PFI: E619 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (845) 296-1804 Fax: (845) 296-1807 Address: 2024 South Rd, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2243392
PFI: E620 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (631) 724-0381 Fax: (631) 366-2688 Address: 10 W Main St, Smithtown, NY 11787 County: Suffolk Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2243393
PFI: E623 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 237-3113 Fax: (585) 237-5646 Address: 128 N Center St, Perry, NY 14530 County: Wyoming Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2243399
PFI: E641 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmet L Guler, D.O. Phone: (315) 789-4162 Fax: (315) 781-1494 Address: 3670 County Rd 6, Geneva, NY 14456 County: Ontario Country: United States Single or Primary Contact: Richard Thomas Contact Phone: (315) 789-4162 CLIA #: 33D2245378
PFI: E642 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmet L Guler, D.O. Phone: (315) 638-9207 Fax: (315) 638-8507 Address: 2981 Town Center Rd, Baldwinsville, NY 13027 County: Onondaga Country: United States Single or Primary Contact: Meghan Chiumento Contact Phone: (315) 638-9207 CLIA #: 33D2245379
PFI: E645 Secondary Site ID: 0007 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 486-8965 Fax: (518) 486-8921 Address: 577 Livingston Ave, Albany, NY 12206 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 486-8965 CLIA #: 33D2243411
PFI: E645 Secondary Site ID: 0006 Certification Type: WAIVER Director: Victor G LaRegina, M.D. Phone: (518) 427-8207 Fax: (518) 427-5998 Address: 747 Madison Ave, Albany, NY 12208 County: Albany Country: United States Single or Primary Contact: John Daley Contact Phone: (518) 427-8207 CLIA #: 33D2243411