New York State Department of Health, Wadsworth Center
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Upper Eastside Dialysis
PFI: T453 Secondary Site ID: 0000 Certification Type: WAIVER Director: Morton J. Kleiner, M.D. Phone: (212) 794-2850 Fax: (212) 794-2187 Address: 210 E 86th Street, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Dominic Licciardi Contact Phone: (718) 987-5942 CLIA #: 33D2034172
PFI: T456 Secondary Site ID: 0000 Certification Type: WAIVER Director: Benjamin W Tsoi, M.D. Phone: (347) 396-7601 Fax: (347) 396-8825 Address: 42-09 28th St - 22nd Fl CN-44, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Leonard Pickett Contact Phone: (347) 396-7688 CLIA #: 33D2035355
PFI: T458 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael Weisberg, M.D. Phone: (518) 758-4300 Fax: (518) 758-1356 Address: 2827 US Rte 9, Valatie, NY 12184 County: Columbia Country: United States Single or Primary Contact: Arlene Walch Contact Phone: (518) 697-7800 CLIA #: 33D2034483
PFI: T459 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey M Ahn, M.D. Phone: (212) 714-9494 Fax: (212) 481-3629 Address: 45 Park Ave - 1st Floor, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Jacqueline Shin Contact Phone: (212) 714-9494 CLIA #: 33D2041382
PFI: T462 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Chmielewski, M.D. Phone: (845) 638-0000 Fax: (845) 499-2381 Address: 415 Buena Vista Road, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Diane Ingenito Contact Phone: (845) 638-0000 CLIA #: 33D2036364
PFI: T463 Secondary Site ID: 0015 Certification Type: PPMP Director: Angel L. Rodriguez, M.D. Phone: (914) 793-5588 Fax: (914) 793-5780 Address: 141 S. Central Ave - Suite 205, Hartsdale, NY 10530 County: Westchester Country: United States Single or Primary Contact: Carolina Bueno Contact Phone: (914) 337-1610 CLIA #: 33D0140654
PFI: T463 Secondary Site ID: 0010 Certification Type: PPMP Director: Angel L. Rodriguez, M.D. Phone: (212) 305-5201 Fax: (844) 345-0514 Address: 51 W 51st St - Suite 375, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Carolina Bueno Contact Phone: (914) 337-1610 CLIA #: 33D0140654