New York State Department of Health, Wadsworth Center
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Pearl River Medical Associates
PFI: F765 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mano R. Zachariah, M.D. Phone: (845) 920-1990 Fax: (845) 920-1986 Address: 275 N Middletown Rd, Pearl River, NY 10965 County: Rockland Country: United States Single or Primary Contact: Yadira Castro Contact Phone: (845) 348-7613 CLIA #: 33D2068561
PFI: F766 Secondary Site ID: 0000 Certification Type: WAIVER Director: David B Southren, M.D. Phone: (845) 268-0880 Fax: (845) 268-0882 Address: 2 Medical Park Dr - Suite 3, West Nyack, NY 10994 County: Rockland Country: United States Single or Primary Contact: Yadira Castro Contact Phone: (845) 348-7613 CLIA #: 33D1025440
PFI: F767 Secondary Site ID: 0000 Certification Type: WAIVER Director: David L Hodes, M.D. Phone: (845) 727-7733 Fax: (845) 727-7743 Address: 2 Medical Park Dr - Suite 5, West Nyack, NY 10994 County: Rockland Country: United States Single or Primary Contact: Yadira Castro Contact Phone: (845) 348-7613 CLIA #: 33D2000279
PFI: F769 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maria M Emerson, M.D. Phone: (845) 634-8400 Fax: (845) 634-4781 Address: 200 E Eckerson Rd Ste 160, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Yadira Castro Contact Phone: (845) 348-7613 CLIA #: 33D0871987
PFI: F772 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maria M Emerson, M.D. Phone: (845) 947-2225 Fax: (845) 947-1724 Address: 20-21 Liberty Square, Stony Point, NY 10980 County: Rockland Country: United States Single or Primary Contact: Yadira Castro Contact Phone: (845) 348-7613 CLIA #: 33D0948294
PFI: F773 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erik P Peterson, D.O. Phone: (585) 356-7824 Fax: Address: 5253 Old Telephone Rd, East Bethany, NY 14054 County: Genesee Country: United States Single or Primary Contact: Vicki Wolak Contact Phone: (585) 356-7824 CLIA #: 33D2288677
PFI: F774 Secondary Site ID: 0000 Certification Type: WAIVER Director: Giuseppina Benincasa-Feingold, M.D. Phone: (718) 373-1000 Fax: (718) 966-2835 Address: 1976 2nd Ave, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Ashley Terrone Contact Phone: (718) 373-1000 CLIA #: 33D2202598
PFI: F775 Secondary Site ID: 0000 Certification Type: PPMP Director: Martin Malachovsky, M.D. Phone: (888) 603-9338 Fax: (212) 624-0213 Address: 142 West End Ave - Unit 1RS, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Ladislav Sebestian Contact Phone: (888) 603-9338 CLIA #: 33D2280855
PFI: F776 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mardik M Donikyan, M.D. Phone: (646) 215-6441 Fax: Address: 423 W 55th St - 4th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Alicia Lashley Contact Phone: (646) 215-6441 CLIA #: 33D2279837
PFI: F778 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 753-4322 Fax: (716) 753-9693 Address: 2 Academy St, Mayville, NY 14757 County: Chautauqua Country: United States Single or Primary Contact: Timothy Carlson Contact Phone: (716) 753-4322 CLIA #: 33D2279942
PFI: F780 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stephen S. Sgambati, Jr., M.D. Phone: (518) 753-4664 Fax: Address: 69 Stillwater Bridge Rd, Schaghticoke, NY 12154 County: Rensselaer Country: United States Single or Primary Contact: Tom Ryan Contact Phone: (518) 817-2270 CLIA #: 33D2280822
PFI: F782 Secondary Site ID: 0000 Certification Type: WAIVER Director: William Greenhut, D.O. Phone: (845) 222-2135 Fax: Address: 47 S Liberty Dr, Stony Point, NY 10980 County: Rockland Country: United States Single or Primary Contact: Marcos Lopez Contact Phone: (787) 697-7241 CLIA #: 33D2279944
PFI: F783 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 483-7598 Fax: (716) 483-7720 Address: 200 Spring St, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Ryan Roush Contact Phone: (716) 483-7598 CLIA #: 33D2279948
PFI: F786 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason L Esses, M.D. Phone: (516) 432-2004 Fax: (516) 432-4154 Address: 440 E Bay Dr, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Gary Vasquez Contact Phone: (917) 945-9731 CLIA #: 33D2281459