PFI: W109 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert A Honkanen, M.D. Phone: (631) 444-4090 Fax: (631) 444-4089 Address: 33 Research Way, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Julie Browne Contact Phone: (631) 444-4092 CLIA #: 33D2106718
PFI: W117 Secondary Site ID: 0000 Certification Type: WAIVER Director: Wilhelmina P. Cruz-Vetrano, M.D. Phone: (718) 907-4301 Fax: Address: 1419 Myrtle Ave, Brooklyn, NY 11237 County: Kings Country: United States Single or Primary Contact: J. Alex Chunga Contact Phone: (718) 963-7519 CLIA #: 33D2108443
PFI: W118 Secondary Site ID: 0000 Certification Type: WAIVER Director: Theresa A Mack, M.D. Phone: (212) 523-8672 Fax: (212) 636-3000 Address: 2771 Frederick Douglas Blvd, New York, NY 10039 County: New York Country: United States Single or Primary Contact: Tameca Mckenzie Contact Phone: (212) 636-3141 CLIA #: 33D2114006
PFI: W119 Secondary Site ID: 0001 Certification Type: WAIVER Director: Bruce E. Petersen, M.D. Phone: (212) 426-0190 Fax: (212) 426-4260 Address: 241 E 86th St, New York, NY 10128 County: New York Country: United States Single or Primary Contact: Amy Nelson Contact Phone: (347) 859-5791 CLIA #: 33D2111232
Mount Sinai School of Medicine Faculty Practice Associates
PFI: W119 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bruce E. Petersen, M.D. Phone: (212) 731-3204 Fax: Address: 234 E 85th St, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Amy Nelson Contact Phone: (212) 241-0841 CLIA #: 33D2111232
PFI: W121 Secondary Site ID: 0000 Certification Type: PPMP Director: Faisal M. Huq Ronny, M.D., Ph.D. Phone: (212) 925-5000 Fax: (212) 925-7532 Address: 34 Spring Street, New York, NY 10012 County: New York Country: United States Single or Primary Contact: Shana Ahmad Contact Phone: (212) 238-7044 CLIA #: 33D2108475
PFI: W121 Secondary Site ID: 0001 Certification Type: PPMP Director: Faisal M. Huq Ronny, M.D., Ph.D. Phone: (212) 387-7400 Fax: (212) 387-7432 Address: 540 E 13th Street, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Shana Ahmad Contact Phone: (212) 238-7044 CLIA #: 33D2108475
PFI: W124 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Dunn, M.D. Phone: (315) 375-6546 Fax: (315) 375-8243 Address: 300 Chapman St Rd, Morristown, NY 13664 County: St. Lawrence Country: United States Single or Primary Contact: Kelly Nowell Contact Phone: (315) 713-6605 CLIA #: 33D2109116
PFI: W126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason S Zimmerman, D.O. Phone: (718) 467-8222 Fax: (718) 467-9222 Address: 2593 West 13th St, Brooklyn, NY 11223 County: Kings Country: United States Single or Primary Contact: Israel Rosenberg Contact Phone: (718) 467-8222 CLIA #: 33D2111474