New York State Department of Health, Wadsworth Center
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The Floating Hospital - PATH
PFI: R546 Secondary Site ID: 0002 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: (917) 521-3070 Fax: (718) 742-6723 Address: 151 E 151st St, Bronx, NY 10451 County: Bronx Country: United States Single or Primary Contact: Linda You Contact Phone: CLIA #: 33D0892575
PFI: R546 Secondary Site ID: 0004 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: (718) 834-6974 Fax: (718) 722-4265 Address: 39 Auburn Place, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Linda You Contact Phone: CLIA #: 33D0892575
PFI: R563 Secondary Site ID: 0003 Certification Type: WAIVER Director: Ira L Salom, M.D. Phone: (718) 447-0200 Fax: (718) 981-1431 Address: 2324 Forest Ave, Staten Island, NY 10303 County: Bronx Country: United States Single or Primary Contact: Sonya Maxwell Contact Phone: 71877885393026 CLIA #: 33D1057857
PFI: R563 Secondary Site ID: 0005 Certification Type: WAIVER Director: Ira L Salom, M.D. Phone: (646) 905-5710 Fax: Address: 335 E 25th St - Suite 1B 1st Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Sonya Maxwell Contact Phone: 71877885393026 CLIA #: 33D1057857
PFI: R570 Secondary Site ID: 0000 Certification Type: WAIVER Director: Barry J. Buls, M.D. Phone: (718) 998-2100 Fax: (718) 998-2951 Address: 1410 E 10th St, Brooklyn, NY 11230 County: Kings Country: United States Single or Primary Contact: Roman Oljanenko Contact Phone: (718) 998-2100 CLIA #: 33D1073449
PFI: R571 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sherman Chan, M.D. Phone: (212) 254-3570 Fax: (212) 254-3572 Address: 380 2nd Avenue 10th Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Fanny Poon Chan Contact Phone: (212) 254-3570 CLIA #: 33D1056679
PFI: R583 Secondary Site ID: 0000 Certification Type: PPMP Director: Chelsea A Faso, M.D. Phone: (212) 865-4104 Fax: (212) 864-5375 Address: 690 Amsterdam Ave, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D1056993
PFI: R585 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi P Cordi, M.D. Phone: (518) 328-8113 Fax: Address: 19 Town Garage Rd, East Nassau, NY 12062 County: Rensselaer Country: United States Single or Primary Contact: Mitchell Levinn Contact Phone: (518) 766-5587 CLIA #: 33D1056992
PFI: R633 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ben Z Cohen, M.D. Phone: (212) 772-6830 Fax: (212) 772-6883 Address: 138-140 E 80th St, New York, NY 10075 County: New York Country: United States Single or Primary Contact: Klein Michael Contact Phone: (908) 472-0440 CLIA #: 33D1059281
Advantage Care Diagnostic Treatment Center - Feeport
PFI: R635 Secondary Site ID: 0001 Certification Type: WAIVER Director: Mary F Mulqueen, M.D. Phone: 51668644012 Fax: Address: 230 Hanse Avenue, Freeport, NY 11520 County: Nassau Country: United States Single or Primary Contact: Mary Fullam Contact Phone: (516) 686-4400 CLIA #: 33D1057847
PFI: R635 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mary F Mulqueen, M.D. Phone: (516) 686-4400 Fax: (516) 629-3046 Address: 189 Wheatley Rd, Brookville, NY 11545 County: Nassau Country: United States Single or Primary Contact: Mary Fullam Contact Phone: (516) 686-4400 CLIA #: 33D1057847
PFI: R637 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rose Anna G Roantree, D.O. Phone: (845) 497-3186 Fax: (845) 497-3185 Address: 7 North St, Washingtonville, NY 10992 County: Orange Country: United States Single or Primary Contact: Brian Bates Contact Phone: 845497318641 CLIA #: 33D1059107
PFI: R644 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nina R Priven, M.D. Phone: (212) 523-8672 Fax: (212) 362-2110 Address: 2109 Broadway, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Elizabeth Hinc Contact Phone: (212) 362-2208 CLIA #: 33D0707055