PFI: G148 Secondary Site ID: 0000 Certification Type: WAIVER Director: John L DeBerry, M.D. Phone: (716) 634-3340 Fax: Address: 2150 Wehrle Dr - Suite 100, Williamsville, NY 14221 County: Erie Country: United States Single or Primary Contact: Erika De Almeida Contact Phone: (716) 634-3340 CLIA #: 33D2287823
PFI: G149 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey D Cangelosi, M.D. Phone: (631) 878-0089 Fax: (631) 874-9689 Address: 301 Main St, Center Moriches, NY 11934 County: Suffolk Country: United States Single or Primary Contact: Walter Kleiber Contact Phone: (631) 245-4806 CLIA #: 33D2309464
PFI: G156 Secondary Site ID: 0000 Certification Type: WAIVER Director: Evan W Shaw, M.D. Phone: (585) 495-6262 Fax: Address: 26 Maple St, Wyoming, NY 14591 County: Wyoming Country: United States Single or Primary Contact: Mark Black Contact Phone: (585) 233-1839 CLIA #: 33D2292083
PFI: G165 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph R Takats, III, D.O. Phone: (716) 662-2619 Fax: (716) 662-1753 Address: 4222 S Taylor Rd, Orchard Park, NY 14127 County: Erie Country: United States Single or Primary Contact: Thomas Barsi Contact Phone: (716) 697-1132 CLIA #: 33D2289727
PFI: G166 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thomas B Williams, M.D. Phone: (518) 240-6262 Fax: Address: 5003 Lakeshore Drive, Bolton Landing, NY 12814 County: Warren Country: United States Single or Primary Contact: James Cross Contact Phone: (518) 586-2570 CLIA #: 33D2291878
PFI: G167 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Muzaffar N. Khan, M.D. Phone: (315) 917-8199 Fax: (315) 624-6455 Address: 111 Hospital Dr, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Christine Goldman Contact Phone: (315) 917-8148 CLIA #: 33D2287813
PFI: G168 Secondary Site ID: 0000 Certification Type: PPMP Director: Samira S Farouk, M.D. Phone: (609) 634-7479 Fax: Address: 1 Gustave Levy Place, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2288204
PFI: G169 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin C Masarech, M.D. Phone: (607) 847-6389 Fax: (607) 847-6745 Address: 4 School St, New Berlin, NY 13411 County: Chenango Country: United States Single or Primary Contact: Randy Brundage Contact Phone: (607) 435-8498 CLIA #: 33D2310696
PFI: G171 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrew R Poreda, M.D. Phone: (716) 896-4399 Fax: (716) 892-0353 Address: 2199 William St, Buffalo, NY 14206 County: Erie Country: United States Single or Primary Contact: Charles Schrnurstein Contact Phone: (716) 896-4399 CLIA #: 33D2293547