New York State Department of Health, Wadsworth Center
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Nuvance VBMC Empolyee Health
PFI: F815 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erin L McLaughlin, M.D. Phone: (845) 431-9464 Fax: (845) 483-6109 Address: 45 Reade Place - 1st Fl Suite 1, Poughkeepsie, NY 12601 County: New York Country: United States Single or Primary Contact: Nadine Pouliot Contact Phone: (845) 431-9464 CLIA #: 33D2280939
PFI: F816 Secondary Site ID: 0000 Certification Type: WAIVER Director: Evan W Shaw, M.D. Phone: (585) 591-2679 Fax: Address: 11 Water St, Attica, NY 14011 County: Wyoming Country: United States Single or Primary Contact: Ann Lapp Contact Phone: (585) 356-4964 CLIA #: 33D2280940
PFI: F817 Secondary Site ID: 0001 Certification Type: WAIVER Director: John R. Zaso, D.O. Phone: (516) 542-0584 Fax: (516) 542-0593 Address: 3 Bob Reed Lane, Westbury, NY 11590 County: Nassau Country: United States Single or Primary Contact: John Priest Contact Phone: (516) 542-0877 CLIA #: 33D2286428
PFI: F817 Secondary Site ID: 0000 Certification Type: WAIVER Director: John R. Zaso, D.O. Phone: (516) 542-0578 Fax: (516) 542-0593 Address: 197 East Meadow Ave, East Meadow, NY 11554 County: Nassau Country: United States Single or Primary Contact: John Priest Contact Phone: (516) 542-0877 CLIA #: 33D2286428
PFI: F818 Secondary Site ID: 0000 Certification Type: WAIVER Director: Fred D Archer, III, M.D. Phone: (716) 768-7600 Fax: (716) 768-7621 Address: 1050 Niagara St - Suite 150, Buffalo, NY 14213 County: Erie Country: United States Single or Primary Contact: Ebony Colkey Contact Phone: (716) 768-7569 CLIA #: 33D2280701
PFI: F820 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 672-2125 Fax: (716) 672-2112 Address: 80 W Main St, Fredonia, NY 14063 County: Chautauqua Country: United States Single or Primary Contact: Dan Aldrich Contact Phone: (716) 672-2125 CLIA #: 33D2280942
PFI: F822 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 792-4222 Fax: (716) 792-4222 Address: 80 Lake Ave, Brocton, NY 14716 County: Chautauqua Country: United States Single or Primary Contact: David Hazelton Contact Phone: (716) 785-5278 CLIA #: 33D2281226
Columbia Univ Div of Maternal Fetal Med/Center for Prenatal Pediatrics
PFI: F824 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lynn L Simpson, M.D. Phone: (212) 305-6293 Fax: (212) 342-2717 Address: 3959 Broadway - 12th Fl, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Alannah Kopinec Contact Phone: (212) 305-6293 CLIA #: 33D2280943
PFI: F824 Secondary Site ID: 0002 Certification Type: WAIVER Director: Lynn L Simpson, M.D. Phone: (212) 305-5819 Fax: (212) 305-7806 Address: 622 W 168th St - PH16, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Alannah Kopinec Contact Phone: (212) 305-3181 CLIA #: 33D2280943
PFI: F826 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark Ilyagu, M.D. Phone: (718) 599-9094 Fax: Address: 3-1 27th Ave, Astoria, NY 11102 County: Queens Country: United States Single or Primary Contact: Joel Friedman Contact Phone: CLIA #: 33D2280944
PFI: F829 Secondary Site ID: 0000 Certification Type: WAIVER Director: Iftikhar K Cheema, N.P. Phone: (646) 401-1115 Fax: Address: 151-67 North Conduit Ave, Jamaica, NY 11434 County: Queens Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2286970
PFI: F830 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Kazunori Murata, Ph.D. Phone: (212) 610-0195 Fax: (929) 321-7202 Address: 160 E 53rd St - Rm 442, New York, NY 10022 County: New York Country: United States Single or Primary Contact: John McGovern Contact Phone: (646) 608-1307 CLIA #: 33D0945563