New York State Department of Health, Wadsworth Center
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Mount St. Marys Pace Primary Care Center
PFI: T299 Secondary Site ID: 0000 Certification Type: WAIVER Director: Philip M Sauvageau, M.D. Phone: (716) 285-8248 Fax: (716) 285-8249 Address: 1302 Main Street, Niagara Falls, NY 14301 County: Niagara Country: United States Single or Primary Contact: Patricia A Villani Contact Phone: (716) 298-2008 CLIA #: 33D2026352
PFI: T302 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey M. Birnbaum, M.D. Phone: (212) 674-2600 Fax: Address: 2 Astor Place, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Bridget Hughes Contact Phone: (212) 674-2600 CLIA #: 33D2026669
NYU Langone Joan H Tisch Center for Women's Health
PFI: T303 Secondary Site ID: 0000 Certification Type: PPMP Director: Caren F Behar, M.D. Phone: (646) 754-3300 Fax: (917) 829-2071 Address: 159 E 53rd St, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Carmen Estevez Contact Phone: (646) 754-3124 CLIA #: 33D2026619
New York-Presbyterian/Lower Manhattan Hospital WIC Program
PFI: T304 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stacia A Semple, M.D. Phone: (646) 588-2646 Fax: (646) 588-2547 Address: 244 Grand St - 4th Floor, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Joyce Reid Contact Phone: (212) 312-5851 CLIA #: 33D2026722
PFI: T305 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael T Mangione, M.D. Phone: (716) 674-0420 Fax: (716) 667-5510 Address: 666 Main Street, West Seneca, NY 14224 County: Erie Country: United States Single or Primary Contact: Barbra Mann Contact Phone: (716) 777-1998 CLIA #: 33D2026720
PFI: T308 Secondary Site ID: 0000 Certification Type: WAIVER Director: George Liu, M.D. Phone: (212) 226-1177 Fax: (212) 625-2009 Address: 185 Canal St 6th Floor, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Emily Tin Contact Phone: (212) 226-1177 CLIA #: 33D2026985
PFI: T309 Secondary Site ID: 0000 Certification Type: WAIVER Director: Cariann S Brady, N.P. Phone: (607) 763-8101 Fax: (607) 763-8049 Address: 30 Harrison St - Suite 460, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Christina West Contact Phone: (607) 763-8101 CLIA #: 33D1048361
PFI: T310 Secondary Site ID: 0000 Certification Type: WAIVER Director: David Ramos, M.D. Phone: (845) 368-0100 Fax: (845) 368-0100 Address: 26 Indian Rock Plaza, Suffern, NY 10901 County: Rockland Country: United States Single or Primary Contact: Susan Lipschitz Contact Phone: (845) 368-4236 CLIA #: 33D0970701
PFI: T311 Secondary Site ID: 0000 Certification Type: PPMP Director: Rosagna A Rubiano, N.P. Phone: (212) 854-3045 Fax: (212) 854-2239 Address: 519 W 114th St, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Rosagna Rubiano Contact Phone: (347) 225-4305 CLIA #: 33D0877733
PFI: T324 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard E Stutt, M.D. Phone: (845) 338-1788 Fax: (845) 338-1788 Address: 1 Cross Street, Ulster Park, NY 12487 County: Ulster Country: United States Single or Primary Contact: Taylor VanVliet Contact Phone: (845) 616-9055 CLIA #: 33D2028350
PFI: T327 Secondary Site ID: 0000 Certification Type: WAIVER Director: Orrin Devinsky, M.D. Phone: (646) 558-0844 Fax: (646) 385-7165 Address: 223 E 34th Street, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Mariana Figuera Contact Phone: (646) 558-0844 CLIA #: 33D1046368
PFI: T329 Secondary Site ID: 0000 Certification Type: WAIVER Director: George A Disney, M.D. Phone: (518) 793-7273 Fax: (518) 798-5004 Address: 55 Elm Street, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Joseph M Chelales Contact Phone: (518) 952-1850 CLIA #: 33D2028443
PFI: T330 Secondary Site ID: 0000 Certification Type: WAIVER Director: George A Disney, M.D. Phone: (315) 453-3911 Fax: (315) 453-0197 Address: 526 Old Liverpool Rd Suite 4, Liverpool, NY 13088 County: Onondaga Country: United States Single or Primary Contact: Joseph M Chelales Contact Phone: (518) 952-1850 CLIA #: 33D2028444
PFI: T331 Secondary Site ID: 0000 Certification Type: WAIVER Director: George A Disney, M.D. Phone: (518) 561-0130 Fax: (518) 562-8812 Address: 80 Sharron Avenue, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Joseph M Chelales Contact Phone: (518) 952-1850 CLIA #: 33D2028445
PFI: T332 Secondary Site ID: 0000 Certification Type: WAIVER Director: George A Disney, M.D. Phone: (585) 442-8422 Fax: (585) 442-8494 Address: 556 Clinton Ave, Rochester, NY 14620 County: Monroe Country: United States Single or Primary Contact: Joseph M Chelales Contact Phone: (518) 952-1850 CLIA #: 33D2028446
PFI: T333 Secondary Site ID: 0000 Certification Type: WAIVER Director: George A Disney, M.D. Phone: (518) 372-7031 Fax: (518) 372-7064 Address: 600 Franklin Street, Schenectady, NY 12305 County: Schenectady Country: United States Single or Primary Contact: Joseph M Chelales Contact Phone: (518) 952-1850 CLIA #: 33D2028447