PFI: H434 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chinyere A Nebo, N.P. Phone: (516) 881-6718 Fax: (516) 748-8748 Address: 9043 Springfield Blvd, Queens Village, NY 11428 County: Queens Country: United States Single or Primary Contact: Edmund Nebo Contact Phone: (917) 940-1980 CLIA #: 33D2332643
Vol Heart Resus Unit and Ambul Corps of SI Inc dba Vol Heart Ambulance
PFI: H435 Secondary Site ID: 0000 Certification Type: WAIVER Director: Miguel A Tirado, M.D. Phone: (718) 979-5850 Fax: Address: 460 Brielle Ave - Surgical Pavillio, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Christopher Guadalupe Contact Phone: (718) 979-5850 CLIA #: 33D2332431
PFI: H440 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel G Kyung, M.D. Phone: (315) 493-0434 Fax: (315) 519-5699 Address: 3 Bridge St - Ste 1, Carthage, NY 13619 County: Jefferson Country: United States Single or Primary Contact: Jessica Morley Contact Phone: (315) 713-6210 CLIA #: 33D2332647
PFI: H441 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kirby P Black, M.D. Phone: (315) 245-2180 Fax: Address: 14 Church St, Camden, NY 13316 County: Oneida Country: United States Single or Primary Contact: Donna Campbell Contact Phone: (315) 335-5830 CLIA #: 33D2332740
PFI: H442 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrew M Wight, M.D. Phone: (315) 829-3475 Fax: Address: 5233 W Seneca St, Vernon, NY 13476 County: Oneida Country: United States Single or Primary Contact: Scott Nell Contact Phone: (315) 723-9665 CLIA #: 33D2333064
Richmond University Medical Center Family Health Center
PFI: H454 Secondary Site ID: 0000 Certification Type: WAIVER Director: Svetoslav S. Bardarov, M.D. Phone: (718) 818-2107 Fax: (718) 818-1666 Address: 2655 Richmond Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Ann Marie Brown Contact Phone: (718) 818-3061 CLIA #: 33D2333395
PFI: L005 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G. Welch, M.D. Phone: (518) 648-6141 Fax: (518) 648-6143 Address: 139 White Birch Lane, Indian Lake, NY 12842 County: Hamilton Country: United States Single or Primary Contact: Erica Tomlinson Contact Phone: (518) 648-6141 CLIA #: 33D0705635
PFI: L011 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lucinda L. Ripoll, M.D. Phone: (718) 698-8800 Fax: (718) 698-5536 Address: 191 Bradley Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Maria L Antiporda Contact Phone: (718) 698-8800 CLIA #: 33D0930382