PFI: S834 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Jessica L. Jacobson, M.D. Phone: (212) 562-3411 Fax: (212) 263-8284 Address: 462 First Ave, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Patience Mancho Contact Phone: (212) 562-3411 CLIA #: 33D0653357
PFI: S835 Secondary Site ID: 0000 Certification Type: WAIVER Director: David M Landsberg, M.D. Phone: (315) 494-1069 Fax: (315) 494-1071 Address: 3703 Lee Mulroy Road, Marcellus, NY 13108 County: Onondaga Country: United States Single or Primary Contact: Stephen Knapp Contact Phone: (315) 494-1069 CLIA #: 33D2007211
PFI: S842 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Kristin L Sticco, D.O. Phone: (516) 632-3932 Fax: (516) 336-2950 Address: One Healthy Way, Oceanside, NY 11572 County: Nassau Country: United States Single or Primary Contact: Peter Masiakos Contact Phone: (516) 497-7358 CLIA #: 33D0154862
PFI: S843 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristen M Bernockie, N.P. Phone: (518) 822-9008 Fax: (518) 836-0633 Address: 199 Fairview Avenue, Hudson, NY 12534 County: Columbia Country: United States Single or Primary Contact: Diana Deleon Contact Phone: (518) 956-2573 CLIA #: 33D2008076
PFI: S846 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Shikhar G Vyas, M.D. Phone: (315) 785-4506 Fax: (315) 779-5121 Address: 830 Washington Street, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Anthony Marra Contact Phone: (315) 785-4506 CLIA #: 33D0167537
PFI: S856 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Christopher B. Gerlach, D.O. Phone: (315) 255-7011 Fax: (315) 255-7087 Address: 17 Lansing Street, Auburn, NY 13021 County: Cayuga Country: United States Single or Primary Contact: Mr. John W Bagenski Contact Phone: (315) 255-7328 CLIA #: 33D0668978
PFI: S858 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Ronald P. Walsh, M.D. Phone: (914) 361-6283 Fax: (914) 663-9619 Address: 12 N Seventh Ave, Mount Vernon, NY 10550 County: Westchester Country: United States Single or Primary Contact: Jennifor Hall Contact Phone: (914) 361-6283 CLIA #: 33D0138520