New York State Department of Health, Wadsworth Center
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Narrows Kidney Center
PFI: P978 Secondary Site ID: 0000 Certification Type: WAIVER Director: Reynaldo Tan, M.D. Phone: (718) 836-8444 Fax: (718) 836-0918 Address: 6520 Fort Hamilton Parkway, Brooklyn, NY 11219 County: Kings Country: United States Single or Primary Contact: Carol Crescenzo Contact Phone: (914) 598-6894 CLIA #: 33D1026802
PFI: P982 Secondary Site ID: 0000 Certification Type: WAIVER Director: Muataz Jaber, M.D. Phone: (212) 499-4720 Fax: (212) 499-4740 Address: 420 Lexington Avenue, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Michelle Dunn Contact Phone: (347) 643-8177 CLIA #: 33D1026882
PFI: P983 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter E Gordon, M.D. Phone: (518) 938-1108 Fax: (518) 314-0506 Address: 11 Moore Ave, Chatham, NY 12037 County: Columbia Country: United States Single or Primary Contact: Adam Weiss Contact Phone: (518) 567-1410 CLIA #: 33D1025796
PFI: P991 Secondary Site ID: 0001 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 781-8448 Fax: (315) 781-8444 Address: 601 B Washington St, Geneva, NY 14456 County: Ontario Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0003 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 776-9700 Fax: Address: 60 Main Street, Port Byron, NY 13140 County: Cayuga Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0005 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (607) 776-3063 Fax: Address: 6890 County Rte 113, Bath, NY 14810-1636 County: Steuben Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0006 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 781-8448 Fax: (315) 781-8444 Address: 7150 Main Street, Ovid, NY 14521 County: Seneca Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0007 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 573-7577 Fax: (315) 483-2451 Address: 513 W Union Street, Newark, NY 14513 County: Wayne Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0008 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 531-9102 Fax: (315) 781-8444 Address: 1 School Dr, Penn Yan, NY 14527 County: Yates Country: United States Single or Primary Contact: Contact Phone: (315) 531-9102 CLIA #: 33D1026363
PFI: P991 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ellen Hey, N.P. Phone: (315) 483-1199 Fax: (315) 483-2451 Address: 6341 Ridge Road, Sodus, NY 14551 County: Wayne Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D1026363
PFI: P993 Secondary Site ID: 0000 Certification Type: WAIVER Director: Raymund V Sison, M.D. Phone: (212) 334-6029 Fax: (212) 334-7956 Address: 400 Broadway, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Mihaela Mihai Contact Phone: (646) 884-5373 CLIA #: 33D0994889
St Josephs Hospital Center for Wound Care and Hyperbaric Medicine
PFI: R034 Secondary Site ID: 0000 Certification Type: WAIVER Director: Margaret D Plocek, M.D. Phone: (315) 329-2600 Fax: (315) 744-1936 Address: 4206 Medical Ctr Dr - Ste 206, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Lori Mathews Contact Phone: (315) 329-2600 CLIA #: 33D1028540
PFI: R041 Secondary Site ID: 0012 Certification Type: WAIVER Director: Frank Scafuri, D.O. Phone: (718) 808-1300 Fax: (718) 808-1394 Address: 56 Bay St, Staten Island, NY 10301 County: Richmond Country: United States Single or Primary Contact: Shanda Kearse Contact Phone: (718) 808-1313 CLIA #: 33D1020678
Community Health Action of Staten Island (Primary)
PFI: R041 Secondary Site ID: 0000 Certification Type: WAIVER Director: Frank Scafuri, D.O. Phone: (718) 808-1313 Fax: (718) 808-1394 Address: 26 Bay St - 4th Fl, Staten Island, NY 10301 County: Richmond Country: United States Single or Primary Contact: Shanda Kearse Contact Phone: (718) 808-1313 CLIA #: 33D1020678