New York State Department of Health, Wadsworth Center
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Wyoming Hook and Ladder
PFI: G156 Secondary Site ID: 0000 Certification Type: WAIVER Director: Geoffrey J Schweikhard, 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: G162 Secondary Site ID: 0001 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 875-8492 Fax: Address: 5070 N Huron St, North Rose, NY 14516 County: Wayne Country: United States Single or Primary Contact: Scott Kolczynski Contact Phone: (315) 879-8492 CLIA #: 33D2144722
PFI: G162 Secondary Site ID: 0002 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 875-8492 Fax: Address: 4081 Main St, Rose, NY 14542 County: Wayne Country: United States Single or Primary Contact: Scott Kolczynski Contact Phone: (315) 879-8492 CLIA #: 33D2144722
PFI: G162 Secondary Site ID: 0000 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 879-8492 Fax: Address: 1770 Rte 89 North, Savannah, NY 13146 County: Wayne Country: United States Single or Primary Contact: Scott Kolczynski Contact Phone: (315) 879-8492 CLIA #: 33D2144722
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: Tony Lipari Contact Phone: (218) 578-0737 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) 225-4621 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) 824-6188 Fax: (716) 824-6188 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
PFI: G172 Secondary Site ID: 0000 Certification Type: WAIVER Director: Juan F Acosta, D.O. Phone: (631) 789-2983 Fax: (631) 789-4180 Address: 601 N Broadway, Amityville, NY 11701 County: Suffolk Country: United States Single or Primary Contact: Emerson Sanchez Contact Phone: (631) 513-7364 CLIA #: 33D2289805
PFI: G173 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey Wheeler, D.O. Phone: (631) 732-5733 Fax: Address: 303 Middle Country Rd, Coram, NY 11727 County: Suffolk Country: United States Single or Primary Contact: Joseph N Themann Contact Phone: (631) 649-2225 CLIA #: 33D2295722
PFI: G174 Secondary Site ID: 0000 Certification Type: WAIVER Director: Aaron N Farney, M.D. Phone: (607) 545-8963 Fax: (607) 545-8963 Address: 10 Main St, Canaseraga, NY 14822 County: Allegany Country: United States Single or Primary Contact: Bill Crubaugh Contact Phone: (607) 590-0076 CLIA #: 33D2295764
PFI: G175 Secondary Site ID: 0000 Certification Type: WAIVER Director: Patricia M Walsh, M.D. Phone: (917) 423-6797 Fax: (646) 851-2297 Address: 345 E 102nd St - Suite 200D, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Dillon Whiting Contact Phone: (617) 744-8542 CLIA #: 33D2289730
PFI: G177 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher Guszack, M.D. Phone: (631) 666-5600 Fax: Address: 911 Aletta Place, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Charles Chapman Contact Phone: (631) 748-9467 CLIA #: 33D2293548
PFI: G179 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew A Pius, M.D. Phone: (845) 386-2494 Fax: (845) 386-9501 Address: 60 State St, Otisville, NY 10963 County: Orange Country: United States Single or Primary Contact: Diane Coppola Contact Phone: (845) 321-2650 CLIA #: 33D2288352