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Rockaway Care Center LLC PFI: T940 Secondary Site ID: 0000 Certification Type: WAIVER Director: Isaac Madeb, M.D. Phone: (718) 471-5000 Fax: (718) 471-5001 Address: 353 Beach 48th Street, Far Rockaway, NY 11691 County: Queens Country: United States Single or Primary Contact: Erika Weber Contact Phone: (718) 471-5000 CLIA #: 33D2061769 Tests: COVID-19 ANTIGEN Alanine Aminotransferase (ALT) Albumin Alkaline Phosphatase (ALP) Amylase Aspartate Aminotransferase (AST) Blood Urea Nitrogen (BUN) Carbon Dioxide Calcium Chloride Cholesterol Creatinine Creatine Kinase (CK) Gamma Glutamyl Transferace (GGT) Glucose HDL Cholesterol Hemoglobin Hematocrit Influenza LDL Cholesterol Occult Blood Potassium Protime COVID-19 MOLECULAR Sodium Strep A Test Total Bilirubin Total Protein Triglycerides Urinalysis	07/09/2025	Print
Canandaigua Fire Department PFI: T941 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott M Glick, D.O. Phone: (585) 394-2111 Fax: (585) 394-2706 Address: 335 S Main Street, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Daniel Conklin Contact Phone: (585) 394-2111 CLIA #: 33D2059332 Tests: Glucose	05/24/2027	Print
Great South Bay Imaging PFI: T942 Secondary Site ID: 0008 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (631) 439-7257 Fax: (631) 439-7292 Address: 620 Main Street, Islip, NY 11751 County: Suffolk Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256 Tests: COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Sodium Urinalysis	05/02/2027	Print
Northwell Health Department of Surgery PFI: T942 Secondary Site ID: 0004 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (516) 233-3777 Fax: (516) 223-3775 Address: 1999 Marcus Avenue, Lake Success, NY 11042 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256 Tests: COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Sodium Urinalysis	05/02/2027	Print
The Smith Institute for Urology at Garden City PFI: T942 Secondary Site ID: 0010 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (516) 294-7666 Fax: (516) 294-7672 Address: 233 7th St - Suite 203, Graden City, NY 11530 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256 Tests: COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Sodium Urinalysis	05/02/2027	Print
Northwell Hlth Phys Ptnrs Kidney and Hypertension Spec at Great Neck PFI: T942 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (516) 465-8200 Fax: (516) 565-8202 Address: 100 Community Drive, Great Neck, NY 11021 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256 Tests: COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Sodium Urinalysis	05/02/2027	Print
Imaging at Great Neck PFI: T942 Secondary Site ID: 0009 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (516) 325-7220 Fax: (516) 325-7299 Address: 611 Northern Blvd, Great Neck, NY 11021 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256 Tests: COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Sodium Urinalysis	05/02/2027	Print
Center for Advanced Medicine PFI: T942 Secondary Site ID: 0005 Certification Type: WAIVER Director: Tylis Y. Chang, M.D. Phone: (516) 734-8696 Fax: (516) 734-8685 Address: 450 Lakeville Road, Lake Success, NY 11042 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2058256 Tests: COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Sodium Urinalysis	05/02/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0024 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 818-2627 Fax: (718) 477-9016 Address: 2627B Hylan Blvd, Staten Island, NY 10309 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0025 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 273-5500 Fax: Address: 2 Teleport Dr - Suite 207, Staten Island, NY 10309 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 984-9658 Fax: (718) 317-9134 Address: 4434 Amboy Road, Staten Island, NY 10312 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0023 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 818-4361 Fax: (855) 457-1361 Address: 2935 H Veterans Rd, Staten Island, NY 10309 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0022 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 448-1122 Fax: Address: 2066 Richmond Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0021 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 720-1675 Fax: Address: 1800 Clove Rd, Staten Island, NY 10304 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0019 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 667-1111 Fax: (718) 667-1388 Address: 1984 Richmond Rd, Staten Island, NY 10306 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0018 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (929) 300-3153 Fax: (855) 584-3220 Address: 660 92nd St - 2nd Floor, Brooklyn, NY 11228 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0015 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 370-1400 Fax: (718) 317-9134 Address: 1200 South Ave - Suite 301, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 370-7967 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0013 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 816-4949 Fax: (718) 273-5504 Address: 1000 South Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0011 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 979-1777 Fax: (718) 273-2025 Address: 11 Ralph Place - Suite 317B, Staten Island, NY 10304 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print
Amboy Medical Practice PC PFI: T944 Secondary Site ID: 0010 Certification Type: WAIVER Director: Alexander Beylinson, D.O. Phone: (718) 818-1661 Fax: (718) 818-1662 Address: 1161 Victory Blvd, Staten Island, NY 10310 County: Richmond Country: United States Single or Primary Contact: Ginamarie Mascia Contact Phone: (718) 818-7414 CLIA #: 33D2057992 Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis	05/24/2027	Print

Rockaway Care Center LLC

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Canandaigua Fire Department

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Great South Bay Imaging

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Northwell Health Department of Surgery

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The Smith Institute for Urology at Garden City

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Northwell Hlth Phys Ptnrs Kidney and Hypertension Spec at Great Neck

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Imaging at Great Neck

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Center for Advanced Medicine

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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Amboy Medical Practice PC

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