New York State Department of Health, Wadsworth Center
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Walgreens No. 19919
PFI: E468 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 597-6695 Fax: (315) 597-3583 Address: 609 E Main St, Palmyra, NY 14522 County: Wayne Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240918
PFI: E469 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 434-0220 Fax: (518) 434-2973 Address: 305 Columbia St, Rensselaer, NY 12144 County: Rensselaer Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240919
PFI: E470 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 589-5639 Fax: (585) 589-5898 Address: 10 East Ave, Albion, NY 14411 County: Orleans Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240920
PFI: E472 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 298-2975 Fax: (518) 298-3142 Address: 887 State Rte 11, Champlain, NY 12919 County: Clinton Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240923
Columbia University Department of Vascular Surgery
PFI: E488 Secondary Site ID: 0000 Certification Type: WAIVER Director: Virendra I Patel, M.D. Phone: (212) 305-1028 Fax: (212) 342-2138 Address: 161 Fort Washington Ave - 5th Fl, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Xiomara Ventura Contact Phone: (212) 305-1595 CLIA #: 33D2239366
PFI: E489 Secondary Site ID: 0002 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 600-1985 Fax: (212) 600-1948 Address: 135 W 27th St - 2nd Floor, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 600-1985 Fax: (833) 989-0995 Address: 152 W 57th St - 6th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0004 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 931-6402 Fax: (646) 993-3227 Address: 225 Liberty St - 31st Fl, New York, NY 10281 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0003 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 931-8971 Fax: (212) 931-8968 Address: 150 Greenwich St - 29th Fl, New York, NY 10006 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0001 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 279-1890 Fax: (212) 600-1948 Address: 750 Third Ave - Ground Fl, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E490 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maja L. Lundborg-Gray, M.D. Phone: (315) 493-4039 Fax: (315) 493-1841 Address: 101 Riverside Dr, Deferiet, NY 13628 County: Jefferson Country: United States Single or Primary Contact: Contact Phone: (567) 230-9523 CLIA #: 33D2239580
Wyoming County Community Hospital Specialty Clinic
PFI: E492 Secondary Site ID: 0000 Certification Type: WAIVER Director: Edwin J Anand, M.D. Phone: (585) 786-8940 Fax: (585) 786-1246 Address: 400 N Main St - Suite C, Warsaw, NY 14569 County: Wyoming Country: United States Single or Primary Contact: Jennifer Burke Contact Phone: (585) 786-8940 CLIA #: 33D2240229
PFI: E493 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rhonda A Kaiser, N.P. Phone: (518) 832-6238 Fax: (844) 674-1436 Address: 354 Broadway, Fort Edward, NY 12828 County: Washington Country: United States Single or Primary Contact: Jamie Keller Contact Phone: (716) 635-5207 CLIA #: 33D2240125