PFI: X377 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marc K Klementowski, M.D. Phone: (716) 297-0050 Fax: Address: 1705 Saunders Settlement Rd, Niagara Falls, NY 14304 County: Niagara Country: United States Single or Primary Contact: Rachel Gansworth Contact Phone: (716) 297-0050 CLIA #: 33D2169519
PFI: X380 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian Heppard, M.D. Phone: (800) 533-9729 Fax: (315) 437-3190 Address: 6400 Collamer Road, East Syracuse, NY 13057 County: Onondaga Country: United States Single or Primary Contact: Chris Dool Contact Phone: (585) 424-6270 CLIA #: 33D2145432
PFI: X381 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian Heppard, M.D. Phone: (518) 785-3511 Fax: Address: 7 Herbert Drive, Latham, NY 12110 County: Albany Country: United States Single or Primary Contact: Chris Dool Contact Phone: (585) 424-6270 CLIA #: 33D2145431
PFI: X391 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Biernbaum, D.O. Phone: (518) 267-3496 Fax: (518) 267-3497 Address: 446 Fairview Ave - Suite 200, Hudson, NY 12534 County: Columbia Country: United States Single or Primary Contact: Sheryl Carleo-Gaines Contact Phone: (315) 454-6000 CLIA #: 33D2144717
PFI: X393 Secondary Site ID: 0000 Certification Type: WAIVER Director: John B Ryan, M.D. Phone: (315) 469-8900 Fax: (315) 422-1420 Address: 4701 Peregrine Way, Syracuse, NY 13215 County: Onondaga Country: United States Single or Primary Contact: Mary O'Neill Contact Phone: (315) 469-8900 CLIA #: 33D2145279
PFI: X400 Secondary Site ID: 0000 Certification Type: WAIVER Director: Olusegun O Ogunfowora, M.D. Phone: (718) 858-6400 Fax: (718) 596-5067 Address: 140 Saint Edwards Street, Brooklyn, NY 11201 County: Kings Country: United States Single or Primary Contact: David Roll Contact Phone: (718) 858-6400 CLIA #: 33D2145458
PFI: X406 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrea B Kaplan, M.D. Phone: (516) 609-0346 Fax: (516) 609-0353 Address: 2200 Northern Blvd - Ste 206, East Hill, NY 11576 County: Nassau Country: United States Single or Primary Contact: Robin Jacobson Contact Phone: (516) 641-1473 CLIA #: 33D0954484
PFI: X407 Secondary Site ID: 0001 Certification Type: WAIVER Director: Justine Waldman, M.D. Phone: (607) 205-8230 Fax: (607) 273-7001 Address: 277 Main St, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Samantha Stevenson Contact Phone: (607) 273-7000 CLIA #: 33D2145503