New York State Department of Health, Wadsworth Center
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Support and Connection Center (SCC)
PFI: P183 Secondary Site ID: 0005 Certification Type: WAIVER Director: Miranda J Von Dornum, M.D. Phone: (555) 555-5555 Fax: (212) 529-4781 Address: 179 E 116th St, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Nathalia Espinal Contact Phone: CLIA #: 33D0999676
PFI: P183 Secondary Site ID: 0000 Certification Type: WAIVER Director: Miranda J Von Dornum, M.D. Phone: (212) 533-8400 Fax: (212) 529-4781 Address: 8 E Third St, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Nathalia Espinal Contact Phone: (212) 620-0340 CLIA #: 33D0999676
PFI: P183 Secondary Site ID: 0007 Certification Type: WAIVER Director: Miranda J Von Dornum, M.D. Phone: (212) 620-0340 Fax: (929) 475-4385 Address: 539 W 59th St, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Nathalia Espinal Contact Phone: CLIA #: 33D0999676
PFI: P234 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert J. Paeglow, M.D. Phone: (518) 689-0282 Fax: (518) 689-0283 Address: 553 Clinton Avenue, Albany, NY 12206 County: Albany Country: United States Single or Primary Contact: Corrie Paeglow Contact Phone: (518) 689-0282 CLIA #: 33D0998757
PFI: P251 Secondary Site ID: 0000 Certification Type: PPMP Director: Douglas J Kim, M.D. Phone: (518) 562-7580 Fax: (518) 562-7910 Address: 77 Plaza Blvd, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Pamela Ormsby Contact Phone: (518) 562-7778 CLIA #: 33D0999321
PFI: P251 Secondary Site ID: 0010 Certification Type: PPMP Director: Douglas J Kim, M.D. Phone: (518) 314-3460 Fax: (518) 314-3464 Address: 210 Cornelia St - Suite 401, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Pamela Ormsby Contact Phone: (518) 314-3945 CLIA #: 33D0999321
PFI: P251 Secondary Site ID: 0009 Certification Type: PPMP Director: Douglas J Kim, M.D. Phone: (518) 314-3511 Fax: (518) 314-3843 Address: 206 Cornelia St - Suite 202, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Pamela Ormsby Contact Phone: (518) 314-3341 CLIA #: 33D0999321
PFI: P251 Secondary Site ID: 0008 Certification Type: PPMP Director: Douglas J Kim, M.D. Phone: (518) 314-3070 Fax: Address: 214 Cornelia St - Suite 103, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Pamela Ormsby Contact Phone: (518) 566-7771 CLIA #: 33D0999321
PFI: P251 Secondary Site ID: 0006 Certification Type: PPMP Director: Douglas J Kim, M.D. Phone: (518) 561-3900 Fax: (518) 561-7843 Address: 15 DeGrandpe Way, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Pamela Ormsby Contact Phone: (518) 314-3901 CLIA #: 33D0999321
UVM Health Network - Occupational Health and Wellness
PFI: P251 Secondary Site ID: 0007 Certification Type: PPMP Director: Douglas J Kim, M.D. Phone: (518) 562-7305 Fax: (518) 562-7568 Address: 23 Hammond Lane, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Pamela Ormsby Contact Phone: (518) 651-6587 CLIA #: 33D0999321