New York State Department of Health, Wadsworth Center
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Wayne County Emergency Medical Services
PFI: R384 Secondary Site ID: 0000 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 946-5640 Fax: (315) 946-5827 Address: 1527 Nye Rd, Lyons, NY 14489 County: Wayne Country: United States Single or Primary Contact: James Lee Contact Phone: (315) 946-5712 CLIA #: 33D2347141
Hiram Certified Home Care Co. dba Acacia Certified Home Care Co.
PFI: R385 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin A Grossman, M.D. Phone: (315) 266-0614 Fax: (315) 266-0298 Address: 2150 Bleecker St, Utica, NY 13501 County: Oneida Country: United States Single or Primary Contact: Robert Raffle Contact Phone: (315) 798-4882 CLIA #: 33D1050695
PFI: R391 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 323-1040 Fax: Address: 4657 Culver Rd, Rochester, NY 14622 County: Monroe Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2346725
PFI: R397 Secondary Site ID: 0000 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 774-3210 Fax: (212) 722-6234 Address: 103 E 125th St, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (917) 841-3027 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0015 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 636-4840 Fax: (212) 866-5741 Address: 132-140 West 125th St - 6th Fl, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0007 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 614-2840 Fax: (212) 979-0925 Address: 109-11 Delancey St, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0006 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 420-2079 Fax: (212) 982-6990 Address: 26 Avenue A, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0008 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (718) 965-7900 Fax: (718) 965-1114 Address: 25 12th St, Brooklyn, NY 11215 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R414 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher R Cammarata, D.O. Phone: (716) 664-7353 Fax: (716) 488-2297 Address: 335 East 3rd Street, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Brian Wilcox Contact Phone: (716) 664-7353 CLIA #: 33D1050666
PFI: R415 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi P Cordi, M.D. Phone: (518) 686-4105 Fax: (518) 686-3044 Address: 21 First St, Hoosick Falls, NY 12090 County: Rensselaer Country: United States Single or Primary Contact: John Kervin Contact Phone: (518) 686-4105 CLIA #: 33D1050665
PFI: R417 Secondary Site ID: 0000 Certification Type: WAIVER Director: Romana Kulikova, M.D. Phone: (718) 317-5522 Fax: (718) 317-5919 Address: 260 Christopher Lane, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Adam Smith Contact Phone: (718) 317-5522 CLIA #: 33D1050619
PFI: R419 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael S Seidman, M.D. Phone: (315) 393-4700 Fax: (315) 379-4900 Address: 39 W Main St, Canton, NY 13617 County: St. Lawrence Country: United States Single or Primary Contact: Sheila Perrigo Contact Phone: (315) 713-5025 CLIA #: 33D1050470
PFI: R425 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paolo T Coppola, M.D. Phone: (212) 627-9600 Fax: Address: 19 Union Sq West - 7th Fl, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Tracey Wallace Contact Phone: (631) 696-4357 CLIA #: 33D2346726
PFI: R427 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marina F Caskey, M.D. Phone: (212) 327-8448 Fax: (212) 327-8449 Address: Hospital Bldg - 1230 York Ave, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Barbara O'Sullivan, M.D. Contact Phone: (212) 327-7441 CLIA #: 33D1050725