New York State Department of Health, Wadsworth Center
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Duane Reade No. 14356
PFI: G386 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 945-4450 Fax: (212) 945-0647 Address: 315 N End Ave, New York, NY 10282-1023 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2294470
PFI: G387 Secondary Site ID: 0001 Certification Type: WAIVER Director: Jack W Geffken, D.O. Phone: 6312615916220 Fax: (631) 261-5918 Address: 2 Fort Salonga Rd, Centerport, NY 11721 County: Suffolk Country: United States Single or Primary Contact: Wayne Kaifler Contact Phone: (631) 261-5916 CLIA #: 33D2311230
PFI: G387 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jack W Geffken, D.O. Phone: (631) 261-5916 Fax: (631) 261-5918 Address: 9 Park Circle, Centerport, NY 11721 County: Suffolk Country: United States Single or Primary Contact: Wayne Kaifler Contact Phone: (631) 261-5916 CLIA #: 33D2311230
PFI: G388 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey S Yager, M.D. Phone: (212) 543-1700 Fax: (212) 543-1707 Address: 130 Fort Washington Ave - Suite B1, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Qing Liu Contact Phone: (973) 413-7990 CLIA #: 33D2292706
PFI: G389 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ines Muia-Chisena, M.D. Phone: (631) 228-5546 Fax: (631) 396-4290 Address: 755 New York Ave - Suite 430, Huntington, NY 11743 County: Suffolk Country: United States Single or Primary Contact: Regina Gilberti Contact Phone: (631) 228-5546 CLIA #: 33D2296051
PFI: G392 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 682-5338 Fax: (212) 949-9626 Address: 485 Lexington Ave, New York, NY 10017-2630 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2310443
PFI: G393 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 227-6168 Fax: (212) 571-4679 Address: 305 Broadway, New York, NY 10007-1109 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2310444
PFI: G394 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 932-8544 Fax: (718) 932-4333 Address: 3355 Crescent St, Long Island City, NY 11106-3809 County: Queens Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2294471
PFI: G395 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 269-7385 Fax: (718) 269-7386 Address: 2726 Queens Plaza South, Long Island City, NY 11101-4102 County: Queens Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2294888
PFI: G398 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 978-4458 Fax: (718) 978-4485 Address: 12704 Guy R Brewer Blvd, Jamaica, NY 11434-2955 County: Queens Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2294496
PFI: G405 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (347) 557-0959 Fax: (347) 557-0965 Address: 5001 Church Ave, Brooklyn, NY 11203-3503 County: Kings Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2294523