New York State Department of Health, Wadsworth Center
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Yorkville Endoscopy LLC dba The Endoscopy Center of New York
PFI: T817 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel Adler, M.D. Phone: (212) 897-1006 Fax: (917) 492-0812 Address: 201 East 93rd Street, New York, NY 10128 County: New York Country: United States Single or Primary Contact: Wendy Brizer Contact Phone: (914) 275-7839 CLIA #: 33D2053793
PFI: T830 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Daniel L Perrault, M.D. Phone: (631) 473-1320 Fax: (631) 686-7665 Address: 75 N Country Road, Port Jefferson, NY 11777 County: Suffolk Country: United States Single or Primary Contact: Maritza Meyer Contact Phone: (631) 476-2766 CLIA #: 33D0158831
PFI: T838 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael R Guccione, M.D. Phone: (718) 863-8300 Fax: (718) 863-8303 Address: 1010 Under Hill Avenue, Bronx, NY 10472 County: Bronx Country: United States Single or Primary Contact: Annette Hyde Contact Phone: (718) 863-8300 CLIA #: 33D2056017
PFI: T845 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark A Papish, M.D. Phone: (845) 635-9350 Fax: (845) 635-4288 Address: 1619 Main Street, Pleasant Valley, NY 12569 County: Dutchess Country: United States Single or Primary Contact: Brandan Kane Contact Phone: (845) 242-3424 CLIA #: 33D2054369
PFI: T849 Secondary Site ID: 0000 Certification Type: WAIVER Director: William C. Huang, M.D. Phone: (646) 825-6362 Fax: (646) 825-6397 Address: 222 East 41st Street, New York, NY 10017 County: New York Country: United States Single or Primary Contact: MaryAnn Ficile Contact Phone: (646) 825-6362 CLIA #: 33D0893351
Rome Memorial Hospital Regional Center for Wound Care
PFI: T850 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jennifer L Fields, N.P. Phone: (315) 338-7960 Fax: (315) 338-7038 Address: 267 Hill Road, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Jessica Black Contact Phone: (315) 338-7106 CLIA #: 33D2056018
PFI: T852 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joel P. Amidon, II, D.O. Phone: (315) 477-4663 Fax: (315) 477-9378 Address: 1050 W Genesee Street, Syracuse, NY 13204 County: Onondaga Country: United States Single or Primary Contact: Janet Billington Contact Phone: (315) 477-9233 CLIA #: 33D2054614
PFI: T856 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stephen A Murak, M.D. Phone: (585) 647-7600 Fax: (585) 647-7426 Address: 1000 Lexington Avenue, Rochester, NY 14606 County: Monroe Country: United States Single or Primary Contact: Amanda Salisbury Contact Phone: (585) 640-8358 CLIA #: 33D2054756
PFI: T865 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kerrianne P Page, M.D. Phone: (212) 649-5555 Fax: (929) 275-3163 Address: 55 Water St - 46th Fl, New York, NY 10041 County: New York Country: United States Single or Primary Contact: Laurie Chichester Contact Phone: (917) 453-8790 CLIA #: 33D2055137
PFI: T873 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sara Taki, M.D. Phone: (212) 677-3400 Fax: (646) 532-2811 Address: 190 Mercer St - 4th Floor, New York, NY 10012 County: New York Country: United States Single or Primary Contact: Sara Taki, M.D. Contact Phone: (212) 677-3400 CLIA #: 33D2055139
PFI: T875 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael S Seidman, M.D. Phone: (315) 713-6800 Fax: (315) 394-9810 Address: 124 Ford Avenue, Ogdensburg, NY 13669 County: St. Lawrence Country: United States Single or Primary Contact: Cierra Spearance Contact Phone: (315) 528-6485 CLIA #: 33D2055135
Suffolk Project for AIDS Resource Coordination (SPARC)
PFI: T880 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sharon A Nachman, M.D. Phone: (631) 369-8696 Fax: (631) 369-4265 Address: 30 W Main St - Suite 102, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Sofia Porres Contact Phone: (631) 235-5699 CLIA #: 33D2057694