New York State Department of Health, Wadsworth Center
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MVHS Medical Group-Clinton Medical Office
PFI: P125 Secondary Site ID: 0010 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 853-5532 Fax: (315) 853-1003 Address: 101 College Street, Clinton, NY 13323 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
PFI: P125 Secondary Site ID: 0011 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 732-7313 Fax: (315) 732-7030 Address: 417 Trenton Road, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
PFI: P125 Secondary Site ID: 0014 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 336-8260 Fax: (315) 356-4957 Address: 1617 N James Street, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
PFI: P125 Secondary Site ID: 0015 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 366-3700 Fax: (315) 366-3420 Address: 131 Main Street, Oneida, NY 13421 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
MVHS Medical Group - Pulmonary and Critical Care Office
PFI: P125 Secondary Site ID: 0017 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 624-8400 Fax: (315) 735-2021 Address: 35 Riverside Dr, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
PFI: P125 Secondary Site ID: 0009 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 624-4090 Fax: (315) 624-4095 Address: 601 State Street - Suite 303, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8176 CLIA #: 33D0868349
PFI: P137 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael K Weinberger, M.D. Phone: (212) 617-1183 Fax: (212) 617-9819 Address: 731 Lexington Ave - Lower Level 2, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Vanessa Weedman Contact Phone: (615) 468-5507 CLIA #: 33D0996896
PFI: P140 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dallas L. Nelson, M.D. Phone: (585) 586-7433 Fax: (585) 586-7799 Address: 1700 Penfield Road, Penfield, NY 14526 County: Monroe Country: United States Single or Primary Contact: Robert M Rubens Contact Phone: (585) 586-7433 CLIA #: 33D0686661
PFI: P147 Secondary Site ID: 0000 Certification Type: WAIVER Director: David J. Novelli, M.D. Phone: (716) 655-8776 Fax: (716) 655-7877 Address: 1038 Davis Road, West Falls, NY 14170 County: Erie Country: United States Single or Primary Contact: Jennifer Gemerek Contact Phone: (716) 655-8776 CLIA #: 33D0995891
PFI: P156 Secondary Site ID: 0000 Certification Type: WAIVER Director: Amit Shembekar, M.D. Phone: (914) 337-3071 Fax: (914) 337-3079 Address: 257 Main St, Eastchester, NY 10709 County: Westchester Country: United States Single or Primary Contact: Mark Baumblatt Contact Phone: (914) 760-4444 CLIA #: 33D0996431