New York State Department of Health, Wadsworth Center
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Young Mothers
PFI: T758 Secondary Site ID: 0002 Certification Type: WAIVER Director: Tatiana Gouskova, M.D. Phone: (212) 222-5285 Fax: (212) 222-7015 Address: 119 W 106th Street, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Charles Madray Contact Phone: (212) 222-5285 CLIA #: 33D2054034
PFI: T758 Secondary Site ID: 0006 Certification Type: WAIVER Director: Tatiana Gouskova, M.D. Phone: (212) 333-5445 Fax: (212) 307-7382 Address: 327 W 43rd Street, New York, NY 10036 County: New York Country: United States Single or Primary Contact: Charles Madray Contact Phone: (917) 387-6957 CLIA #: 33D2054034
PFI: T758 Secondary Site ID: 0008 Certification Type: WAIVER Director: Tatiana Gouskova, M.D. Phone: (212) 864-4128 Fax: (212) 663-9193 Address: 68 W 106th Street, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Charles Madray Contact Phone: (917) 387-6957 CLIA #: 33D2054034
PFI: T758 Secondary Site ID: 0009 Certification Type: WAIVER Director: Tatiana Gouskova, M.D. Phone: (212) 864-4128 Fax: (212) 904-1515 Address: 2090 Adam Clayton Powell Blvd-Flr 7, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Charles Madray Contact Phone: (718) 704-3910 CLIA #: 33D2054034
PFI: T771 Secondary Site ID: 0000 Certification Type: WAIVER Director: Werner K Brammer, M.D. Phone: (607) 776-3156 Fax: (833) 980-0271 Address: 110 E Steuben Street, Bath, NY 14810 County: Steuben Country: United States Single or Primary Contact: Michelle Smith Contact Phone: (607) 776-3156 CLIA #: 33D2054036
PFI: T774 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Savio, M.D. Phone: (315) 464-1616 Fax: (315) 464-1617 Address: 1000 E Genesee St - Suite 206, Syracuse, NY 13210 County: Onondaga Country: United States Single or Primary Contact: Lorraine Brissenden Contact Phone: (315) 464-5402 CLIA #: 33D1051896
Saratoga Hospital Medical Group - Primary Care Malta
PFI: T778 Secondary Site ID: 0001 Certification Type: PPMP Director: Karin E Borrelli, M.D. Phone: (518) 886-7568 Fax: (518) 886-7569 Address: 8 Medical Park Drive - Ste 100, Malta, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Shayna Blanchette Contact Phone: (518) 583-8743 CLIA #: 33D0863145