Medical Group of New York PC
PFI: W446
Secondary Site ID: 0000
Certification Type: WAIVER
Director: David G Fairchild, M.D.
Phone: (718) 497-9192
Fax: (401) 652-0467
Address: 6115 Metropolitan Ave, Ridgewood, NY 11385-2644
County: Queens
Country: United States
Single or Primary Contact: Maria Medeiros
Contact Phone: (401) 770-1610
CLIA #: 33D2116495
Tests:
COVID-19 ANTIGEN Adenovirus Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Microalbumin Mononucleosis Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid COVID-19 ANTIBODY Strep A Test Triglycerides Urinalysis
09/21/2026
Hillside Certified Home Care Agency
PFI: W448
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Nodar Janas, M.D.
Phone: (718) 304-2866
Fax: (718) 523-2340
Address: 3155 Grace Ave, Bronx, NY 10469
County: Bronx
Country: United States
Single or Primary Contact: Jimmy Li
Contact Phone: (718) 239-1850
CLIA #: 33D2116479
Tests:
08/03/2026
Gotham Per Diem Inc
PFI: W449
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Harry Berkowitz, M.D.
Phone: (212) 477-6100
Fax: (212) 477-0795
Address: 90 Broad Street, Suite 1201, New York, NY 10004
County: New York
Country: United States
Single or Primary Contact: Janet Maragh
Contact Phone: (212) 405-2320
CLIA #: 33D2114883
Tests:
09/13/2026
Northwell Greenwich Village Hospital
PFI: W452
Secondary Site ID: 0000
Certification Type: FULL/WAIVER
Director: Gianna Ballon, M.D.
Phone: (646) 665-6522
Fax: (646) 665-6535
Address: 30 7th Avenue, New York, NY 10011
County: New York
Country: United States
Single or Primary Contact: Laurie A Birnbaum
Contact Phone: (646) 665-6520
CLIA #: 33D2075454
Tests:
Creatinine Glucose Pregnancy Test (Urine)
08/03/2026
Medcor at Sandoz - Fougera Hicksville
PFI: W455
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Craig H Friedman, M.D.
Phone: (815) 363-9500
Fax: (815) 759-5480
Address: 55 Cantiague Rock Road, Hicksville, NY 11801
County: Nassau
Country: United States
Single or Primary Contact: Ashley Backman
Contact Phone: (815) 363-9500
CLIA #: 33D2136022
Tests:
COVID-19 ANTIGEN Cholesterol Community Screening Glucose HDL Cholesterol Influenza LDL Cholesterol Pregnancy Test (Urine) Strep A Test Triglycerides Urinalysis
09/15/2025
Medcor at Sandoz - Melville
PFI: W456
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Craig H Friedman, M.D.
Phone: (815) 363-9500
Fax: (815) 759-5480
Address: 60 Bayliss Road, Melville, NY 11747-0103
County: Suffolk
Country: United States
Single or Primary Contact: Ashley Backman
Contact Phone: (815) 363-9500
CLIA #: 33D2136023
Tests:
COVID-19 ANTIGEN Cholesterol Community Screening Glucose HDL Cholesterol Influenza LDL Cholesterol Pregnancy Test (Urine) Strep A Test Triglycerides Urinalysis
09/15/2025
Mount Sinai Doctors Long Island Five Towns
PFI: W457
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Daniel David Sacolick, M.D.
Phone: (516) 563-7200
Fax: (516) 563-7295
Address: 1436 Broadway, Hewlett, NY 11557
County: Nassau
Country: United States
Single or Primary Contact: Nadege Gentil
Contact Phone: (516) 563-7243
CLIA #: 33D2117586
Tests:
Glucose Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis
08/22/2026
Orthopaedics Spine and Sports Medicine LLC
PFI: W460
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Charles Ruotolo, M.D.
