New York State Department of Health, Wadsworth Center
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Guthrie - Gastroenterology
PFI: U632 Secondary Site ID: 0010 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 272-5011 Fax: Address: 2435 N Triphammer Rd, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 272-5011 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0004 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 428-5757 Fax: (607) 428-5759 Address: 11 Alvena Avenue - Suite 103, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 428-5757 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0007 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 219-4600 Fax: Address: 720 Willow Ave, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 330-0489 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0008 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 257-5858 Fax: Address: 1780 Hanshaw Rd, Ithaca, NY 14850 County: Tompkins Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (607) 257-5858 CLIA #: 33D2091475
PFI: U632 Secondary Site ID: 0000 Certification Type: WAIVER Director: Philip A Heavner, M.D. Phone: (607) 753-9977 Fax: (607) 887-6864 Address: 4057 West Rd, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Tonya Wilhelm Contact Phone: (570) 887-5087 CLIA #: 33D2091475
PFI: U633 Secondary Site ID: 0000 Certification Type: PPMP Director: Victor O Idahosa, M.D. Phone: (607) 821-2444 Fax: (607) 948-1030 Address: 348 Broad Street, Waverly, NY 14892 County: Tioga Country: United States Single or Primary Contact: Victor O. Idahosa Contact Phone: (646) 919-0354 CLIA #: 33D2089324
PFI: U640 Secondary Site ID: 0001 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 758-8699 Fax: (516) 455-9773 Address: 185 Central Avenue, Bethpage, NY 11714 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0002 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 248-6868 Fax: (516) 248-6841 Address: 1000 Franklin Ave - Suite 100/300, Garden City, NY 11530 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0003 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 663-2169 Fax: (516) 663-2179 Address: 200 Old Country Rd, Mineola, NY 11501 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0007 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 877-5481 Fax: (516) 935-8826 Address: 875 Old Country Rd - Suite 102, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0008 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 663-2588 Fax: (516) 663-4644 Address: 222 Station Plaza North, Mineola, NY 11501 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0010 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 422-3200 Fax: (631) 422-6597 Address: 1486A Deer Park Ave, North Babylon, NY 11703 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0016 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (516) 763-2800 Fax: (516) 763-2594 Address: 242 Merrick Rd - Suite 402, Rockville Centre, NY 11570 County: Nassau Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0018 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 386-3500 Fax: (516) 663-8824 Address: 889 Main East Street, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0019 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 635-5440 Fax: (631) 315-5510 Address: 11700 Main Rd - Unit 5, Mattituck, NY 11952 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0024 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 422-9355 Fax: (631) 669-8763 Address: 580 E Sunrise Hwy, West Babylon, NY 11704 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0025 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 587-6060 Fax: (631) 587-1364 Address: 986 Sunrise Hwy, North Babylon, NY 11703 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0026 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 477-0070 Fax: (631) 477-8983 Address: 74825 Main Rd, Greenport, NY 11944 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243
PFI: U640 Secondary Site ID: 0028 Certification Type: PPMP Director: Philip D. Ragno, M.D. Phone: (631) 727-2100 Fax: (631) 727-2646 Address: 1279 E Main Street, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Claudia D. Urena Contact Phone: (516) 663-3114 CLIA #: 33D0158243