PFI: U113 Secondary Site ID: 0000 Certification Type: WAIVER Director: Arthur M Kozin, M.D. Phone: (845) 503-1333 Fax: (845) 678-2041 Address: 475 New Hempstead Road, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Mary London Contact Phone: (845) 678-2507 CLIA #: 33D2075514
PFI: U116 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paula M Castano, M.D. Phone: (212) 373-5200 Fax: (212) 373-5235 Address: 5 Columbus Circle - 12th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Madison Kireta Contact Phone: (646) 965-3786 CLIA #: 33D2070236
PFI: U124 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph L Racanelli, M.D. Phone: (845) 220-2222 Fax: (845) 220-2241 Address: 745 Rte 17M, Monroe, NY 10950 County: Orange Country: United States Single or Primary Contact: James Revella Contact Phone: (845) 220-2222 CLIA #: 33D2067658
PFI: U126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph L Racanelli, M.D. Phone: (845) 220-2222 Fax: (845) 220-2241 Address: 575 Hudson Valley Avenue, New Windsor, NY 12553 County: Orange Country: United States Single or Primary Contact: Melyssa DeLorenzo Contact Phone: (845) 220-2222 CLIA #: 33D2067662
Michael Callen-Audre Lorde Community Health Center
PFI: U146 Secondary Site ID: 0000 Certification Type: PPMP Director: Eunmee H Chun, M.D. Phone: (212) 271-7200 Fax: (212) 271-7225 Address: 356 W 18th Street, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Massiel Heffner Contact Phone: (212) 271-7230 CLIA #: 33D2072027
PFI: U151 Secondary Site ID: 0000 Certification Type: WAIVER Director: Min Insung, M.D. Phone: (212) 206-0574 Fax: (212) 206-7486 Address: 307 W 38th St - 3rd Fl, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Beth Wolff Contact Phone: (212) 206-0574 CLIA #: 33D2068346
Saratoga Hospital Medical Group - Urology at Malta
PFI: U155 Secondary Site ID: 0001 Certification Type: WAIVER Director: Seth A Capello, M.D. Phone: (518) 583-0111 Fax: (518) 583-2426 Address: 6 Medical Park Dr - Ste 205, Malta, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Shayna Blanchette Contact Phone: (518) 583-8743 CLIA #: 33D2069593
Plattsburgh Associates LLC dba HK Freedman Renal Center
PFI: U179 Secondary Site ID: 0000 Certification Type: WAIVER Director: Craig G Hurwitz, M.D. Phone: (518) 566-7043 Fax: (518) 561-7470 Address: 91 Plaza Blvd, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Amanda Millett Contact Phone: (518) 566-7043 CLIA #: 33D2069582