New York State Department of Health, Wadsworth Center
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EA Medical Solutions LLC dba Bronx Health Center
PFI: G290 Secondary Site ID: 0000 Certification Type: WAIVER Director: Evelio Echenique, M.D. Phone: (646) 707-3930 Fax: (347) 252-6261 Address: 51 E 125th St - 2nd Fl, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Araxi Gevorgyan Contact Phone: (516) 241-1312 CLIA #: 33D2291775
PFI: G292 Secondary Site ID: 0000 Certification Type: WAIVER Director: Steven Givner, O.D. Phone: (718) 246-2020 Fax: (347) 987-4335 Address: 446 Myrtle Ave, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Leonard Donde Contact Phone: (917) 863-8685 CLIA #: 33D2291772
PFI: G293 Secondary Site ID: 0001 Certification Type: WAIVER Director: Emile L Benardot, M.D. Phone: (518) 891-1330 Fax: (518) 891-4817 Address: 711 State Rte 3, Saranac Lake, NY 12983 County: Franklin Country: United States Single or Primary Contact: Dale Breault Jr. Contact Phone: 51848364201010 CLIA #: 33D2294943
PFI: G294 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi P Cordi, M.D. Phone: (518) 279-0797 Fax: Address: 2379 State Rte 2, Cropseyville, NY 12052 County: Rensselaer Country: United States Single or Primary Contact: Thomas E Sullivan Contact Phone: (518) 522-2716 CLIA #: 33D2291774
PFI: G296 Secondary Site ID: 0001 Certification Type: WAIVER Director: Paul F Zelkovic, M.D. Phone: (914) 909-1201 Fax: (914) 493-8564 Address: 212 Crystal Run Rd - Suite 2, Middletown, NY 10940 County: Orange Country: United States Single or Primary Contact: Catherine Lopez Contact Phone: (646) 754-4554 CLIA #: 33D0972951
PFI: G296 Secondary Site ID: 0002 Certification Type: WAIVER Director: Paul F Zelkovic, M.D. Phone: (845) 288-9142 Fax: (914) 493-8564 Address: 200 Westage Business Center Dr, Fishkill, NY 12524 County: Dutchess Country: United States Single or Primary Contact: Catherine Lopez Contact Phone: (646) 754-4554 CLIA #: 33D0972951
PFI: G296 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul F Zelkovic, M.D. Phone: (914) 493-8628 Fax: (914) 493-8564 Address: 150 White Plains Rd - Suite 306, Tarrytown, NY 10591 County: Westchester Country: United States Single or Primary Contact: Catherine Lopez Contact Phone: (914) 493-8628 CLIA #: 33D0972951
PFI: G300 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joseph A Bart, D.O. Phone: (716) 532-4900 Fax: Address: 8184 East Loop Rd, Salamanca, NY 14779 County: Seneca Country: United States Single or Primary Contact: Michele Redeye Contact Phone: (716) 574-2007 CLIA #: 33D2296544
PFI: G301 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason A. Borton, M.D. Phone: (716) 692-8400 Fax: (716) 695-6030 Address: 44 William St, Tonawanda, NY 14150 County: Erie Country: United States Single or Primary Contact: Joseph Briggs Contact Phone: (716) 695-9591 CLIA #: 33D2296046
PFI: G302 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erin Koprince, D.P.M. Phone: (917) 985-9082 Fax: (917) 985-9073 Address: 110 E 66th St, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Johanna Quintanilla Contact Phone: (917) 719-3801 CLIA #: 33D2291849
PFI: G303 Secondary Site ID: 0000 Certification Type: WAIVER Director: James E Stoughton, M.D. Phone: (607) 687-8422 Fax: (607) 689-0098 Address: 87 North Ave, Owego, NY 13827 County: Tioga Country: United States Single or Primary Contact: Mike L Roden Contact Phone: (607) 765-2683 CLIA #: 33D2296049
PFI: G304 Secondary Site ID: 0000 Certification Type: WAIVER Director: Evan W Shaw, M.D. Phone: (585) 786-8867 Fax: (585) 786-8865 Address: 151 N Main St, Warsaw, NY 14569 County: Wyoming Country: United States Single or Primary Contact: Brian Meyers Contact Phone: (585) 786-8867 CLIA #: 33D2291863
PFI: G304 Secondary Site ID: 0001 Certification Type: WAIVER Director: Evan W Shaw, M.D. Phone: (585) 786-2233 Fax: Address: 400 N Main St, Warsaw, NY 14569 County: Wyoming Country: United States Single or Primary Contact: Brian Meyers Contact Phone: (585) 786-8867 CLIA #: 33D2291863