New York State Department of Health, Wadsworth Center
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Indian River Theresa School Lab
PFI: Z708 Secondary Site ID: 0006 Certification Type: WAIVER Director: Chelsea M Kolb, N.P. Phone: (315) 628-4432 Fax: (315) 628-5890 Address: 125 Bridge St, Theresa, NY 13691 County: Jefferson Country: United States Single or Primary Contact: Chelsea Kolb Contact Phone: (315) 628-4432 CLIA #: 33D2204689
PFI: Z708 Secondary Site ID: 0007 Certification Type: WAIVER Director: Chelsea M Kolb, N.P. Phone: (315) 642-3432 Fax: (315) 642-5650 Address: 3 Sand St, Philadelphia, NY 13673 County: Jefferson Country: United States Single or Primary Contact: Chelsea Kolb Contact Phone: (315) 642-3432 CLIA #: 33D2204689
PFI: Z708 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chelsea M Kolb, N.P. Phone: (315) 642-3684 Fax: (315) 642-5700 Address: 32925 US Rte 11, Philadelphia, NY 13673 County: Jefferson Country: United States Single or Primary Contact: Chelsea Kolb Contact Phone: (315) 642-3684 CLIA #: 33D2204689
PFI: Z710 Secondary Site ID: 0000 Certification Type: WAIVER Director: Diane C Tenenbaum, M.D. Phone: (518) 242-4731 Fax: (518) 242-4742 Address: 391 Western Ave, Albany, NY 12205 County: Albany Country: United States Single or Primary Contact: Tara Madison Contact Phone: (518) 242-4731 CLIA #: 33D2204707
PFI: Z712 Secondary Site ID: 0005 Certification Type: WAIVER Director: William J Baier, M.D. Phone: (716) 478-4671 Fax: (716) 478-4685 Address: 610 East High St, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Lisa Schrader Contact Phone: (716) 478-4680 CLIA #: 33D2204708
PFI: Z712 Secondary Site ID: 0007 Certification Type: WAIVER Director: William J Baier, M.D. Phone: (716) 478-4726 Fax: (716) 478-4730 Address: 389 Green St, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Lisa Schrader Contact Phone: (716) 428-4747 CLIA #: 33D2204708
PFI: Z712 Secondary Site ID: 0004 Certification Type: WAIVER Director: William J Baier, M.D. Phone: (716) 478-4551 Fax: (716) 478-4535 Address: 491 High St, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Lisa Schrader Contact Phone: (716) 478-4560 CLIA #: 33D2204708
PFI: Z712 Secondary Site ID: 0002 Certification Type: WAIVER Director: William J Baier, M.D. Phone: (716) 478-4501 Fax: (716) 478-4498 Address: 250 Lincoln Ave, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Lisa Schrader Contact Phone: (716) 478-4453 CLIA #: 33D2204708
PFI: Z712 Secondary Site ID: 0001 Certification Type: WAIVER Director: William J Baier, M.D. Phone: (716) 478-4626 Fax: (716) 478-4634 Address: 319 West Ave, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Lisa Schrader Contact Phone: (716) 478-4629 CLIA #: 33D2204708
PFI: Z720 Secondary Site ID: 0001 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 992-7600 Fax: (516) 992-7605 Address: 301 N Delaware Ave, North Massapequa, NY 11758 County: Nassau Country: United States Single or Primary Contact: Catherine Honeyman Contact Phone: (516) 992-7460 CLIA #: 33D2204254
PFI: Z720 Secondary Site ID: 0002 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 992-7650 Fax: (516) 992-7645 Address: 200 Stewart Ave, Bethpage, NY 11714 County: Nassau Country: United States Single or Primary Contact: Catherine Honeyman Contact Phone: (516) 992-7460 CLIA #: 33D2204254
PFI: Z728 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anthony N Donatelli, M.D. Phone: (631) 472-7860 Fax: (631) 472-7873 Address: 189 Academy St, Bayport, NY 11705 County: Suffolk Country: United States Single or Primary Contact: Timothy Hearney Contact Phone: (631) 472-7860 CLIA #: 33D2206236
PFI: Z733 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lori A Robinson, N.P. Phone: (518) 563-8250 Fax: (518) 563-8132 Address: 37 Eagle Way, West Chazy, NY 12992 County: Clinton Country: United States Single or Primary Contact: Nicholas Pepe Contact Phone: (518) 324-2984 CLIA #: 33D2204528