PFI: U690 Secondary Site ID: 0000 Certification Type: WAIVER Director: Childebert St Louis, M.D. Phone: (845) 363-8840 Fax: (845) 363-8141 Address: 230 N Main St, Spring Valley, NY 10977 County: Rockland Country: United States Single or Primary Contact: Tricia Altieri Contact Phone: (518) 848-9008 CLIA #: 33D2090432
Mark Fromer LLC dba Eye Surgery Centers of New York
PFI: U698 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark D Fromer, M.D. Phone: (718) 502-3937 Fax: (718) 295-4052 Address: 3130 Grand Concourse - Suite B5, Bronx, NY 10458-1213 County: Bronx Country: United States Single or Primary Contact: Celine Harrington Contact Phone: (718) 502-3937 CLIA #: 33D2091596
PFI: U702 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bassem Masri, M.D. Phone: (646) 962-6004 Fax: (646) 962-0020 Address: 428 E 72 St, Ground Flr, Rm 600, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Rosa C. Ianni Contact Phone: (646) 962-6004 CLIA #: 33D2093931
PFI: U704 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rula C Geha, M.D. Phone: (212) 572-5050 Fax: (212) 572-5051 Address: 31 E 62nd Street, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Amanda Tchernotzkas, M.D. Contact Phone: (212) 572-5050 CLIA #: 33D2093333
PFI: U705 Secondary Site ID: 0001 Certification Type: WAIVER Director: George A Cioffi, M.D. Phone: (212) 201-4130 Fax: (212) 201-4129 Address: 880 Third Ave - 2nd Floor, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Bonnie Wang Contact Phone: (212) 305-9601 CLIA #: 33D2092479
PFI: U705 Secondary Site ID: 0002 Certification Type: WAIVER Director: George A Cioffi, M.D. Phone: (212) 342-9065 Fax: (212) 305-1054 Address: 250 W 64th St - 3rd Floor, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Bonnie Wang Contact Phone: (212) 305-9601 CLIA #: 33D2092479
PFI: U705 Secondary Site ID: 0003 Certification Type: WAIVER Director: George A Cioffi, M.D. Phone: (914) 723-1641 Fax: (914) 723-5468 Address: 110 Brook St, Scarsdale, NY 10583 County: New York Country: United States Single or Primary Contact: Bonnie Wang Contact Phone: (914) 723-1641 CLIA #: 33D2092479
PFI: U705 Secondary Site ID: 0000 Certification Type: WAIVER Director: George A Cioffi, M.D. Phone: (212) 305-9535 Fax: (212) 305-5962 Address: 622 W 168th Street 3rd Fl Suite 332, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Bonnie Wang Contact Phone: (212) 305-9601 CLIA #: 33D2092479
Saratoga Bariatric Surgery and Weight Loss Program
PFI: U708 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dmitri Baranov, M.D., Ph.D. Phone: (518) 693-4699 Fax: (518) 584-3016 Address: 1 West Ave - Suite 300, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Shayne Blanchette Contact Phone: (518) 583-8743 CLIA #: 33D2093335
PFI: U716 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric D Collins, M.D. Phone: (212) 712-8800 Fax: (212) 826-8367 Address: 226 E 52nd Street, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Manuel Moscoso Contact Phone: (347) 852-1320 CLIA #: 33D2093351
Great Lakes Physician Practice PC dba GLPP Internal Medicine
PFI: U717 Secondary Site ID: 0000 Certification Type: WAIVER Director: John M Lamancuso, M.D. Phone: (716) 483-0113 Fax: (716) 487-2893 Address: 15 S Main St - Suite 150, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Amy Arrington Contact Phone: (716) 488-1877 CLIA #: 33D0956645
PFI: U720 Secondary Site ID: 0001 Certification Type: WAIVER Director: Maura E Abbott, N.P. Phone: (212) 326-5705 Fax: (212) 342-0093 Address: 516 W 168th Street, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Diana Hernandez Contact Phone: (212) 342-0225 CLIA #: 33D2093998
ColumbiaDoctors Primary Care Nurse Practitioner Group
PFI: U720 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maura E Abbott, N.P. Phone: (212) 326-5705 Fax: (212) 342-0093 Address: 516 W 168th street, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Diana Hernandez Contact Phone: (212) 342-0225 CLIA #: 33D2093998