New York State Department of Health, Wadsworth Center
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Mid Hudson Valley Div of Westchester Med Ctr Cert Home Hlth Svcs
PFI: S016 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anupma Agarwal, M.D. Phone: (845) 483-5550 Fax: (845) 483-5478 Address: 241 North Road, Suite 303, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Linda Santiago Contact Phone: (845) 483-5550 CLIA #: 33D1076974
PFI: S018 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert S Crupi, M.D. Phone: (718) 424-2788 Fax: (718) 424-3513 Address: 73-15 Northern Blvd, Jackson Heights, NY 11372 County: Queens Country: United States Single or Primary Contact: Ortiz Bernardo Contact Phone: (718) 670-2354 CLIA #: 33D1076964
PFI: S037 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thomas J. Romano, M.D. Phone: (315) 410-7400 Fax: (315) 452-5726 Address: 5112 W Taft Rd - Suite E, Liverpool, NY 13088 County: Onondaga Country: United States Single or Primary Contact: Ms. Laureen Keegan Contact Phone: (315) 410-7400 CLIA #: 33D1079833
Mather Hospital Northwell Health Wound Treatment Center Port Jefferson
PFI: S050 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel L Perrault, M.D. Phone: (631) 474-4590 Fax: (631) 474-4594 Address: 5225-53 Rte 347 - Bldg 12, Port Jefferson, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Donna Hardwicke Contact Phone: (631) 474-4590 CLIA #: 33D1078901
PFI: S052 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adia K Taylor, D.O. Phone: (585) 589-7505 Fax: Address: 168 South Main St Suite 2, Albion, NY 14411 County: Orleans Country: United States Single or Primary Contact: Joanie Vendetti Contact Phone: (585) 589-7505 CLIA #: 33D1077204
PFI: S058 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmad M Al-Salameh, M.D. Phone: (315) 326-4100 Fax: (315) 343-4782 Address: 29 East Cayuga Street, Oswego, NY 13126 County: Oswego Country: United States Single or Primary Contact: Edward Hale Contact Phone: (315) 349-5683 CLIA #: 33D1077309
Healthy Homes Program - NYC Dept of Health and Mental Hygiene
PFI: S061 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jacqueline Ehrlich, M.D. Phone: (646) 632-6086 Fax: (646) 632-6049 Address: 125 Worth St Rm 618 CN58, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Andrew Faciano Contact Phone: (646) 632-6086 CLIA #: 33D1079074
PFI: S067 Secondary Site ID: 0000 Certification Type: WAIVER Director: Albert J Persia, M.D. Phone: (716) 720-9610 Fax: (716) 720-9609 Address: 715 Falconer Street, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Mala Richard Contact Phone: (716) 720-9610 CLIA #: 33D1078683
PFI: S071 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rosagna A Rubiano, N.P. Phone: (212) 854-2284 Fax: (212) 854-3448 Address: 1116 Amsterdam Ave - Wallach Hall, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Karen Nadeau Contact Phone: (212) 853-4918 CLIA #: 33D1079084
PFI: S079 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Zito, M.D. Phone: (516) 933-6310 Fax: (516) 933-6303 Address: 225 Broadway, Bethpage, NY 11714 County: Nassau Country: United States Single or Primary Contact: Mary Jo Bella Contact Phone: (516) 933-6310 CLIA #: 33D1080387
PFI: S086 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Gorski, M.D. Phone: (516) 437-1349 Fax: (516) 437-4753 Address: 1555 Jericho Turnpike, New Hyde Park, NY 11040 County: Nassau Country: United States Single or Primary Contact: Albert Parillo Contact Phone: (516) 250-9054 CLIA #: 33D1079038
PFI: S089 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rayees Nizam, M.D. Phone: (315) 329-7301 Fax: (315) 329-7302 Address: 4308 Medical Center Drive, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Tabatha Jackson Contact Phone: (315) 329-7301 CLIA #: 33D1079083