New York State Department of Health, Wadsworth Center
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Walgreens No. 19684
PFI: E454 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (607) 273-2035 Fax: (607) 273-0316 Address: 330 Pine Tree Rd, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240889
PFI: E456 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 623-9251 Fax: (518) 623-9167 Address: 3864 Main St, Warrensburg, NY 12885 County: Warren Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240891
PFI: E457 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 352-4020 Fax: (585) 352-4385 Address: 2841 Nichols St, Spencerport, NY 14559 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240893
PFI: E460 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 477-8166 Fax: (518) 479-0825 Address: 1645 Columbia Tpke, Castleton, NY 12033 County: Rensselaer Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240897
PFI: E462 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 747-9184 Fax: (518) 746-0861 Address: 92 Main St, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240901
PFI: E468 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 597-6695 Fax: (315) 597-3583 Address: 609 E Main St, Palmyra, NY 14522 County: Wayne Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240918
PFI: E469 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 434-0220 Fax: (518) 434-2973 Address: 305 Columbia St, Rensselaer, NY 12144 County: Rensselaer Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240919
PFI: E470 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 589-5639 Fax: (585) 589-5898 Address: 10 East Ave, Albion, NY 14411 County: Orleans Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2240920
PFI: E478 Secondary Site ID: 0000 Certification Type: WAIVER Director: Carmen Jay Ellie, Jr., M.D. Phone: (585) 889-6246 Fax: (585) 889-6284 Address: 13 Beckwith Ave, Scottsville, NY 14546 County: Monroe Country: United States Single or Primary Contact: Stephen Kenny Contact Phone: (585) 889-6246 CLIA #: 33D2237290
Columbia University Department of Vascular Surgery
PFI: E488 Secondary Site ID: 0000 Certification Type: WAIVER Director: Virendra I Patel, M.D. Phone: (212) 305-1028 Fax: (212) 342-2138 Address: 161 Fort Washington Ave - 5th Fl, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Xiomara Ventura Contact Phone: (212) 305-1595 CLIA #: 33D2239366
PFI: E489 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 600-1985 Fax: (833) 989-0995 Address: 152 W 57th St - 6th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0002 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 600-1985 Fax: (212) 600-1948 Address: 135 W 27th St - 2nd Floor, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0004 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 931-6402 Fax: (646) 993-3227 Address: 225 Liberty St - 31st Fl, New York, NY 10281 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575
PFI: E489 Secondary Site ID: 0001 Certification Type: WAIVER Director: Sherin Mermash, M.D. Phone: (212) 279-1890 Fax: (212) 600-1948 Address: 750 Third Ave - Ground Fl, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Viviane Teixeira Contact Phone: (917) 971-7195 CLIA #: 33D2239575