PFI: T463 Secondary Site ID: 0010 Certification Type: PPMP Director: Angel L. Rodriguez, M.D. Phone: (212) 305-5201 Fax: (844) 345-0514 Address: 51 W 51st St - Suite 375, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Carolina Bueno Contact Phone: (914) 337-1610 CLIA #: 33D0140654
PFI: T466 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric G Gayle, M.D. Phone: (212) 987-0994 Fax: (212) 722-5435 Address: 1701 Lexington Avenue, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D2034763
Green Manor Dialysis Center LLC Columbia-Greene Dialysis Centers
PFI: T474 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vinod Anand, M.D. Phone: (518) 943-1404 Fax: (518) 943-2602 Address: 159 Jefferson Heights, Catskill, NY 12414 County: Greene Country: United States Single or Primary Contact: Mary Callahan Contact Phone: (518) 943-1404 CLIA #: 33D2035472
PFI: T477 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marc Brown, M.D. Phone: (212) 326-5580 Fax: (212) 326-8876 Address: 51 W 51st St - Suite 300, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Diana Kandefer Contact Phone: (212) 326-5580 CLIA #: 33D2035621
PFI: T482 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph H Ottolenghi, M.D. Phone: (718) 349-9100 Fax: (718) 349-9458 Address: 147-32 Jamaica Avenue, Jamaica, NY 11435 County: Queens Country: United States Single or Primary Contact: Kelly Mallinson Contact Phone: (718) 349-9100 CLIA #: 33D2037599
NYU Langone Orthopedic Hospital Ambulatory Care Service
PFI: T484 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey S. Jhang, M.D. Phone: (212) 263-8443 Fax: (212) 263-7690 Address: 324 East 23rd Street - Grd Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Neldis Sanchez Contact Phone: (212) 263-8443 CLIA #: 33D2036370
Brooks - TLC Hospital System Outpatient Chemical Dependency Services
PFI: T490 Secondary Site ID: 0004 Certification Type: WAIVER Director: John F. Orosz, M.D. Phone: (716) 595-3355 Fax: (716) 595-3427 Address: 33 N Main Street, Cassadaga, NY 14718 County: Chautauqua Country: United States Single or Primary Contact: Carroll Nalepa Contact Phone: 71659533551204 CLIA #: 33D2036970