New York State Department of Health, Wadsworth Center
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ECMC Center for Dental Care
PFI: F736 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth B Kapral, D.D.S. Phone: (716) 218-7399 Fax: (716) 500-8378 Address: 800 Hertel Ave - Suite 200, Buffalo, NY 14215 County: Erie Country: United States Single or Primary Contact: Susan Burgio Contact Phone: (716) 898-3531 CLIA #: 33D2278252
PFI: F738 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher Thomas Tanski, M.D. Phone: (315) 699-2893 Fax: (315) 698-9117 Address: 8817 Cicero Center Rd, Cicero, NY 13039 County: Onondaga Country: United States Single or Primary Contact: Dan Delargy Contact Phone: (315) 380-6475 CLIA #: 33D2279744
PFI: F740 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kenneth B Svensson, M.D. Phone: (845) 353-0202 Fax: (845) 353-3819 Address: 46 N Broadway, Nyack, NY 10960 County: Rockland Country: United States Single or Primary Contact: Julia Burgos Contact Phone: (845) 353-0202 CLIA #: 33D2277113
PFI: F742 Secondary Site ID: 0001 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (718) 945-5123 Fax: Address: 6035 Depot St, Great Valley, NY 14741 County: Cattaraugus Country: United States Single or Primary Contact: Tracey Godfrey Contact Phone: (716) 353-0206 CLIA #: 33D2277673
PFI: F745 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erik P Peterson, D.O. Phone: (585) 948-5760 Fax: Address: 2230 Judge Rd, Basom, NY 14013 County: Genesee Country: United States Single or Primary Contact: Brianna Smith Contact Phone: (541) 852-2302 CLIA #: 33D2278530
Mount Sinai Staten Island Cancer Center Laboratory
PFI: F749 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Mahmoud H Aly, M.D. Phone: (718) 987-9777 Fax: (646) 440-1915 Address: 1441 South Ave - Suite 207, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Janet Street Contact Phone: (212) 659-9036 CLIA #: 33D2272608
PFI: F751 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marc Immerman, M.D. Phone: (607) 734-7628 Fax: Address: 147 Main St, Wellsburg, NY 14894 County: Chemung Country: United States Single or Primary Contact: Joseph Morey Contact Phone: (607) 857-6442 CLIA #: 33D2277303
PFI: F753 Secondary Site ID: 0000 Certification Type: PPMP Director: Linda L Clark, M.D. Phone: (585) 784-5915 Fax: (585) 719-1919 Address: 82 Holland St, Rochester, NY 14605 County: Monroe Country: United States Single or Primary Contact: Flora McEntee Contact Phone: (585) 784-5915 CLIA #: 33D2277850
PFI: F754 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kathleen M Emerson, N.P. Phone: (518) 932-7234 Fax: (518) 480-3059 Address: 375 Bay Rd - Suite 101, Queensbury, NY 12804 County: Warren Country: United States Single or Primary Contact: Stephen W Emerson Contact Phone: (518) 232-0817 CLIA #: 33D2278322
PFI: F758 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 622-3144 Fax: Address: 11 S State St, Ripley, NY 14775 County: Chautauqua Country: United States Single or Primary Contact: Casey Dickinson Contact Phone: (716) 622-3144 CLIA #: 33D2278706
PFI: F764 Secondary Site ID: 0000 Certification Type: WAIVER Director: Howard J Feldfogel, D.O. Phone: (845) 352-5900 Fax: (845) 499-2526 Address: 350 S Main St, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Delicia Jones Contact Phone: (845) 422-3304 CLIA #: 33D0856867
PFI: F765 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mano R. Zachariah, M.D. Phone: (845) 920-1990 Fax: (845) 920-1986 Address: 275 N Middletown Rd, Pearl River, NY 10965 County: Rockland Country: United States Single or Primary Contact: Yadira Castro Contact Phone: (845) 348-7613 CLIA #: 33D2068561