New York State Department of Health, Wadsworth Center
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MedCare LLC
PFI: R792 Secondary Site ID: 0000 Certification Type: WAIVER Director: John E DeLoria, M.D. Phone: (718) 399-6234 Fax: (718) 399-3516 Address: 468 Lafayette Ave, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Avi Biegacz Contact Phone: (718) 399-6234 CLIA #: 33D1069834
PFI: R794 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Zito, M.D. Phone: (516) 921-0728 Fax: (516) 921-2500 Address: 50 Cold Spring Rd, Syosset, NY 11791 County: Nassau Country: United States Single or Primary Contact: Mr. Christopher Pieloch Contact Phone: (516) 921-0728 CLIA #: 33D1067644
PFI: R801 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 865-2887 Fax: (585) 621-8425 Address: 1766 Latta Rd, Rochester, NY 14112 County: Monroe Country: United States Single or Primary Contact: Tom Sullivan Contact Phone: (585) 865-2887 CLIA #: 33D1066842
PFI: R806 Secondary Site ID: 0000 Certification Type: PPMP Director: John M. Fisk, M.D. Phone: (607) 431-5243 Fax: (607) 431-5194 Address: One Fox Care Drive, Oneonta, NY 13820 County: Otsego Country: United States Single or Primary Contact: Ullas C Joseph Contact Phone: (607) 547-6981 CLIA #: 33D0168148
PFI: R810 Secondary Site ID: 0000 Certification Type: WAIVER Director: Yvette Calderon, M.D. Phone: (212) 675-3288 Fax: (646) 375-4420 Address: 24 W 25th St - 9th Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Gustavo A Morales Contact Phone: (212) 584-9301 CLIA #: 33D1067493
PFI: R821 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael E Waldrop, M.D. Phone: (518) 895-2200 Fax: (518) 895-2800 Address: 130 Cole Road, Delanson, NY 12053 County: Schenectady Country: United States Single or Primary Contact: Peter L. Brodie Contact Phone: (518) 895-2200 CLIA #: 33D1073994
Behavioral Health Services North Center for Recovery
PFI: R830 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ralph L. Berry, M.D. Phone: (518) 926-7200 Fax: (518) 747-8003 Address: 340 Main St, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Jennifer Hill Contact Phone: (518) 926-7200 CLIA #: 33D1069718
PFI: R832 Secondary Site ID: 0001 Certification Type: WAIVER Director: Traci F. Gardner, M.D. Phone: (212) 929-9009 Fax: (914) 693-4146 Address: 2139 Adam Clayton Powell Blvd, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Tricia Gayle Contact Phone: 91469306001403 CLIA #: 33D1069438
PFI: R833 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ralph L. Berry, M.D. Phone: (518) 926-7200 Fax: (518) 926-7036 Address: 25 Willowbrook Rd, Queensbury, NY 12804 County: Warren Country: United States Single or Primary Contact: Jennifer Hill Contact Phone: (518) 926-7200 CLIA #: 33D1069639
PFI: R836 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joseph P. Comunale, M.D. Phone: (646) 962-7001 Fax: (212) 421-1844 Address: 416 E 55th Street, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Vanessa Markaj Contact Phone: (646) 962-5856 CLIA #: 33D1069301
PFI: R836 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph P. Comunale, M.D. Phone: (212) 746-6000 Fax: (646) 962-0122 Address: 1305 York Ave 3rd Floor, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Vanessa Markaj Contact Phone: (646) 962-5828 CLIA #: 33D1069301