Phone: (718) 684-4677
Fax: (516) 795-3036
Address: 2510 Westchester Ave - Suite 100, Bronx, NY 10461
County: Bronx
Country: United States
Single or Primary Contact: Lauren Frantellizzi
Contact Phone: (516) 795-3033
CLIA #: 33D2118577
Tests:
09/13/2026
Orthopaedics Spine and Sports Medicine LLC
PFI: W461
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Charles Ruotolo, M.D.
Phone: (855) 321-6784
Fax: (516) 795-3036
Address: 2103 Deer Park Avenue, Deer Park, NY 11729
County: Suffolk
Country: United States
Single or Primary Contact: Lauren Frantellizzi
Contact Phone: (516) 795-3033
CLIA #: 33D2117589
Tests:
08/22/2026
Plank Road Family Care
PFI: W462
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Jeffrey W Wike, M.D.
Phone: (315) 701-1206
Fax:
Address: 792 N Main St - Suite 200A, North Syracuse, NY 13212
County: Onondaga
Country: United States
Single or Primary Contact: Shannon LoBello
Contact Phone: (315) 701-1206
CLIA #: 33D2131259
Tests:
Pregnancy Test (Urine) Strep A Test Urinalysis
05/25/2025
Quad Med - Kohls Mamakating NY
PFI: W464
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Brigg W Barsness, M.D.
Phone: (845) 888-8181
Fax: (317) 855-3717
Address: 3440 State Rte 209, Wurtsboro, NY 12790
County: Sullivan
Country: United States
Single or Primary Contact: Amita Mirani
Contact Phone: (414) 566-8452
CLIA #: 33D2116484
Tests:
Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Microalbumin Mononucleosis Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Triglycerides Urinalysis
08/03/2026
St Joseph's Medical Practice PC
PFI: W466
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Fadi H Sayegh, M.D.
Phone: (718) 548-4560
Fax: (718) 548-6959
Address: 530 W 236th Street, Bronx, NY 10463
County: Bronx
Country: United States
Single or Primary Contact: Robin Kaufman
Contact Phone: (718) 653-5622
CLIA #: 33D0890061
Tests:
Glucose Glycosylated Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis
08/03/2026
City Medical of Upper East Side PLLC
PFI: W467
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 474-5900
Fax: (631) 828-1946
Address: 4724 Nesconset Highway, Port Jefferson Sta, NY 11776
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2031431
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
08/03/2026
City Medical of Upper East Side PLLC
PFI: W468
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 254-5900
Fax: (631) 392-0948
Address: 1930 Deer Park Ave, Deer Park, NY 11729
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2037792
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/16/2026
City Medical of Upper East Side PLLC
PFI: W469
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 360-5900
Fax: (631) 360-9403
Address: 519 W Jericho Tpk, Smithtown, NY 11787
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D1040032
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/16/2026
City Medical of Upper East Side PLLC
PFI: W470
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 581-5900
Fax: (631) 968-1792
Address: 1850 Sunrise Hwy, Bay Shore, NY 11706
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2072659
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/16/2026
City Medical of Upper East Side PLLC
PFI: W471
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 563-7828
Fax: (631) 563-7837
Address: 5600 Sunrise Hwy, Sayville, NY 11782
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2066046
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/16/2026
City Medical of Upper East Side PLLC
PFI: W472
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 471-5900
Fax: (631) 471-5901
Address: 600 Portion Rd, Ronkonkoma, NY 11779
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2077607
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/16/2026
City Medical of Upper East Side PLLC
PFI: W473
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Daniel M Frogel, M.D.
Phone: (516) 938-5900
Fax: (516) 495-4577
Address: 1117 Old Country Rd, Plainview, NY 11803
County: Nassau
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2061992
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/16/2026
City Medical of Upper East Side PLLC
PFI: W474
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 734-5505
Fax: (631) 734-8365
Address: 32645 Main Road, Cutchogue, NY 11935
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2118448
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/08/2026