New York State Department of Health, Wadsworth Center
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Stony Brook Children's Service
PFI: T002 Secondary Site ID: 0000 Certification Type: PPMP Director: Saiqa H Nabi, M.D. Phone: (631) 444-7337 Fax: (631) 444-4990 Address: 4 Smith Haven Mall - Suite 101, Lake Grove, NY 11755 County: Suffolk Country: United States Single or Primary Contact: Tracey Dupree Contact Phone: (631) 444-1362 CLIA #: 33D0993508
PFI: T002 Secondary Site ID: 0002 Certification Type: PPMP Director: Saiqa H Nabi, M.D. Phone: (631) 638-2375 Fax: (631) 581-9561 Address: 269 E Main St, East Islip, NY 11730 County: Suffolk Country: United States Single or Primary Contact: Tracey Dupree Contact Phone: (631) 638-2379 CLIA #: 33D0993508
PFI: T002 Secondary Site ID: 0004 Certification Type: PPMP Director: Saiqa H Nabi, M.D. Phone: (631) 638-2900 Fax: (631) 878-8083 Address: 600 Main Street Suite A, Center Moriches, NY 11934 County: Suffolk Country: United States Single or Primary Contact: Tracey Dupree Contact Phone: (631) 638-2903 CLIA #: 33D0993508
PFI: T003 Secondary Site ID: 0001 Certification Type: WAIVER Director: William M Caldwell, D.O. Phone: (631) 723-5000 Fax: (631) 723-5010 Address: 225 W Montauk Highway, Hampton Bays, NY 11946 County: Suffolk Country: United States Single or Primary Contact: John Rohan Contact Phone: (631) 444-2975 CLIA #: 33D2011541
PFI: T003 Secondary Site ID: 0002 Certification Type: WAIVER Director: William M Caldwell, D.O. Phone: (631) 638-0773 Fax: (631) 638-0765 Address: 500 Commack Rd - Suite 100, Commack, NY 11725 County: Suffolk Country: United States Single or Primary Contact: John Rohan Contact Phone: (631) 444-2976 CLIA #: 33D2011541
Stony Brook Anaesthesiology UFPC - Pain Management Center
PFI: T003 Secondary Site ID: 0000 Certification Type: WAIVER Director: William M Caldwell, D.O. Phone: (631) 638-0800 Fax: (631) 638-0765 Address: 4 Smith Haven Mall, Suite 102, Lake George, NY 11755 County: Suffolk Country: United States Single or Primary Contact: John Rohan Contact Phone: (631) 444-2975 CLIA #: 33D2011541
PFI: T022 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Faisal M Huq Ronny, M.D., Ph.D. Phone: (212) 238-7044 Fax: (212) 238-7562 Address: 227 Madison St - Rm 140 1st Fl, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Shana Ahmad Contact Phone: (212) 238-7044 CLIA #: 33D0674138
PFI: T025 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew A Stupple, M.D. Phone: (845) 687-9847 Fax: (845) 687-9751 Address: 30 School Hill Road, High Falls, NY 12440 County: Ulster Country: United States Single or Primary Contact: Charles Foster Contact Phone: (845) 687-9847 CLIA #: 33D2011864
PFI: T028 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (718) 559-3600 Fax: (718) 559-3636 Address: 136-17 39th Ave - Suite CF-E, Flushing, NY 11354 County: Queens Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6116 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0119 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (646) 975-3700 Fax: (646) 975-3701 Address: 22 W 15th St - Ground Floor, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0093 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (631) 758-5858 Fax: (631) 447-6372 Address: 1723A North Ocean Avenue, Medford, NY 11763 County: Suffolk Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
NHPP Pulmonary and Sleep Medicine at New Hyde Park
PFI: T028 Secondary Site ID: 0101 Certification Type: WAIVER Director: Rubina S Cocker, M.D. Phone: (516) 326-0707 Fax: (516) 326-1101 Address: 3003 New Hyde Park Rd - Suite 303, New Hyde Park, NY 11041 County: Nassau Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220