New York State Department of Health, Wadsworth Center
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PFI: P957 Secondary Site ID: 0003 Certification Type: PPMP Director: Chitra P Katiyar, M.D. Phone: (845) 364-3329 Fax: Address: 9 Jackson Avenue, Spring Valley, NY 10977 County: Rockland Country: United States Single or Primary Contact: Hassan Masroor, M.D. Contact Phone: (845) 364-2507 CLIA #: 33D1025149
PFI: P957 Secondary Site ID: 0002 Certification Type: PPMP Director: Chitra P Katiyar, M.D. Phone: (845) 364-2531 Fax: Address: 14 S Main Street, Spring Valley, NY 10970 County: Rockland Country: United States Single or Primary Contact: Hassan Masroor, M.D. Contact Phone: (845) 364-2538 CLIA #: 33D1025149
PFI: P968 Secondary Site ID: 0000 Certification Type: PPMP Director: Barbara Lopez-Heffernan, N.P. Phone: (845) 486-2963 Fax: (845) 486-3531 Address: 29 N Hamilton St - Suite 109, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Wright Joan Contact Phone: (845) 486-3522 CLIA #: 33D1025548
PFI: P978 Secondary Site ID: 0000 Certification Type: WAIVER Director: Reynaldo Tan, M.D. Phone: (718) 836-8444 Fax: (718) 836-0918 Address: 6520 Fort Hamilton Parkway, Brooklyn, NY 11219 County: Kings Country: United States Single or Primary Contact: Wayne Dwyer Contact Phone: (646) 403-1686 CLIA #: 33D1026802
PFI: P982 Secondary Site ID: 0000 Certification Type: WAIVER Director: Muataz Jaber, M.D. Phone: (212) 499-4720 Fax: (212) 499-4756 Address: 420 Lexington Avenue, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Michelle Moore-McNeil Contact Phone: (212) 499-4705 CLIA #: 33D1026882
PFI: P983 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter E Gordon, M.D. Phone: (518) 938-1108 Fax: (518) 314-0506 Address: 11 Moore Ave, Chatham, NY 12037 County: Columbia Country: United States Single or Primary Contact: Adam Weiss Contact Phone: (518) 567-1410 CLIA #: 33D1025796
PFI: P991 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 483-1199 Fax: (315) 483-2451 Address: 6341 Ridge Road, Sodus, NY 14551 County: Wayne Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0008 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 531-9102 Fax: (315) 781-8444 Address: 1 School Dr, Penn Yan, NY 14527 County: Yates Country: United States Single or Primary Contact: Contact Phone: (315) 531-9102 CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0007 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 573-7577 Fax: (315) 483-2451 Address: 513 W Union Street, Newark, NY 14513 County: Wayne Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0006 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 781-8448 Fax: (315) 781-8444 Address: 7150 Main Street, Ovid, NY 14521 County: Seneca Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0003 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 776-9700 Fax: Address: 60 Main Street, Port Byron, NY 13140 County: Cayuga Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0001 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 781-8448 Fax: (315) 781-8444 Address: 601 B Washington St, Geneva, NY 14456 County: Ontario Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0005 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (607) 776-3063 Fax: Address: 6890 County Rte 113, Bath, NY 14810-1636 County: Steuben Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P993 Secondary Site ID: 0000 Certification Type: WAIVER Director: Raymund V Sison, M.D. Phone: (212) 334-6029 Fax: (212) 334-7956 Address: 400 Broadway, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Mihaela Mihai Contact Phone: (646) 884-5373 CLIA #: 33D0994889
PFI: R004 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey L. Vacirca, M.D. Phone: (631) 385-2451 Fax: (631) 423-2788 Address: 475 E Main St - Suite 216, East Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Mr. Colin Pearsall Contact Phone: (631) 385-2451 CLIA #: 33D1026803
St Josephs Hospital Center for Wound Care and Hyperbaric Medicine
PFI: R034 Secondary Site ID: 0000 Certification Type: WAIVER Director: Margaret D Plocek, M.D. Phone: (315) 329-2600 Fax: (315) 744-1936 Address: 4206 Medical Ctr Dr - Ste 206, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Lori Mathews Contact Phone: (315) 329-2600 CLIA #: 33D1028540