New York State Department of Health, Wadsworth Center
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Bausch and Lomb
PFI: G270 Secondary Site ID: 0000 Certification Type: WAIVER Director: James A Tacci, M.D. Phone: (585) 338-5242 Fax: (585) 510-5543 Address: 1400 N Goodman St, Rochester, NY 14609 County: Monroe Country: United States Single or Primary Contact: Pamela Baker-Hopkins Contact Phone: (585) 338-5242 CLIA #: 33D2292120
PFI: G271 Secondary Site ID: 0001 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 273-3701 Fax: (631) 951-4513 Address: 1600 5th Ave, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Andrew Viskovich Contact Phone: (631) 560-7120 CLIA #: 33D2295725
PFI: G271 Secondary Site ID: 0002 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 273-3701 Fax: (631) 951-4513 Address: 16 Skidmore Rd, Deer Park, NY 11729 County: Suffolk Country: United States Single or Primary Contact: Andrew Viskovich Contact Phone: (631) 560-7120 CLIA #: 33D2295725
PFI: G271 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 273-3701 Fax: (631) 951-4513 Address: 29 3rd Ave, Brentwood, NY 11717 County: Suffolk Country: United States Single or Primary Contact: Andrew Viskovich Contact Phone: (631) 560-7120 CLIA #: 33D2295725
PFI: G272 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael G D'Urso, M.D. Phone: (518) 298-5911 Fax: (518) 298-5913 Address: 1150 State Rte 11, Champlain, NY 12919 County: Clinton Country: United States Single or Primary Contact: Morgan Arruda Contact Phone: (518) 593-1893 CLIA #: 33D2293740
PFI: G277 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey S Yager, M.D. Phone: (845) 410-2300 Fax: (845) 410-2320 Address: 14 Jason Pl - Suite 202, Middletown, NY 10940 County: Orange Country: United States Single or Primary Contact: Qing Liu Contact Phone: (973) 413-7990 CLIA #: 33D2291848
NYU Langone Huntington Medical Group - 789 Park Ave
PFI: G278 Secondary Site ID: 0000 Certification Type: WAIVER Director: Raman K Bhasin, M.D. Phone: (631) 425-3847 Fax: (631) 386-3459 Address: 789 Park Ave, Huintington, NY 11743 County: Suffolk Country: United States Single or Primary Contact: Karin Oberlander Contact Phone: (631) 386-3434 CLIA #: 33D2292937
PFI: G281 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jignesh I Patel,RPh Phone: (212) 928-6342 Fax: (212) 928-6591 Address: 3921 Broadway, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Jignesh Patel Contact Phone: (212) 928-6342 CLIA #: 33D2292127
PFI: G282 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmed Nasr, Pharm.D. Phone: (347) 889-7200 Fax: (347) 889-7070 Address: 6002 4th Ave, Brooklyn, NY 11220 County: Kings Country: United States Single or Primary Contact: Ahmed Nasr Contact Phone: (646) 272-9049 CLIA #: 33D2292131
PFI: G287 Secondary Site ID: 0000 Certification Type: WAIVER Director: Frederick Ast, M.D. Phone: (954) 204-0052 Fax: (888) 960-4866 Address: 37 E 30th St, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Nilay Mehta Contact Phone: (954) 204-0052 CLIA #: 33D2293320
PFI: G289 Secondary Site ID: 0000 Certification Type: WAIVER Director: Suman M Reddy, M.D. Phone: (718) 794-7400 Fax: (800) 975-5201 Address: 801 Co-Op City Blvd-Dialysis Flr 1, Bronx, NY 10475 County: Bronx Country: United States Single or Primary Contact: Miles Davis Contact Phone: (800) 975-5201 CLIA #: 33D2294455
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