New York State Department of Health, Wadsworth Center
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A and T Healthcare LLC
PFI: T046 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad Hafeez, M.D. Phone: (212) 683-2250 Fax: (212) 683-2042 Address: 274 Madison Ave-Suite 1301 13th Fl, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Rocio Vasquez Contact Phone: (845) 638-4342 CLIA #: 33D2013310
PFI: T047 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammad Hafeez, M.D. Phone: (845) 708-8182 Fax: (845) 708-8183 Address: 337 N Main St - Unit 9A, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Rocio Vasquez Contact Phone: (845) 638-4342 CLIA #: 33D2013320
PFI: T052 Secondary Site ID: 0001 Certification Type: WAIVER Director: Bisram Deocharan, Ph.D. Phone: (212) 857-8161 Fax: (212) 857-8075 Address: 2238 5th Ave, New York, NY 10037 County: New York Country: United States Single or Primary Contact: Samir Baslous Contact Phone: (929) 489-6419 CLIA #: 33D2211422
PFI: T052 Secondary Site ID: 0002 Certification Type: WAIVER Director: Bisram Deocharan, Ph.D. Phone: (646) 364-1030 Fax: (646) 364-0798 Address: 160 W 100th St, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Samir Baslous Contact Phone: (929) 489-6419 CLIA #: 33D2211422
PFI: T052 Secondary Site ID: 0007 Certification Type: WAIVER Director: Bisram Deocharan, Ph.D. Phone: (212) 771-0143 Fax: (212) 771-0270 Address: 303 Ninth Ave, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Samir Baslous Contact Phone: (929) 489-6419 CLIA #: 33D2211422
PFI: T057 Secondary Site ID: 0004 Certification Type: WAIVER Director: Donna F Heinemann, M.D. Phone: (631) 444-0561 Fax: (631) 444-4652 Address: 4 Smithhaven Mall - Suite 203, Lake Grove, NY 11755 County: Suffolk Country: United States Single or Primary Contact: Chris Pidgeon Contact Phone: (631) 638-0610 CLIA #: 33D0944415
PFI: T057 Secondary Site ID: 0003 Certification Type: WAIVER Director: Donna F Heinemann, M.D. Phone: (631) 638-4882 Fax: (631) 638-4867 Address: 600 Main St, Center Moriches, NY 11934 County: Suffolk Country: United States Single or Primary Contact: Chris Pidgeon Contact Phone: (631) 702-8327 CLIA #: 33D0944415
PFI: T057 Secondary Site ID: 0001 Certification Type: WAIVER Director: Donna F Heinemann, M.D. Phone: (631) 638-0160 Fax: (631) 638-0194 Address: 500 Commack Rd - Suite 103, Commack, NY 11725 County: Suffolk Country: United States Single or Primary Contact: Chris Pidgeon Contact Phone: (631) 444-5297 CLIA #: 33D0944415
PFI: T057 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donna F Heinemann, M.D. Phone: (631) 444-4630 Fax: (631) 444-4652 Address: 205 N Belle Meade Road, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Chris Pidgeon Contact Phone: (631) 638-0610 CLIA #: 33D0944415
PFI: T063 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Thomas P. Hansen, M.D. Phone: (212) 523-4326 Fax: (212) 523-4346 Address: 1111 Amsterdam Ave, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Helen Engel Contact Phone: (212) 523-4455 CLIA #: 33D0690778
PFI: T064 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Margaret S Brandwein-Weber, M.D. Phone: (212) 523-8640 Fax: (212) 523-7232 Address: 1000 10th Ave, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Debbie Barackman Contact Phone: (212) 523-7646 CLIA #: 33D0685435