Mobile Diagnostic and Treatment Center Extension Clinic
PFI: S524 Secondary Site ID: 0005 Certification Type: WAIVER Director: Robert B. Krausz, M.D. Phone: (718) 260-4600 Fax: (718) 852-0867 Address: 35 Franklin Ave, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Leah Wagshul Contact Phone: 71826046001004 CLIA #: 33D1099409
PFI: S524 Secondary Site ID: 0006 Certification Type: WAIVER Director: Robert B. Krausz, M.D. Phone: (718) 260-4670 Fax: (718) 852-0867 Address: 779 East New York Ave, Brooklyn, NY 11203 County: Kings Country: United States Single or Primary Contact: Leah Wagshul Contact Phone: 71826046001005 CLIA #: 33D1099409
PFI: S525 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marilyn S Lashlee, N.P. Phone: (845) 855-4848 Fax: (845) 855-4851 Address: 700 Rte 22, Pawling, NY 12564 County: Dutchess Country: United States Single or Primary Contact: Marilyn Lashlee Contact Phone: (845) 855-4848 CLIA #: 33D1104646
PFI: S528 Secondary Site ID: 0000 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 841-3651 Fax: (518) 841-7282 Address: 4988 State Hwy 30, Amsterdam, NY 12010 County: Montgomery Country: United States Single or Primary Contact: Barbara Hutchins Contact Phone: (518) 841-7286 CLIA #: 33D1099783
PFI: S529 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul Jee, M.D. Phone: (845) 677-8358 Fax: (845) 677-6205 Address: 2510 Rte 44, Salt Point, NY 12578 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D1100801
PFI: S532 Secondary Site ID: 0000 Certification Type: PPMP Director: John H. Tu, M.D. Phone: (585) 697-1818 Fax: (585) 697-0822 Address: 100 White Spruce Blvd, Rochester, NY 14623 County: Monroe Country: United States Single or Primary Contact: Angela Malizia Contact Phone: (585) 697-1818 CLIA #: 33D1100706
PFI: S536 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mary P O'Brien, P.A. Phone: (585) 968-2000 Fax: (585) 968-0065 Address: 140 W Main Street, Cuba, NY 14727 County: Allegany Country: United States Single or Primary Contact: Ruth Ireland Contact Phone: (585) 968-6696 CLIA #: 33D1101547
PFI: S537 Secondary Site ID: 0000 Certification Type: WAIVER Director: Drew A Koch, D.O. Phone: (607) 844-8124 Fax: (607) 844-3249 Address: 26 North Street, Dryden, NY 13053 County: Tompkins Country: United States Single or Primary Contact: Kevin Westcott Contact Phone: (607) 884-8124 CLIA #: 33D1102793
PFI: S541 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd R Howland, M.D. Phone: (315) 393-2321 Fax: (315) 394-1413 Address: 718 Ford Street, Ogdensburg, NY 13669 County: St. Lawrence Country: United States Single or Primary Contact: Eric Brunet Contact Phone: (315) 393-2321 CLIA #: 33D1102792
PFI: S542 Secondary Site ID: 0000 Certification Type: WAIVER Director: James F. Mangano, M.D. Phone: (315) 592-4145 Fax: Address: 404 Ontario Street, Fulton, NY 13069 County: Oswego Country: United States Single or Primary Contact: John Medico Contact Phone: (315) 592-4145 CLIA #: 33D1101039
PFI: S543 Secondary Site ID: 0000 Certification Type: WAIVER Director: Hamerton D Jeanty, M.D. Phone: (315) 797-7500 Fax: (315) 792-9503 Address: 4290 Middlesettlement Road, New Hartford, NY 13413 County: Oneida Country: United States Single or Primary Contact: Kevin Graham Contact Phone: (315) 797-7500 CLIA #: 33D0166961
PFI: S544 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kirby P Black, M.D. Phone: (315) 893-1893 Fax: (315) 893-7984 Address: 7358 State Rte 20, Madison, NY 13402 County: Madison Country: United States Single or Primary Contact: Erik C Merrell Contact Phone: (315) 723-2012 CLIA #: 33D1101573
PFI: S546 Secondary Site ID: 0000 Certification Type: WAIVER Director: Arun P. Patel, M.D. Phone: (716) 379-8474 Fax: (716) 379-8543 Address: 519 N Union Street, Olean, NY 14760 County: Cattaraugus Country: United States Single or Primary Contact: Jennifer L Faulkner Contact Phone: (716) 375-6249 CLIA #: 33D1103959
PFI: S548 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan W Coates, D.O. Phone: (315) 265-6110 Fax: (315) 265-6110 Address: 1714 State Highway 72, Parishville, NY 13672 County: St. Lawrence Country: United States Single or Primary Contact: Christina Cool Contact Phone: (315) 265-4205 CLIA #: 33D1101567
Warner Bros Discovery Health and Wellness Center at Park Avenue
PFI: S553 Secondary Site ID: 0000 Certification Type: WAIVER Director: Hannah G Sama, N.P. Phone: (212) 548-5525 Fax: (212) 656-1780 Address: 230 Park Ave South - 12th Fl, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Kate Meyers Contact Phone: (615) 468-6564 CLIA #: 33D1106010