New York State Department of Health, Wadsworth Center
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Doyle Hose Company
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
PFI: G181 Secondary Site ID: 0000 Certification Type: WAIVER Director: Keyur N Shah,RPh Phone: (212) 795-3033 Fax: (212) 795-3036 Address: 1341 Saint Nicholas Ave, New York, NY 10033 County: New York Country: United States Single or Primary Contact: Keyur Shah Contact Phone: (212) 795-3033 CLIA #: 33D2288685
Mount Sinai Doctors Huntington Maternal Fetal Medicine
PFI: G182 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dina El Kady, M.D. Phone: (631) 923-1333 Fax: (631) 923-1336 Address: 1995 New York Ave, Huntigton Station, NY 11746 County: Suffolk Country: United States Single or Primary Contact: Sayan Campbell Contact Phone: (516) 632-4639 CLIA #: 33D2288686
PFI: G186 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neal M Shipley, M.D. Phone: (516) 360-3631 Fax: (516) 360-3632 Address: 1436 Union Tpke, New Hyde Park, NY 11040 County: Nassau Country: United States Single or Primary Contact: Aimee Miller Contact Phone: (917) 673-1142 CLIA #: 33D2288869
PFI: G187 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neal M Shipley, M.D. Phone: (212) 721-4200 Fax: (212) 721-4201 Address: 199 Amsterdam Ave, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Aimee Miller Contact Phone: (917) 673-1142 CLIA #: 33D2288870
PFI: G188 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neal M Shipley, M.D. Phone: (718) 619-8261 Fax: (315) 508-7056 Address: 2689 Broadway - 103rd St, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Aimee Miller Contact Phone: (917) 673-1142 CLIA #: 33D2288871
PFI: G189 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neal M Shipley, M.D. Phone: (212) 897-1995 Fax: (646) 506-3420 Address: 1555 1st Ave, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Aimee Miller Contact Phone: (917) 673-1142 CLIA #: 33D2288872
PFI: G190 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neal M Shipley, M.D. Phone: (212) 897-1994 Fax: (516) 441-7099 Address: 225 W 23rd St, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Aimee Miller Contact Phone: (917) 673-1142 CLIA #: 33D2288873
PFI: G191 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neal M Shipley, M.D. Phone: (212) 897-1992 Fax: (646) 766-8958 Address: 2628 Broadway, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Aimee Miller Contact Phone: (917) 673-1142 CLIA #: 33D2288874
Northwell GoHealth Urgent Care - Greenwich Village
PFI: G192 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neal M Shipley, M.D. Phone: (212) 897-1991 Fax: (347) 983-6686 Address: 41 E 8th St, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Aimee Miller Contact Phone: (917) 673-1142 CLIA #: 33D2288876