact Phone: (212) 803-2850 CLIA #: 33D1022604
PFI: R220 Secondary Site ID: 0000 Certification Type: WAIVER Director: Silvina P Dutruel, M.D. Phone: (212) 746-5889 Fax: (212) 746-6681 Address: 516 E 72nd St, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Jason Randazza Contact Phone: (212) 746-5278 CLIA #: 33D1042139
PFI: R225 Secondary Site ID: 0000 Certification Type: PPMP Director: Josenia Narcisa M Tan, M.D. Phone: (585) 368-3506 Fax: (585) 368-3163 Address: 65 Genesee St, Rochester, NY 14611 County: Monroe Country: United States Single or Primary Contact: Dawn D Slossar Contact Phone: (585) 922-4977 CLIA #: 33D1040932
PFI: R230 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anthony J Battista, M.D. Phone: (212) 575-3007 Fax: (212) 278-0600 Address: 115 W 30th St - Suite 201, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Aza Weir Contact Phone: (212) 354-3557 CLIA #: 33D1041181
Culinary Institute of America Student Health Services Laboratory
PFI: R243 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mary Ann Sweeney, N.P. Phone: (845) 451-1261 Fax: (845) 905-4061 Address: 1946 Campus Drive, Hyde Park, NY 12538 County: Dutchess Country: United States Single or Primary Contact: Mary Ann Sweeney Contact Phone: (845) 527-2493 CLIA #: 33D1045389
Pinnacle Multicare Nursing and Rehabilitation Center
PFI: R245 Secondary Site ID: 0000 Certification Type: WAIVER Director: Amit K Saxena, M.D. Phone: (718) 239-6500 Fax: (718) 239-6492 Address: 801 Co-Op City Blvd, Bronx, NY 10475 County: Bronx Country: United States Single or Primary Contact: Cheikh Fall Contact Phone: (718) 239-6416 CLIA #: 33D1042021
PFI: R254 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jay Yelon, M.D. Phone: (516) 223-4320 Fax: (516) 223-4105 Address: 2095 Camp Avenue, North Merrick, NY 11566 County: Nassau Country: United States Single or Primary Contact: David Ward Contact Phone: (516) 223-4320 CLIA #: 33D1045806
PFI: R256 Secondary Site ID: 0000 Certification Type: WAIVER Director: Timothy Page, M.D. Phone: (315) 339-7784 Fax: (315) 339-7740 Address: 158 Black River Blvd, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Michael Davis Contact Phone: (315) 339-7784 CLIA #: 33D2344984
Westchester County Department of Social Services Pediatric Clinic
PFI: R257 Secondary Site ID: 0000 Certification Type: WAIVER Director: Janet A Stockheim, M.D. Phone: (914) 995-5379 Fax: (914) 995-3045 Address: 112 E Post Road, White Plains, NY 10601 County: Westchester Country: United States Single or Primary Contact: Eileen Masseo Contact Phone: (914) 995-5379 CLIA #: 33D1044306
PFI: R258 Secondary Site ID: 0000 Certification Type: WAIVER Director: David S. Dinello, M.D. Phone: (315) 475-1771 Fax: (315) 475-4601 Address: 319 E Water St, Syracuse, NY 13202 County: Onondaga Country: United States Single or Primary Contact: Emily Forshee Contact Phone: (315) 475-1771 CLIA #: 33D2344547
PFI: R260 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lori A. Schwartz, M.D. Phone: (212) 456-8655 Fax: (212) 456-8666 Address: 310 Hudson St - Rm 03E-202, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Jandra Garcia Contact Phone: (212) 456-8652 CLIA #: 33D1042732