New York State Department of Health, Wadsworth Center
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URMC Urology - Canandaigua
PFI: S888 Secondary Site ID: 0005 Certification Type: WAIVER Director: Ka Keung Chan, Ph.D. Phone: (585) 275-2838 Fax: (585) 756-5457 Address: 699 South Main St. - Suite 6, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Staci Evenhouse Contact Phone: (585) 275-7675 CLIA #: 33D2008366
PFI: S889 Secondary Site ID: 0000 Certification Type: WAIVER Director: Keith A. Nichols, M.D. Phone: (607) 589-6435 Fax: (607) 589-6708 Address: 47 W Tioga Street, Spencer, NY 14883 County: Tioga Country: United States Single or Primary Contact: Andrew Hebbard Contact Phone: (607) 589-4302 CLIA #: 33D2008439
PFI: S900 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: John M. Fisk, M.D. Phone: (518) 254-3343 Fax: (518) 234-8630 Address: 178 Grandview Dr, Cobleskill, NY 12043 County: Schoharie Country: United States Single or Primary Contact: Ullas C Joseph Contact Phone: (607) 547-6981 CLIA #: 33D0161032
PFI: S904 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Douglas J Kim, M.D. Phone: (518) 562-7778 Fax: (518) 562-7415 Address: 75 Beekman Street, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Jeannine Yanulavich Contact Phone: (518) 562-7988 CLIA #: 33D0654503
PFI: S905 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Adrianna Z Herskovits, M.D., Ph.D. Phone: (646) 888-5425 Fax: (646) 888-4947 Address: 300 E 66th St - 4th Fl, New York, NY 10065 County: New York Country: United States Single or Primary Contact: John McGovern Contact Phone: (646) 608-1307 CLIA #: 33D0671331
PFI: S909 Secondary Site ID: 0000 Certification Type: WAIVER Director: Cheryl C Mattern, M.D. Phone: (315) 207-0120 Fax: (315) 207-0209 Address: 437 State Rte 104 E, Oswego, NY 13126 County: Oswego Country: United States Single or Primary Contact: Francesca White Contact Phone: (772) 216-2789 CLIA #: 33D2015733