New York State Department of Health, Wadsworth Center
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Wyckoff Doctor
PFI: W117 Secondary Site ID: 0000 Certification Type: WAIVER Director: Wilhelmina P. Cruz-Vetrano, M.D. Phone: (718) 907-4301 Fax: Address: 1419 Myrtle Ave, Brooklyn, NY 11237 County: Kings Country: United States Single or Primary Contact: J. Alex Chunga Contact Phone: (718) 963-7519 CLIA #: 33D2108443
PFI: W118 Secondary Site ID: 0000 Certification Type: WAIVER Director: Theresa A Mack, M.D. Phone: (212) 523-8672 Fax: (212) 636-3000 Address: 2771 Frederick Douglas Blvd, New York, NY 10039 County: New York Country: United States Single or Primary Contact: Tameca Mckenzie Contact Phone: (212) 636-3141 CLIA #: 33D2114006
PFI: W119 Secondary Site ID: 0001 Certification Type: WAIVER Director: Bruce E. Petersen, M.D. Phone: (212) 426-0190 Fax: (212) 426-4260 Address: 241 E 86th St, New York, NY 10128 County: New York Country: United States Single or Primary Contact: Amy Nelson Contact Phone: (347) 859-5791 CLIA #: 33D2111232
Mount Sinai School of Medicine Faculty Practice Associates
PFI: W119 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bruce E. Petersen, M.D. Phone: (212) 731-3204 Fax: Address: 234 E 85th St, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Amy Nelson Contact Phone: (212) 241-0841 CLIA #: 33D2111232
PFI: W121 Secondary Site ID: 0001 Certification Type: PPMP Director: Faisal M. Huq Ronny, M.D., Ph.D. Phone: (212) 387-7400 Fax: (212) 387-7432 Address: 540 E 13th Street, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Shana Ahmad Contact Phone: (212) 238-7044 CLIA #: 33D2108475
PFI: W121 Secondary Site ID: 0000 Certification Type: PPMP Director: Faisal M. Huq Ronny, M.D., Ph.D. Phone: (212) 925-5000 Fax: (212) 925-7532 Address: 34 Spring Street, New York, NY 10012 County: New York Country: United States Single or Primary Contact: Shana Ahmad Contact Phone: (212) 238-7044 CLIA #: 33D2108475
PFI: W124 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Dunn, M.D. Phone: (315) 375-6546 Fax: (315) 375-8243 Address: 300 Chapman St Rd, Morristown, NY 13664 County: St. Lawrence Country: United States Single or Primary Contact: Kelly Nowell Contact Phone: (315) 713-6605 CLIA #: 33D2109116
PFI: W126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason S Zimmerman, D.O. Phone: (718) 467-8222 Fax: (718) 467-9222 Address: 2593 West 13th St, Brooklyn, NY 11223 County: Kings Country: United States Single or Primary Contact: Israel Rosenberg Contact Phone: (718) 467-8222 CLIA #: 33D2111474
PFI: W135 Secondary Site ID: 0000 Certification Type: WAIVER Director: Patrick P Ko, M.D. Phone: (718) 472-5900 Fax: (718) 472-5902 Address: 5-35 50th Avenue, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Adeline Jung Contact Phone: (718) 472-5900 CLIA #: 33D2109125
PFI: W137 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Passanante, M.D. Phone: (646) 604-8150 Fax: (646) 604-8151 Address: 436 Utica Avenue, Brooklyn, NY 11213 County: Kings Country: United States Single or Primary Contact: Mary McGuire Contact Phone: (646) 741-1566 CLIA #: 33D2109129
NYU - HHC Clinical and Transitional Science Institute (HHC 5B)
PFI: W139 Secondary Site ID: 0001 Certification Type: WAIVER Director: Gabrielle Gold-Von Simson, M.D. Phone: (646) 501-2397 Fax: (212) 263-5921 Address: 550 First Ave - MSB 4th FL RM 4-235, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Rosario Medina Contact Phone: (212) 263-6411 CLIA #: 33D2111198
NYU - H + H Clinical and Translational Science Institute
PFI: W139 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gabrielle Gold-Von Simson, M.D. Phone: (212) 263-6411 Fax: (212) 263-5921 Address: 462 First Ave - 4th Fl C/D Bldg, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Rosario Medina Contact Phone: (212) 263-6411 CLIA #: 33D2111198
PFI: W140 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul M Greenberg, D.P.M. Phone: (212) 874-3578 Fax: (212) 496-6601 Address: 101 W 79th Street, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Uliana Saites Contact Phone: (646) 754-4554 CLIA #: 33D0131959