New York State Department of Health, Wadsworth Center
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Century Medical and Dental Center Inc
PFI: H593 Secondary Site ID: 0000 Certification Type: WAIVER Director: Diana Dreyer, M.D. Phone: (718) 336-8855 Fax: (718) 336-6479 Address: 490A Tenth Ave, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Nino Lordkipanidze Contact Phone: (718) 336-8855 CLIA #: 33D2351932
PFI: H596 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alexander Z Selioutski, M.D. Phone: (716) 672-2000 Fax: (716) 363-2172 Address: 268 W Main St - Ste 2, Fredonia, NY 14063 County: Chautauqua Country: United States Single or Primary Contact: Wendy Leamon Contact Phone: (716) 672-2000 CLIA #: 33D2348982
PFI: H599 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristina P Castro, N.P. Phone: (917) 526-1994 Fax: Address: 416 Lenox Ave, New York, NY 10037 County: New York Country: United States Single or Primary Contact: Berit Tran Contact Phone: (585) 747-2215 CLIA #: 33D2350683
PFI: H602 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mahira Tanovic, M.D. Phone: (212) 433-3133 Fax: Address: 110 E 82nd St, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Senka Somo Contact Phone: (917) 407-0131 CLIA #: 33D2350684
PFI: H605 Secondary Site ID: 0000 Certification Type: WAIVER Director: Miles N Dimillo, M.D. Phone: (585) 345-6375 Fax: (585) 343-5639 Address: 18 Evans St, Batavia, NY 14020 County: Genesee Country: United States Single or Primary Contact: Robert Tedford Contact Phone: (585) 356-1595 CLIA #: 33D2350892
PFI: H606 Secondary Site ID: 0000 Certification Type: WAIVER Director: Barry J Hahn, M.D. Phone: (516) 447-4242 Fax: (516) 447-8049 Address: 455 Hungry Harbor Rd, Valley Stream, NY 11581 County: Nassau Country: United States Single or Primary Contact: Mor Levy Contact Phone: (516) 447-4242 CLIA #: 33D2350693
PFI: H616 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin Hoyt, M.D. Phone: (315) 866-2242 Fax: Address: 125 N Washington St, Herkimer, NY 13350 County: Herkimer Country: United States Single or Primary Contact: Timothy Hartman Contact Phone: (315) 868-1604 CLIA #: 33D2351936
PFI: H618 Secondary Site ID: 0000 Certification Type: WAIVER Director: David S. Dinello, M.D. Phone: (315) 246-8015 Fax: (315) 776-4354 Address: 8115 High St, Montezuma, NY 13117 County: Cayuga Country: United States Single or Primary Contact: Kelly Thurston Contact Phone: (315) 246-8015 CLIA #: 33D2351937
PFI: H620 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Craig B Park, Ph.D. Phone: (332) 316-7579 Fax: (332) 237-7399 Address: 551 Madison Ave - Ste 500, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2273702
Xtra Care Pharmacy dba Freeport Medical Supply Inc
PFI: H623 Secondary Site ID: 0000 Certification Type: WAIVER Director: Horace A Hawthorne, D.O. Phone: (516) 208-7432 Fax: (516) 208-8096 Address: No Address Indicated, Freeport, NY 11520 County: Nassau Country: United States Single or Primary Contact: Chuck Madu Contact Phone: (718) 415-7440 CLIA #: 33D2351941
PFI: H624 Secondary Site ID: 0000 Certification Type: WAIVER Director: Beth A Preminger, M.D. Phone: (212) 706-1900 Fax: (917) 382-4126 Address: 969 Park Ave - Ste 1E, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2350698