New York State Department of Health, Wadsworth Center
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Mount Sinai Hospital Comprehensive Health Care Program
PFI: T077 Secondary Site ID: 0000 Certification Type: WAIVER Director: Antonio E Urbina, M.D. Phone: (212) 604-1701 Fax: (212) 604-1750 Address: 275 7th Ave - 12th Fl, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Diane Tider Contact Phone: (646) 385-5496 CLIA #: 33D2017192
NYU Langone Medical Center - Ambulatory Care West Side
PFI: T078 Secondary Site ID: 0000 Certification Type: PPMP Director: Oliver Pacifico, M.D. Phone: (646) 754-2100 Fax: (646) 754-2585 Address: 355 W 52nd St - 7th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Chastidy Elliott Contact Phone: (646) 754-2164 CLIA #: 33D1084321
United Health Services Hospitals Wilson Memorial Regional Medical Ctr
PFI: T084 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Jagmohan S. Sidhu, M.D. Phone: (607) 763-5812 Fax: (607) 763-5252 Address: 33-57 Harrison Street, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Barbara Kovalchick Contact Phone: (607) 763-5812 CLIA #: 33D0654691
PFI: T089 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Patricia A. Shi, M.D. Phone: (212) 699-5154 Fax: Address: 310 E 67th Street, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (516) 478-5070 CLIA #: 33D0673131
PFI: T095 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jonathan W Heusel, M.D. Phone: (631) 444-6270 Fax: (631) 444-6256 Address: 24 Research Way, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Evrim Erdogan Contact Phone: (631) 444-2600 CLIA #: 33D2015364
PFI: T096 Secondary Site ID: 0001 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (631) 820-3611 Fax: Address: 3125 Veterans Memorial Highway, Ronkonkoma, NY 11779 County: Suffolk Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (914) 882-3258 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0004 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (212) 570-3060 Fax: (845) 896-0751 Address: 584 Route US 9 - Suite 105, Fishkill, NY 12524 County: Dutchess Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (914) 784-4625 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0005 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (845) 943-5239 Fax: Address: 51 Albany Ave, Kingston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (914) 784-4625 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0006 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (516) 325-2795 Fax: Address: 2500 Marcus Ave, New Hyde Park, NY 11042 County: Nassau Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (914) 882-3258 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0008 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (646) 681-0690 Fax: (646) 965-7721 Address: 115 E 41st St - Chanin Bldg, New York, NY 10168 County: New York Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (212) 949-1820 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0009 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (516) 478-5070 Fax: Address: 253 W 35th St, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (212) 279-3518 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0010 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (631) 938-4334 Fax: Address: 1010 Rte 112, Port Jefferson Sta, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (914) 882-3258 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0012 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (516) 323-8000 Fax: Address: 290 Sunrise Hwy, Rockville Centre, NY 11570 County: Nassau Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (914) 882-3258 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0014 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (347) 695-9581 Fax: Address: 2791 Richmond Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (212) 949-1820 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0016 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (516) 324-7059 Fax: Address: 1050 Sunrise Highway, Massapequa, NY 11758 County: Suffolk Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (914) 882-3258 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0017 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (914) 784-4623 Fax: Address: 30 Flatbush Ave, Brooklyn, NY 11217 County: Kings Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (347) 386-5032 CLIA #: 33D2016801
PFI: T096 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bruce S Sachais, M.D., Ph.D. Phone: (631) 546-9499 Fax: Address: 905 Walt Whitman Rd, Melville, NY 11747 County: Suffolk Country: United States Single or Primary Contact: Peter Ingrassia Contact Phone: (516) 478-5070 CLIA #: 33D2016801