PFI: T127 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Clemency, D.O. Phone: (716) 649-1753 Fax: (716) 649-1535 Address: 301 Union Street, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Nicholas Pikul Contact Phone: (716) 713-0020 CLIA #: 33D2020499
Geriatrics Faculty Practice Maimonides Medical Center
PFI: T129 Secondary Site ID: 0000 Certification Type: WAIVER Director: Barbara E Paris, M.D. Phone: (718) 283-7071 Fax: (718) 635-6417 Address: 4719 Fort Hamilton Parkway First Fl, Brooklyn, NY 11219 County: Kings Country: United States Single or Primary Contact: Jessica Puntiel Contact Phone: (718) 283-7089 CLIA #: 33D2017139
PFI: T132 Secondary Site ID: 0001 Certification Type: WAIVER Director: Norman M Cruz, N.P. Phone: (631) 444-4545 Fax: (631) 444-4707 Address: 24 Research Way, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Nancy Grandinette Contact Phone: (631) 638-1693 CLIA #: 33D2017797
PFI: T132 Secondary Site ID: 0002 Certification Type: WAIVER Director: Norman M Cruz, N.P. Phone: (631) 638-2800 Fax: (631) 638-2830 Address: 222 Middle Country Rd - Suite 209, Smithtown, NY 11787 County: Suffolk Country: United States Single or Primary Contact: Nancy Grandinette Contact Phone: (631) 638-1693 CLIA #: 33D2017797
PFI: T132 Secondary Site ID: 0004 Certification Type: WAIVER Director: Norman M Cruz, N.P. Phone: (631) 638-1684 Fax: (631) 638-1691 Address: 23 S Howell Ave - Suite G, Centereach, NY 11720 County: Suffolk Country: United States Single or Primary Contact: Nancy Grandinette Contact Phone: (631) 638-1693 CLIA #: 33D2017797
PFI: T132 Secondary Site ID: 0000 Certification Type: WAIVER Director: Norman M Cruz, N.P. Phone: (631) 444-4545 Fax: (631) 444-4707 Address: 37 Research Way, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Nancy Grandinette Contact Phone: (631) 638-1693 CLIA #: 33D2017797
PFI: T132 Secondary Site ID: 0003 Certification Type: WAIVER Director: Norman M Cruz, N.P. Phone: (631) 638-3968 Fax: (631) 638-1227 Address: 23 S Howell Ave - Suite D, Centereach, NY 11720 County: Suffolk Country: United States Single or Primary Contact: Nancy Grandinette Contact Phone: (631) 638-1693 CLIA #: 33D2017797
PFI: T135 Secondary Site ID: 0000 Certification Type: PPMP Director: Michele A Elliott, M.D. Phone: (212) 453-0222 Fax: (212) 941-9614 Address: 555 Broome St, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Michele Elliott Contact Phone: (212) 453-0222 CLIA #: 33D0704400
Wyckoff Heights Medical Center Point of Care Testing
PFI: T136 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Wilhelmina P. Cruz-Vetrano, M.D. Phone: (718) 963-7519 Fax: (718) 486-4147 Address: 374 Stockholm St, Brooklyn, NY 11237 County: Kings Country: United States Single or Primary Contact: Andrew Chambers Contact Phone: (718) 963-7519 CLIA #: 33D0726426
PFI: T146 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donald S Edelschick, M.D. Phone: (914) 328-6080 Fax: (914) 328-6081 Address: 176 Grand Street, White Plains, NY 10601 County: Westchester Country: United States Single or Primary Contact: Dr. Manny Prisciandaro Contact Phone: (914) 328-6080 CLIA #: 33D2018889