New York State Department of Health, Wadsworth Center
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Roberts Wesleyan Wellness Center
PFI: Z448 Secondary Site ID: 0000 Certification Type: WAIVER Director: Charles N Ippolito, M.D. Phone: (585) 594-6360 Fax: (585) 594-6920 Address: 2301 Westside Dr - VA Ctr Suite 231, Rochester, NY 14624 County: Monroe Country: United States Single or Primary Contact: Kristen GodShall Contact Phone: (585) 594-6360 CLIA #: 33D2197825
PFI: Z450 Secondary Site ID: 0000 Certification Type: WAIVER Director: Allan L Guiney, M.D. Phone: (607) 433-2906 Fax: Address: 34 Main St, Laurens, NY 13796 County: Otsego Country: United States Single or Primary Contact: Joseph Malecki Contact Phone: (607) 437-1001 CLIA #: 33D2199325
PFI: Z453 Secondary Site ID: 0000 Certification Type: WAIVER Director: Danielle Strauss, M.D. Phone: (914) 263-7553 Fax: Address: 1983 Marcus Ave - Suite E122, Lake Success, NY 11042 County: Nassau Country: United States Single or Primary Contact: Jordan S Savitsky Contact Phone: (914) 263-7553 CLIA #: 33D2200944
PFI: Z457 Secondary Site ID: 0000 Certification Type: WAIVER Director: Girishkumar M Patel, M.D. Phone: (212) 865-9700 Fax: (212) 865-6375 Address: 698 Amsterdam Ave, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Sunil Mandalapu Contact Phone: (212) 865-9700 CLIA #: 33D2206000
PFI: Z458 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph R Takats, III, D.O. Phone: (716) 839-7380 Fax: (716) 839-8230 Address: 4380 Main St, Amherst, NY 14226 County: Erie Country: United States Single or Primary Contact: Dr. Greg Nayor Contact Phone: (716) 839-8520 CLIA #: 33D2199378
PFI: Z464 Secondary Site ID: 0000 Certification Type: WAIVER Director: Manuel A Guerrero, M.D. Phone: (718) 618-4321 Fax: (718) 307-6482 Address: 64 Bleecker Street, 240, New York, NY 10012 County: New York Country: United States Single or Primary Contact: Vanessa Drado Contact Phone: (718) 618-4321 CLIA #: 33D2198875
PFI: Z476 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert D Anderson, M.D. Phone: (315) 536-0086 Fax: (315) 536-4107 Address: 418 N Main St, Penn Yan, NY 14527 County: Yates Country: United States Single or Primary Contact: Mary Jayne Contact Phone: (315) 230-5533 CLIA #: 33D2207223
PFI: Z481 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammud M Alam, M.D. Phone: (631) 503-9000 Fax: (631) 317-4871 Address: 131 E Main St, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Frank Morosky Contact Phone: (515) 875-4632 CLIA #: 33D2208058
PFI: Z483 Secondary Site ID: 0005 Certification Type: WAIVER Director: Anthony Consolazio, M.D. Phone: (607) 763-8440 Fax: (607) 763-8448 Address: 289 Prospect St, Binghamton, NY 13905 County: Broome Country: United States Single or Primary Contact: Eric Wilson Contact Phone: CLIA #: 33D2200232
PFI: Z483 Secondary Site ID: 0006 Certification Type: WAIVER Director: Anthony Consolazio, M.D. Phone: (607) 762-8340 Fax: (607) 762-8393 Address: 262 Conklin Ave, Binghamton, NY 13903 County: Broome Country: United States Single or Primary Contact: Eric Wilson Contact Phone: CLIA #: 33D2200232
PFI: Z483 Secondary Site ID: 0010 Certification Type: WAIVER Director: Anthony Consolazio, M.D. Phone: (607) 762-8290 Fax: (607) 762-8396 Address: 261 Robinson St, Binghamton, NY 13904 County: Broome Country: United States Single or Primary Contact: Eric Wilson Contact Phone: CLIA #: 33D2200232
PFI: Z483 Secondary Site ID: 0007 Certification Type: WAIVER Director: Anthony Consolazio, M.D. Phone: (607) 762-8300 Fax: (607) 762-8398 Address: 167 E Frederick St, Binghamton, NY 13904 County: Broome Country: United States Single or Primary Contact: Eric Wilson Contact Phone: CLIA #: 33D2200232
PFI: Z483 Secondary Site ID: 0008 Certification Type: WAIVER Director: Anthony Consolazio, M.D. Phone: (607) 762-8119 Fax: (607) 762-6067 Address: 1123 Vestal Ave, Binghamton, NY 13903 County: Broome Country: United States Single or Primary Contact: Eric Wilson Contact Phone: CLIA #: 33D2200232
PFI: Z483 Secondary Site ID: 0009 Certification Type: WAIVER Director: Anthony Consolazio, M.D. Phone: (607) 763-8430 Fax: (607) 763-8436 Address: 151 Helen St, Binghamton, NY 13905 County: Broome Country: United States Single or Primary Contact: Eric Wilson Contact Phone: CLIA #: 33D2200232
PFI: Z483 Secondary Site ID: 0004 Certification Type: WAIVER Director: Anthony Consolazio, M.D. Phone: (607) 762-8280 Fax: (607) 762-8395 Address: 9 Ogden St, Binghamton, NY 13901 County: Broome Country: United States Single or Primary Contact: Eric Wilson Contact Phone: CLIA #: 33D2200232