PFI: F119 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gordon C Davis, D.O. Phone: (718) 749-9059 Fax: (718) 749-9428 Address: 2517 86th St, Brooklyn, NY 11214 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2254634
PFI: F120 Secondary Site ID: 0002 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (315) 612-0100 Fax: (315) 612-0183 Address: 1521 Clark Street Road, Auburn, NY 13021 County: Cayuga Country: United States Single or Primary Contact: Denise Vreeland Contact Phone: (315) 612-0136 CLIA #: 33D2255480
PFI: F120 Secondary Site ID: 0001 Certification Type: WAIVER Director: Alan G Withiam, M.D. Phone: (315) 536-7447 Fax: (315) 612-0183 Address: 235 North Ave, Penn Yan, NY 14527 County: Yates Country: United States Single or Primary Contact: Denise Vreeland Contact Phone: (315) 612-0136 CLIA #: 33D2255480
PFI: F126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark Costanza, M.D. Phone: (716) 901-8700 Fax: (716) 901-8718 Address: 2049 George Urban Blvd, Depew, NY 14043 County: Erie Country: United States Single or Primary Contact: Katherine Thomas Contact Phone: (716) 901-8802 CLIA #: 33D2256066
PFI: F127 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin C. Masarech, M.D. Phone: (607) 334-5564 Fax: (607) 334-2203 Address: 5862 County Rd 32 Suite 2, Norwich, NY 13815 County: Chenango Country: United States Single or Primary Contact: James Dean Contact Phone: (607) 334-5564 CLIA #: 33D2255241
Clementine Hudson Valley Legal Entity Eating Disorder Treatment NY LL
PFI: F128 Secondary Site ID: 0000 Certification Type: WAIVER Director: Molly M Perlman, M.D. Phone: (914) 370-4699 Fax: (914) 763-3901 Address: 171 South Main St, South Salem, NY 10590 County: Westchester Country: United States Single or Primary Contact: Chris King Contact Phone: (786) 478-9881 CLIA #: 33D2255242
PFI: F134 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christine D Brown-Williamson, M.D. Phone: (516) 336-5909 Fax: (516) 932-6497 Address: 857 S Oyster Bay Rd - 2nd Fl, Bethpage, NY 11714 County: Nassau Country: United States Single or Primary Contact: Joel Santana Contact Phone: (516) 822-0028 CLIA #: 33D2255508
PFI: F135 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel M Frogel, M.D. Phone: (929) 476-0448 Fax: (212) 202-5141 Address: 275 Madison Ave, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Ilana Kantor Contact Phone: (908) 588-3635 CLIA #: 33D2255510