PFI: F705 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 652-6760 Fax: Address: 1071 Jamison Road, Elma, NY 14059 County: Erie Country: United States Single or Primary Contact: Dan Wilson Contact Phone: (716) 359-5866 CLIA #: 33D2277107
PFI: F706 Secondary Site ID: 0000 Certification Type: WAIVER Director: Navjot Kaur, N.P. Phone: (929) 813-3800 Fax: (929) 813-3801 Address: 399 Park Ave - Sublevel 2, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Jason Gauvin Contact Phone: (929) 813-3800 CLIA #: 33D2276651
PFI: F707 Secondary Site ID: 0000 Certification Type: PPMP Director: Sue A Stucker, N.P. Phone: (315) 668-3910 Fax: (315) 668-1940 Address: 4 Gertrude Drive, Central Square, NY 13036 County: Onondaga Country: United States Single or Primary Contact: Christine Monroe Contact Phone: (315) 668-3908 CLIA #: 33D2276652
East Side Physicans of NYC PLLC dba MiDoctor Primary Care
PFI: F708 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vino K Palli, M.D. Phone: (646) 609-1012 Fax: (212) 688-1243 Address: 420 E 51st St - Office A, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Shinthia Hossain Contact Phone: (631) 355-4586 CLIA #: 33D2276653
PFI: F714 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 761-6700 Fax: (716) 761-6701 Address: 122 Park Street, Sherman, NY 14781 County: Chautauqua Country: United States Single or Primary Contact: Jamie Spacht Contact Phone: (716) 708-0714 CLIA #: 33D2277116
PFI: F716 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert Wicelinski, D.O. Phone: (585) 968-3138 Fax: Address: 8854 County Road 40, West Clarksville, NY 14786 County: Allegany Country: United States Single or Primary Contact: Vanessa White Contact Phone: (585) 296-9324 CLIA #: 33D2276679
PFI: F717 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 366-2577 Fax: (716) 363-6376 Address: 311 Eagle St, Dunkirk, NY 14048 County: Chautauqua Country: United States Single or Primary Contact: Nicholas Barter Contact Phone: (716) 366-2577 CLIA #: 33D2276680
PFI: F718 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammed A Siddiqi, M.D. Phone: (607) 722-8987 Fax: (607) 352-4777 Address: 5 Merrick St, Binghamton, NY 13904 County: Broome Country: United States Single or Primary Contact: Patrick Haley Contact Phone: (607) 722-8987 CLIA #: 33D2276980
PFI: F721 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 372-4523 Fax: Address: 253 Rte 16 South, Knapp Creek, NY 14760 County: Cattaraugus Country: United States Single or Primary Contact: Franklin Grimes Contact Phone: (716) 378-0985 CLIA #: 33D2276683
PFI: F722 Secondary Site ID: 0000 Certification Type: WAIVER Director: Edward K Chiu, M.D. Phone: (212) 538-7770 Fax: (212) 656-1780 Address: 11 Madison Ave - Level 1B, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Carolyn Irelan Contact Phone: (615) 468-6540 CLIA #: 33D2276684
PFI: F723 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason A. Borton, M.D. Phone: (716) 693-2201 Fax: (716) 693-2216 Address: 495 Zimmerman St, North Tonawanda, NY 14120 County: Niagara Country: United States Single or Primary Contact: Douglas Orlowski Contact Phone: (716) 693-2201 CLIA #: 33D2277106
PFI: F724 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W. Dailey, M.D. Phone: (518) 768-2823 Fax: Address: 2178 Tarrytown Rd, Clarksville, NY 12041 County: Albany Country: United States Single or Primary Contact: Matthew Latham Contact Phone: (518) 417-9840 CLIA #: 33D2276685
PFI: F725 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 792-9296 Fax: Address: 6481 W Main St, Portland, NY 14769 County: Chautauqua Country: United States Single or Primary Contact: Charles R Robertson Contact Phone: (716) 410-2010 CLIA #: 33D2276686