PFI: R171 Secondary Site ID: 0010 Certification Type: WAIVER Director: Alan Roth, M.D. Phone: (718) 206-9888 Fax: (718) 206-3033 Address: 111-20 Merrick Blvd, St Albans, NY 11433 County: Queens Country: United States Single or Primary Contact: Frederick Beekman Contact Phone: (718) 297-1699 CLIA #: 33D1037535
PFI: R171 Secondary Site ID: 0009 Certification Type: WAIVER Director: Alan Roth, M.D. Phone: (718) 641-8207 Fax: (718) 845-5287 Address: 91-20 Atlantic Avenue, Ozone Park, NY 11421 County: Queens Country: United States Single or Primary Contact: Frederick Beekman Contact Phone: (718) 663-1028 CLIA #: 33D1037535
PFI: R171 Secondary Site ID: 0007 Certification Type: WAIVER Director: Alan Roth, M.D. Phone: (718) 323-3589 Fax: (718) 323-3592 Address: 156-10 Cross Bay Blvd, Howard Beach, NY 11414 County: Queens Country: United States Single or Primary Contact: Frederick Beekman Contact Phone: (718) 508-2080 CLIA #: 33D1037535
Jamaica Hospital School Health Program at Campus Magnet High School
PFI: R171 Secondary Site ID: 0004 Certification Type: WAIVER Director: Alan Roth, M.D. Phone: (718) 949-6010 Fax: (718) 949-6210 Address: 207-01 116th Ave, Cambria Heights, NY 11411 County: Queens Country: United States Single or Primary Contact: Frederick Beekman Contact Phone: (718) 949-6010 CLIA #: 33D1037535
PFI: R176 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael R Liebowitz, M.D. Phone: (212) 595-5012 Fax: (212) 595-5013 Address: 134 E 93rd St - Suite 201 A, New York, NY 10128 County: New York Country: United States Single or Primary Contact: Ann Draine Contact Phone: (212) 595-5012 CLIA #: 33D1038399
PFI: R199 Secondary Site ID: 0008 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 854-3821 Fax: (518) 854-3224 Address: 213 Main Street, Salem, NY 12865 County: Washington Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 926-4939 CLIA #: 33D0939627
PFI: R199 Secondary Site ID: 0000 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 642-0612 Fax: (518) 642-0693 Address: 79 North St, Granville, NY 12832 County: Washington Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 926-3823 CLIA #: 33D0939627
PFI: R199 Secondary Site ID: 0018 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 677-3961 Fax: (518) 677-3180 Address: 35 Gilbert Street, Cambridge, NY 12816 County: Washington Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 677-3961 CLIA #: 33D0939627