PFI: S455 Secondary Site ID: 0000 Certification Type: WAIVER Director: David S. Dinello, M.D. Phone: (315) 834-9754 Fax: (315) 834-9110 Address: 8892 South Street, Weedsport, NY 13166 County: Cayuga Country: United States Single or Primary Contact: David James Contact Phone: (315) 952-8850 CLIA #: 33D1096647
PFI: S459 Secondary Site ID: 0000 Certification Type: PPMP Director: Christopher E Barbieri, M.D. Phone: (212) 746-6001 Fax: (646) 962-0891 Address: 525 E 68th St - F9 West, New York, NY 10065-4870 County: New York Country: United States Single or Primary Contact: Shalhira Henry Contact Phone: (212) 746-6001 CLIA #: 33D1098686
PFI: S464 Secondary Site ID: 0000 Certification Type: WAIVER Director: Naveen Seth, M.D. Phone: (315) 656-6899 Fax: (315) 656-3024 Address: 240 N Main Street, Minoa, NY 13116 County: Onondaga Country: United States Single or Primary Contact: Christopher E Smith Contact Phone: (315) 656-3100 CLIA #: 33D1098952
Old Erie Emergency Services Inc DBA Jordan Ambulance
PFI: S466 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael R Jorolemon, M.D. Phone: (315) 689-3923 Fax: (315) 689-1262 Address: 1 N Hamilton Street, Jordan, NY 13080 County: Onondaga Country: United States Single or Primary Contact: Casey Brim Contact Phone: (315) 689-3923 CLIA #: 33D1098145
PFI: S472 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher J. Fullagar, M.D. Phone: (315) 487-1212 Fax: (315) 487-4084 Address: 202 Bennett Road, Camillus, NY 13031 County: Onondaga Country: United States Single or Primary Contact: Eric Kehoe Contact Phone: (315) 487-1212 CLIA #: 33D1098954
PFI: S473 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmad M Al-Salameh, M.D. Phone: (315) 592-3505 Fax: (315) 592-3551 Address: 510 S 4th St, Fulton, NY 13069 County: Oswego Country: United States Single or Primary Contact: Edward A Hale Contact Phone: (315) 349-5683 CLIA #: 33D1098205
PFI: S477 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rengena E Chan-Ting, D.O. Phone: (646) 289-7700 Fax: (646) 289-7791 Address: 1432 Fifth Avenue, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Carmen Vega-Stevens Contact Phone: (646) 289-7715 CLIA #: 33D1098957
PFI: S477 Secondary Site ID: 0002 Certification Type: WAIVER Director: Rengena E Chan-Ting, D.O. Phone: (718) 668-8500 Fax: (718) 987-5228 Address: 88 Old Town Road, Staten Island, NY 10304 County: Richmond Country: United States Single or Primary Contact: Carmen Vega-Stevens Contact Phone: (917) 484-4578 CLIA #: 33D1098957
PFI: S479 Secondary Site ID: 0000 Certification Type: PPMP Director: Christopher E Barbieri, M.D. Phone: (212) 746-5608 Fax: (212) 746-8666 Address: 525 E 68th St - Suite 900, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Annette M Vado Contact Phone: (212) 746-5608 CLIA #: 33D1101526