PFI: M912 Secondary Site ID: 0000 Certification Type: WAIVER Director: Spencer M Eisenberg, D.O. Phone: (607) 798-1002 Fax: (607) 770-3475 Address: 286 Deyo Hill Rd, Johnson City, NY 13790-5135 County: Broome Country: United States Single or Primary Contact: Jacqueline Otremba Contact Phone: (607) 798-1002 CLIA #: 33D0669972
PFI: M915 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alexander Z Selioutski, M.D. Phone: (716) 488-1921 Fax: (716) 484-9370 Address: 150 Prather Ave, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Dan Greene Contact Phone: (716) 484-6650 CLIA #: 33D0890057
PFI: M918 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas B. Mayhle, M.D. Phone: (585) 567-2207 Fax: (585) 567-4530 Address: 9876 Luckey Drive, Houghton, NY 14744 County: Allegany Country: United States Single or Primary Contact: Chelsea Sawyer Contact Phone: (585) 567-2207 CLIA #: 33D0654971
Livingston Hills Nursing and Rehabilitation Center
PFI: M919 Secondary Site ID: 0000 Certification Type: WAIVER Director: Deepesh S Patel, M.D. Phone: (518) 851-3041 Fax: (518) 851-5680 Address: 2781 Route 9, Livingston, NY 12541 County: Columbia Country: United States Single or Primary Contact: Michael Svendsen Contact Phone: (518) 851-3041 CLIA #: 33D0654415
PFI: M921 Secondary Site ID: 0000 Certification Type: WAIVER Director: Felix O Oduwa, M.D. Phone: (315) 483-9118 Fax: (315) 483-9432 Address: 6884 Maple Ave, Sodus, NY 14551-9304 County: Wayne Country: United States Single or Primary Contact: Shaina Olton Contact Phone: (315) 483-9118 CLIA #: 33D0901925
St Johnsville Rehabilitation and Nursing Center Inc
PFI: M925 Secondary Site ID: 0000 Certification Type: WAIVER Director: David D Liu, M.D. Phone: (518) 568-5037 Fax: (888) 241-4392 Address: 7 Timmerman Ave, St Johnsville, NY 13452 County: Montgomery Country: United States Single or Primary Contact: Durr Christopher Contact Phone: (518) 568-5037 CLIA #: 33D0663406
PFI: M926 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael J Celotti, D.O. Phone: (518) 873-3500 Fax: (518) 873-3507 Address: 132 Water St, Elizabethtown, NY 12932 County: Essex Country: United States Single or Primary Contact: Linda Beers Contact Phone: (518) 873-3500 CLIA #: 33D0693677
PFI: M930 Secondary Site ID: 0000 Certification Type: WAIVER Director: Junaid M Iqbal, M.D. Phone: (607) 729-9206 Fax: (607) 797-3229 Address: 282 Riverside Dr, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Ann Marshke Contact Phone: (607) 729-9206 CLIA #: 33D0168050
PFI: M936 Secondary Site ID: 0000 Certification Type: PPMP Director: Mary E Stock, M.D. Phone: (716) 829-3316 Fax: (716) 829-2564 Address: 4350 Maple Road, Amherst, NY 14226 County: Erie Country: United States Single or Primary Contact: Susan Snyder Contact Phone: (716) 829-2476 CLIA #: 33D0684541
PFI: M938 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maximo E. Mora, M.D. Phone: (718) 206-5100 Fax: (718) 206-5005 Address: 89-40 135th St, Jamaica, NY 11418 County: Queens Country: United States Single or Primary Contact: Thomas Younghans Contact Phone: (718) 206-5100 CLIA #: 33D0886525
PFI: M943 Secondary Site ID: 0000 Certification Type: WAIVER Director: Roman A. Koldayev, M.D. Phone: (516) 431-4400 Fax: (516) 431-1622 Address: 640 W Broadway, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Reuben Barkhordar Contact Phone: (516) 431-4400 CLIA #: 33D0154213