New York State Department of Health, Wadsworth Center
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Guthrie Ithaca City Harbor
PFI: U632 Secondary Site ID: 0007 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 219-4600 Fax: Address: 720 Willow Ave, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 330-0489 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0004 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 428-5757 Fax: (607) 428-5759 Address: 11 Alvena Avenue - Suite 103, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 428-5757 CLIA #: 33D2091475
PFI: U633 Secondary Site ID: 0000 Certification Type: PPMP Director: Victor O Idahosa, M.D. Phone: (607) 821-2444 Fax: (607) 948-1030 Address: 348 Broad Street, Waverly, NY 14892 County: Tioga Country: United States Single or Primary Contact: Victor O. Idahosa Contact Phone: (646) 919-0354 CLIA #: 33D2089324
PFI: U640 Secondary Site ID: 0039 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 431-5064 Fax: (516) 432-4516 Address: 340 W Park Ave, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0057 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 663-4400 Fax: (516) 663-4404 Address: 1300 Franklin Ave, Garden City, NY 11530 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0043 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 288-7120 Fax: (631) 654-3329 Address: 285 Sills Rd - Bldg 14, East Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0045 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 887-7000 Fax: (516) 663-8824 Address: 1200 W Broadway - Suite 5, Hewlett, NY 11557 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
NYU Langone Long Island Surgical Associates - Patchogue
PFI: U640 Secondary Site ID: 0046 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 228-5801 Fax: (929) 455-9827 Address: 100 Hospital Rd - Suite 115, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0047 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 227-6665 Fax: (631) 289-1046 Address: 9 Village Green, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0049 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 286-3995 Fax: (631) 286-4573 Address: 16 Station Rd, Bellport, NY 11713 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0051 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 414-0650 Fax: (332) 210-7540 Address: 285 Sills Rd - Bldg 5-6, East Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
NYU Langone Women's Health Associates - East Islip
PFI: U640 Secondary Site ID: 0052 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 859-9793 Fax: (631) 277-4608 Address: 369 East Main St - Bldg 2 Suite 11, East Islip, NY 11730 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0053 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 466-6953 Fax: (516) 466-5608 Address: 353 Veterans Hwy - Suite 104, Commack, NY 11725 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
NYU Langone Medical and Pulmonary Assoc - Great Neck
PFI: U640 Secondary Site ID: 0054 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 504-0800 Fax: (516) 504-0824 Address: 295 Community Dr, Great Neck, NY 11021 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0055 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 425-3847 Fax: (631) 425-2191 Address: 1299 Middle Country Rd, Middle Island, NY 11953 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0056 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 366-1018 Fax: (631) 366-1018 Address: 267 E Main St - B-3, Smithtown, NY 11787 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0058 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 324-7500 Fax: (516) 324-7551 Address: 1530 Front St, East Meadow, NY 11554 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243