New York State Department of Health, Wadsworth Center
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MVHS Rehabilitation-Nursing Center
PFI: T663 Secondary Site ID: 0000 Certification Type: WAIVER Director: Muzaffar N. Khan, M.D. Phone: (315) 624-8600 Fax: (315) 624-8698 Address: 1650 Champlin Ave, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8179 CLIA #: 33D2047026
PFI: T668 Secondary Site ID: 0000 Certification Type: WAIVER Director: James E Greenwald, M.D. Phone: (646) 722-6214 Fax: (646) 722-6214 Address: 33 W 46th St - 3rd Floor, New York, NY 10036 County: New York Country: United States Single or Primary Contact: Dominic Regalbuto Contact Phone: (646) 722-6214 CLIA #: 33D2048290
PFI: T671 Secondary Site ID: 0000 Certification Type: WAIVER Director: James E Rodriguez, M.D. Phone: (845) 225-7000 Fax: (845) 225-7166 Address: 6 Garrett Place, Carmel, NY 10512 County: Putnam Country: United States Single or Primary Contact: David Jacobsen Contact Phone: (914) 469-6163 CLIA #: 33D2046206
PFI: T683 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth M Printup, N.P. Phone: (716) 707-7040 Fax: (716) 707-7053 Address: 38 N Main Street, Delevan, NY 14042 County: Cattaraugus Country: United States Single or Primary Contact: Brandy Nolder Contact Phone: (716) 701-1704 CLIA #: 33D2046086
PFI: T685 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Maximo E. Mora, M.D. Phone: (718) 206-6601 Fax: (718) 206-6682 Address: 8900 Van Wyck Expressway, Jamaica, NY 11418 County: Queens Country: United States Single or Primary Contact: Elmer E Ariza Contact Phone: (718) 206-6625 CLIA #: 33D0152608
Oswego Health Urgent Care Laboratory Central Square
PFI: T690 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmad M Al-Salameh, M.D. Phone: (315) 668-5276 Fax: (315) 668-5242 Address: 3045 East Avenue, Central Square, NY 13036 County: Oswego Country: United States Single or Primary Contact: Edward A Hale Contact Phone: (315) 349-5683 CLIA #: 33D2046868
PFI: T691 Secondary Site ID: 0000 Certification Type: WAIVER Director: St. Louis Childbert, M.D. Phone: (845) 342-2077 Fax: (845) 342-2091 Address: 12 John Street, Middletown, NY 10940 County: Orange Country: United States Single or Primary Contact: Galina Curry Contact Phone: (845) 357-7387 CLIA #: 33D2046263
PFI: T693 Secondary Site ID: 0000 Certification Type: WAIVER Director: Keith M Marshall, M.D. Phone: (315) 363-3482 Fax: (315) 363-1597 Address: 5547 W Main Street, Verona, NY 13478 County: Oneida Country: United States Single or Primary Contact: Erica Douglass Contact Phone: (315) 361-2020 CLIA #: 33D2046785
PFI: T694 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark S Erlebacher, M.D. Phone: (315) 637-7233 Fax: (315) 637-0708 Address: 212 Highbridge St., Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Dr. David A Thorpe Contact Phone: (315) 637-7233 CLIA #: 33D2054032
PFI: T698 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian D Snyder, M.D. Phone: (716) 685-4870 Fax: (716) 651-9613 Address: 3571 Niagara Falls Blvd Ste 10, North Tonawanda, NY 14120 County: Niagara Country: United States Single or Primary Contact: Nancy Miller Contact Phone: (716) 706-2412 CLIA #: 33D2047488
PFI: T701 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd R Howland, M.D. Phone: (315) 764-1744 Fax: Address: 341 E Orvis Street, Massena, NY 13662 County: St. Lawrence Country: United States Single or Primary Contact: Benjamin Miller Contact Phone: (315) 296-5104 CLIA #: 33D2048459
PFI: T703 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alan C Yao, M.D. Phone: (718) 886-6648 Fax: (516) 820-1112 Address: 136-02 Roosevelt Avenue, Flushing, NY 11355 County: Queens Country: United States Single or Primary Contact: Alan Yao Contact Phone: (718) 886-6648 CLIA #: 33D2051315