New York State Department of Health, Wadsworth Center
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Surgical Specialists of Glens Falls Hospital
PFI: R199 Secondary Site ID: 0017 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 926-5600 Fax: (518) 926-5605 Address: 14 Hudson Avenue, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 936-0569 CLIA #: 33D0939627
PFI: R199 Secondary Site ID: 0015 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 792-1233 Fax: (518) 792-6854 Address: 6 Hearts Way, Queensbury, NY 12804 County: Warren Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 926-3901 CLIA #: 33D0939627
PFI: R199 Secondary Site ID: 0009 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 499-2444 Fax: (518) 499-0317 Address: 65 Poultney Street, Whitehall, NY 12887 County: Washington Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 499-2444 CLIA #: 33D0939627
PFI: R199 Secondary Site ID: 0006 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 692-9861 Fax: (518) 692-7947 Address: 1134 State Rt 29, Greenwich, NY 12834 County: Washington Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 926-4939 CLIA #: 33D0939627
PFI: R199 Secondary Site ID: 0004 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 654-6499 Fax: (518) 654-7303 Address: 13 Palmer Avenue, Corinth, NY 12822 County: Saratoga Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 926-1534 CLIA #: 33D0939627
PFI: R199 Secondary Site ID: 0002 Certification Type: PPMP Director: Matthew C. Pender, M.D. Phone: (518) 747-3376 Fax: (518) 747-8745 Address: 325 Main Street, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Jayme Anderson Contact Phone: (518) 926-1534 CLIA #: 33D0939627
PFI: R205 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leah H. Strock, N.P. Phone: (212) 645-0875 Fax: (212) 645-0705 Address: 64 West 35th St 3rd Floor, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Ramona Cummings Contact Phone: (917) 645-0875 CLIA #: 33D1040355
PFI: R205 Secondary Site ID: 0004 Certification Type: WAIVER Director: Leah H. Strock, N.P. Phone: (212) 645-0875 Fax: (212) 645-0705 Address: 150 1st Ave - 1st Floor, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Ramona Cummings Contact Phone: (347) 204-0164 CLIA #: 33D1040355
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: R205 Secondary Site ID: 0001 Certification Type: WAIVER Director: Leah H. Strock, N.P. Phone: 2126450875700 Fax: (212) 645-0705 Address: 2036 Amsterdam Ave at 161st Street, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Ramona Cummings Contact Phone: (347) 204-0164 CLIA #: 33D1040355
PFI: R205 Secondary Site ID: 0003 Certification Type: WAIVER Director: Leah H. Strock, N.P. Phone: 2126450875341 Fax: (212) 645-0705 Address: 35 East Broadway - 2nd Floor, New York, NY 10002 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: Yury J Parra, 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: Yury J Parra, 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: Yury J Parra, 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: R213 Secondary Site ID: 0000 Certification Type: PPMP Director: Eric G Gayle, M.D. Phone: (212) 206-0574 Fax: (212) 206-7486 Address: 321 W 125th St, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D1046761
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