New York State Department of Health, Wadsworth Center
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CVS Pharmacy No. 00678
PFI: G052 Secondary Site ID: 0000 Certification Type: WAIVER Director: Melissa A McKnight,RPh Phone: (607) 754-2240 Fax: (401) 216-0351 Address: 1008 Union Center Maine Hwy, Endicott, NY 13760 County: Broome Country: United States Single or Primary Contact: Nicole K Brierley Contact Phone: (401) 770-3480 CLIA #: 33D2287563
PFI: G059 Secondary Site ID: 0001 Certification Type: WAIVER Director: John V. Celentano, M.D. Phone: (631) 878-2485 Fax: (631) 878-8337 Address: 200 Pine St, East Moriches, NY 11940 County: Suffolk Country: United States Single or Primary Contact: Ryan O'Reilly Contact Phone: (631) 220-5728 CLIA #: 33D2291060
Ambul Committee of the Moriches Inc dba East Moriches Community Ambul
PFI: G059 Secondary Site ID: 0000 Certification Type: WAIVER Director: John V. Celentano, M.D. Phone: (631) 878-4230 Fax: (631) 878-8337 Address: 275 Montauk Hwy, East Moriches, NY 11940 County: Suffolk Country: United States Single or Primary Contact: Ryan O'Reilly Contact Phone: (631) 220-5728 CLIA #: 33D2291060
PFI: G060 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 663-1113 Fax: Address: 3084 Dewey Ave, Rochester, NY 14616 County: Monroe Country: United States Single or Primary Contact: Scott Johnson Contact Phone: (585) 663-1113 CLIA #: 33D2290840
PFI: G061 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael K Weinberger, M.D. Phone: (646) 803-2080 Fax: (646) 803-2081 Address: 919 3rd Ave - Level 2, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Vanessa Weedman Contact Phone: (615) 468-5507 CLIA #: 33D2287989
PFI: G062 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neil B Kirkschen, M.D. Phone: (516) 771-3370 Fax: (516) 378-4408 Address: 56 W Centennial Ave, Roosevelt, NY 11575 County: Nassau Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2287990
PFI: G064 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter L Sosnow, M.D. Phone: (607) 746-2221 Fax: Address: 140 Delview Terrace Ext, Delhi, NY 13753 County: Delaware Country: United States Single or Primary Contact: Daniel Endress Contact Phone: (607) 267-2267 CLIA #: 33D2286780
PFI: G069 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dean C Preddie, M.D. Phone: (212) 427-9895 Fax: (212) 427-9897 Address: 35 E 110th St - Suite 3, New York, NY 10128 County: New York Country: United States Single or Primary Contact: Contact Phone: (727) 916-1278 CLIA #: 33D2288001
PFI: G070 Secondary Site ID: 0000 Certification Type: WAIVER Director: Deborah L. Funk Valois, M.D. Phone: (518) 234-2341 Fax: Address: 2417 Hwy Rte 20, Carlisle, NY 12031 County: Schoharie Country: United States Single or Primary Contact: Robert L Smith Contact Phone: (518) 234-8772 CLIA #: 33D2288003
Cayuga Centers NYC - Comprehensive Health Services
PFI: G073 Secondary Site ID: 0001 Certification Type: WAIVER Director: Heather A McGowan, M.D. Phone: (800) 421-2031 Fax: (646) 590-7305 Address: 68 E 131st St - Suite 100, New York, NY 10037 County: New York Country: United States Single or Primary Contact: Contact Phone: (929) 746-8600 CLIA #: 33D2288005
PFI: G073 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heather A McGowan, M.D. Phone: (800) 421-2031 Fax: (315) 253-7278 Address: 1916 Park Ave - Suite 412, New York, NY 10037 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2288005