PFI: L751 Secondary Site ID: 0029 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 397-1013 Fax: (607) 397-1014 Address: 198 Main St., Worcester, NY 12197 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0030 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (518) 827-3793 Fax: (518) 827-5419 Address: 291 Main St, Middleburgh, NY 12122 County: Schoharie Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
Central Nassau ASC LLC dba Peakpoint Central Nassau Surgery Center
PFI: L782 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael A Gorin, M.D. Phone: (646) 660-2464 Fax: Address: 371 Old Country Rd, Carle Place, NY 11514 County: Nassau Country: United States Single or Primary Contact: Eleazaida Rodriguez Contact Phone: (516) 203-7262 CLIA #: 33D2340425
PFI: L801 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robin M Reid, M.D. Phone: (585) 922-5700 Fax: (585) 922-5775 Address: 1415 Portland Ave - Suite 500, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: Tara Veith Contact Phone: (585) 922-5700 CLIA #: 33D0705405
PFI: L812 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohini A Shukla, N.P. Phone: (212) 640-2346 Fax: (212) 640-1091 Address: 200 Vesey St, New York, NY 10285-3805 County: New York Country: United States Single or Primary Contact: Karen DiProfio Contact Phone: (212) 640-2346 CLIA #: 33D0680447
Herman D Farrell Community Health Ctr-Ambulatory Care Network Practice
PFI: L813 Secondary Site ID: 0002 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (212) 544-1860 Fax: (212) 544-1870 Address: 610 W 158th St, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (929) 628-0027 CLIA #: 33D0950454
Broadway Practice Ambulatory Care Network Practice
PFI: L813 Secondary Site ID: 0003 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (212) 304-6920 Fax: (212) 342-7260 Address: 4781 Broadway, New York, NY 10034 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (917) 566-2887 CLIA #: 33D0950454
Intermediate School 143 School Base Clinic Ambul Care Netwk Practice
PFI: L813 Secondary Site ID: 0006 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (646) 317-0400 Fax: (646) 317-6035 Address: 515 W 182nd St - Rm 101, New York, NY 10033 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (347) 978-1785 CLIA #: 33D0950454
Intermediate School 136 School Based Clin Ambul Care Network Practice
PFI: L813 Secondary Site ID: 0007 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (646) 317-0700 Fax: (646) 317-5032 Address: 6 Edgecomb Ave, RM 119, New York, NY 10030 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (347) 978-1785 CLIA #: 33D0950454
George Washington School Based Clinic-Ambulatory Care Network Practice
PFI: L813 Secondary Site ID: 0008 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (646) 317-0500 Fax: (646) 317-5044 Address: 549 Audubon Ave - Room 118, New York, NY 10040 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (347) 978-1785 CLIA #: 33D0950454
Intermediate School 52 School Based Clinic Ambul Care Network Practice
PFI: L813 Secondary Site ID: 0009 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (646) 317-0200 Fax: (646) 317-5041 Address: 650 Academy St, Room 229, New York, NY 10034 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (347) 978-1785 CLIA #: 33D0950454
Intermediate School 164 School Based Clin Ambul Care Network Practice
PFI: L813 Secondary Site ID: 0010 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (646) 317-0600 Fax: (646) 317-0273 Address: 401 W 164th St, Room 313, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (347) 978-1785 CLIA #: 33D0950454