New York State Department of Health, Wadsworth Center
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Fall Creek Elementary
PFI: Z817 Secondary Site ID: 0004 Certification Type: WAIVER Director: Melissa A Dhundale, M.D. Phone: (607) 274-2290 Fax: (607) 274-2339 Address: 202 King St, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Kari Burke Contact Phone: (607) 274-2290 CLIA #: 33D2206407
PFI: Z821 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chester H Fox, M.D. Phone: (518) 492-7130 Fax: (518) 492-7311 Address: 1165 Rte 374, Dannemora, NY 12929 County: Clinton Country: United States Single or Primary Contact: Mark Maggy Contact Phone: (518) 492-7130 CLIA #: 33D2207237
PFI: Z826 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel L Sambursky, M.D. Phone: (607) 341-4141 Fax: (607) 237-0009 Address: 530 Columbia Dr, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Lise Soltis Contact Phone: (607) 743-3940 CLIA #: 33D2206761
PFI: Z827 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anuradha Kottapalli, M.D. Phone: (212) 432-5847 Fax: Address: 632 Broadway, New York, NY 10012 County: New York Country: United States Single or Primary Contact: Rosanny Eleonora Contact Phone: (646) 951-2148 CLIA #: 33D2207013
PFI: Z830 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin P Cope, M.D. Phone: (518) 842-4350 Fax: (518) 842-6340 Address: 69 Guy Park Ave, Amsterdam, NY 12010 County: Montgomery Country: United States Single or Primary Contact: Amanda Brinkerhoff Contact Phone: (518) 842-4350 CLIA #: 33D2207018
PFI: Z839 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marguerite Dynski, M.D. Phone: (585) 458-3786 Fax: (585) 647-8717 Address: 311 Flower City Park, Rochester, NY 14615 County: Monroe Country: United States Single or Primary Contact: Marlene Pape Contact Phone: (585) 458-3786 CLIA #: 33D2208080
PFI: Z843 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohamad-Zahi M Kassas, M.D. Phone: (585) 593-5076 Fax: (585) 593-3468 Address: 3968 Washington St, Scio, NY 14880 County: Allegany Country: United States Single or Primary Contact: Deb Fuller Contact Phone: (585) 593-0886 CLIA #: 33D2207901
PFI: Z853 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lisa R Levine, N.P. Phone: (212) 933-6517 Fax: (646) 607-0959 Address: 20 E 92nd St, New York, NY 10128 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2208089