PFI: S627 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott M Glick, D.O. Phone: (315) 548-3862 Fax: (315) 548-2552 Address: 79 Ontario Street, Phelps, NY 14532 County: Ontario Country: United States Single or Primary Contact: John J. Dole Contact Phone: (315) 759-9928 CLIA #: 33D1106170
PFI: S630 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 381-3200 Fax: (585) 389-1539 Address: 3100 East Avenue, Rochester, NY 14610 County: Monroe Country: United States Single or Primary Contact: Stephen Benson Contact Phone: (585) 381-3200 CLIA #: 33D1107541
PFI: S634 Secondary Site ID: 0000 Certification Type: WAIVER Director: John A Sterba, M.D., Ph.D. Phone: (716) 655-6854 Fax: (716) 655-6854 Address: 226 Center Road, East Aurora, NY 14052-2233 County: Erie Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1106811
PFI: S635 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donna J Fanelli, N.P. Phone: (212) 819-8955 Fax: (212) 218-0185 Address: 1221 Ave of the Americas, Rm 50073, New York, NY 10020 County: New York Country: United States Single or Primary Contact: Stacey Rodgers Contact Phone: (463) 219-9697 CLIA #: 33D1106698
PFI: S637 Secondary Site ID: 0000 Certification Type: PPMP Director: Anthony W D'Ambrosio, M.D. Phone: (845) 896-8784 Fax: (845) 896-8793 Address: 200 Westage Business Ctr Dr Ste 240, Fishkill, NY 12524 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D0163252
PFI: S640 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Yesha Sheth, M.D. Phone: (315) 394-7542 Fax: (315) 713-6149 Address: 214 King Street, Ogdensburg, NY 13669 County: St. Lawrence Country: United States Single or Primary Contact: Kelly Nowell Contact Phone: (315) 713-6605 CLIA #: 33D0167743
PFI: S645 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Clemency, D.O. Phone: (716) 648-4563 Fax: (716) 648-3531 Address: 5395 Scranton Road, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Michael Mosier Contact Phone: (716) 989-8864 CLIA #: 33D1107544
PFI: S651 Secondary Site ID: 0000 Certification Type: WAIVER Director: Carlos Roland Salama, M.D. Phone: (718) 593-4528 Fax: (718) 255-6215 Address: 37-63C 83rd St - Suite 1B, Jackson Heights, NY 11372 County: Queens Country: United States Single or Primary Contact: Nathaly Rubio-Torio Contact Phone: (718) 593-4528 CLIA #: 33D1107703
PFI: S652 Secondary Site ID: 0000 Certification Type: PPMP Director: Anthony W D'Ambrosio, M.D. Phone: (845) 229-2123 Fax: (845) 229-6313 Address: 4068 Albany Post Road, Hyde Park, NY 12538 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D1107837
PFI: S658 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leonard S Hojnowski, M.D. Phone: (315) 464-2222 Fax: (315) 464-2225 Address: 550 Harrison Center - Suite G, Syracuse, NY 13202 County: Onondaga Country: United States Single or Primary Contact: Dedra Croll Contact Phone: (315) 464-2222 CLIA #: 33D2000085
PFI: S661 Secondary Site ID: 0000 Certification Type: WAIVER Director: John F Caruso, M.D. Phone: (607) 757-3102 Fax: (607) 757-3101 Address: 14 Village Drive, Endwell, NY 13760 County: Broome Country: United States Single or Primary Contact: Ryan Laclair Contact Phone: (607) 484-6010 CLIA #: 33D2000080
PFI: S663 Secondary Site ID: 0000 Certification Type: PPMP Director: Hang Kyu Park, M.D. Phone: (845) 223-8080 Fax: (845) 223-8081 Address: 942 Route 376 - Suite 16, Wappingers Falls, NY 12590 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D0991911
Adirondack Registered Professional Nursing Services, PLLC
PFI: S665 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert D Desiderio, M.D. Phone: (518) 886-8251 Fax: (518) 400-1069 Address: 100 Saratoga Village Blvd - Ste 9, Malta, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Kevin Pommenville Contact Phone: (518) 886-8251 CLIA #: 33D2001059
PFI: S666 Secondary Site ID: 0000 Certification Type: PPMP Director: Steven B Weinfeld, M.D. Phone: (212) 751-2100 Fax: (212) 751-2101 Address: 1210 2nd Ave, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Elizabeth Sampson Contact Phone: (212) 751-2100 CLIA #: 33D2001245
PFI: S670 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dorien Spatz, N.P. Phone: (845) 602-2579 Fax: (845) 474-3548 Address: 401 N Middletown Road, Pearl River, NY 10965 County: Rockland Country: United States Single or Primary Contact: Dori Spatz Contact Phone: (845) 602-2888 CLIA #: 33D2001109
PFI: S672 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: William H. Dean, Jr., M.D. Phone: (315) 787-4560 Fax: (315) 787-4557 Address: 196 North Street, Geneva, NY 14456 County: Ontario Country: United States Single or Primary Contact: Elizabeth C Martin Contact Phone: (315) 787-4252 CLIA #: 33D0665310