New York State Department of Health, Wadsworth Center
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NYU Langone Brooklyn Gastroenterology Associates
PFI: T908 Secondary Site ID: 0013 Certification Type: WAIVER Director: Gary S. Gettenberg, M.D. Phone: (718) 638-2551 Fax: (718) 339-6923 Address: 10 Plaza St - Suite 1B, New York, NY 11238 County: New York Country: United States Single or Primary Contact: Gloria Dowling Contact Phone: (718) 336-9100 CLIA #: 33D0146816
PFI: T910 Secondary Site ID: 0000 Certification Type: WAIVER Director: Taimur Mirza, M.D. Phone: (212) 628-2800 Fax: (212) 861-4178 Address: 1339 York Avenue, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Michael Monahan Contact Phone: (212) 628-2800 CLIA #: 33D2060414
PFI: T911 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael J Attilio, M.D. Phone: (315) 338-7184 Fax: (315) 339-1975 Address: 1819 Black River Blvd, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Jessica Black Contact Phone: (315) 338-7106 CLIA #: 33D2057699
PFI: T912 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stephen A Murak, M.D. Phone: (716) 879-5547 Fax: (716) 879-5955 Address: 2995 River Road, Buffalo, NY 14207 County: Erie Country: United States Single or Primary Contact: Amanda Salisbury Contact Phone: (585) 640-8358 CLIA #: 33D2061757
PFI: T913 Secondary Site ID: 0008 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 264-9119 Fax: (518) 731-9119 Address: 1769 Union Street, Niskayuna, NY 12309 County: Schenectady Country: United States Single or Primary Contact: Devin Friedman Contact Phone: (518) 262-9674 CLIA #: 33D2060420
PFI: T913 Secondary Site ID: 0000 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 264-9500 Fax: Address: 98 Wolf Rd, Albany, NY 12205 County: Albany Country: United States Single or Primary Contact: Devin Friedman Contact Phone: (518) 262-9775 CLIA #: 33D2060420
PFI: T913 Secondary Site ID: 0016 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 537-6281 Fax: Address: 123 Main St, Germantown, NY 12526 County: Columbia Country: United States Single or Primary Contact: Devin Friedman Contact Phone: (518) 537-6281 CLIA #: 33D2060420
AMC EmUrgent Care Canajoharie Middle/Elementary School
PFI: T913 Secondary Site ID: 0015 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 673-6314 Fax: Address: 25 School District Rd, Canajoharie, NY 13327 County: Montgomery Country: United States Single or Primary Contact: Devin Friedman Contact Phone: (518) 262-9775 CLIA #: 33D2060420