PFI: U113 Secondary Site ID: 0000 Certification Type: WAIVER Director: Arthur M Kozin, M.D. Phone: (845) 503-1333 Fax: Address: 475 New Hempstead Road, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Mary London Contact Phone: (845) 678-2507 CLIA #: 33D2075514
PFI: U116 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paula M Castano, M.D. Phone: (212) 373-5200 Fax: (212) 373-5235 Address: 5 Columbus Circle - 12th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Marshall Heck Contact Phone: (646) 753-0359 CLIA #: 33D2070236
PFI: U124 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph L Racanelli, M.D. Phone: (845) 220-2222 Fax: (845) 220-2241 Address: 745 Rte 17M, Monroe, NY 10950 County: Orange Country: United States Single or Primary Contact: James Revella Contact Phone: (845) 220-2222 CLIA #: 33D2067658
PFI: U126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph L Racanelli, M.D. Phone: (845) 220-2222 Fax: (845) 220-2241 Address: 575 Hudson Valley Avenue, New Windsor, NY 12553 County: Orange Country: United States Single or Primary Contact: Melyssa DeLorenzo Contact Phone: (845) 220-2222 CLIA #: 33D2067662
St Francis Cardiovascular Physicians PC Rockville Centre Cardio Svcs
PFI: U145 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thierry Duchatellier, M.D. Phone: (516) 678-1444 Fax: (516) 678-1023 Address: 2000 N Village Ave - Suite 108, Rockville Centre, NY 11570 County: Nassau Country: United States Single or Primary Contact: Fatima Duchatellier Contact Phone: (516) 678-1444 CLIA #: 33D2068510
Michael Callen-Audre Lorde Community Health Center
PFI: U146 Secondary Site ID: 0000 Certification Type: PPMP Director: Eunmee H Chun, M.D. Phone: (212) 271-7200 Fax: (212) 271-7225 Address: 356 W 18th Street, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Massiel Heffner Contact Phone: (212) 271-7230 CLIA #: 33D2072027
PFI: U150 Secondary Site ID: 0000 Certification Type: WAIVER Director: John McIntyre, M.D. Phone: (518) 636-5726 Fax: (518) 636-5727 Address: 16 Pearl Street, Ste 208, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Adrianne Mann Contact Phone: (585) 295-6444 CLIA #: 33D2068049