New York State Department of Health, Wadsworth Center
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Urgent Care Med of New York LLC dba Yale New Haven Health Urgent Care
PFI: W480 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeannie M Kenkare, D.O. Phone: (914) 743-1881 Fax: (914) 743-1882 Address: 3085 E Main St - Suite 12A, Mohegan Lake, NY 10547 County: Westchester Country: United States Single or Primary Contact: Lindsey Rocha Contact Phone: (860) 430-1246 CLIA #: 33D2117596
PFI: W483 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael A Rauh, M.D. Phone: (716) 740-8330 Fax: (716) 740-8418 Address: 5959 Big Tree Rd - Suite 100, Orchard Park, NY 14127 County: Erie Country: United States Single or Primary Contact: Mary R Graham Contact Phone: (716) 440-0922 CLIA #: 33D2116442
PFI: W487 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gary M Freeman, M.D. Phone: (315) 413-0004 Fax: (315) 413-0828 Address: 4820 W Taft Rd - Suite 108, Liverpool, NY 13088 County: Onondaga Country: United States Single or Primary Contact: Annmarie Landers Contact Phone: (315) 413-0004 CLIA #: 33D1058950
PFI: W494 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph C Biondolillo, O.D. Phone: (716) 649-1010 Fax: (716) 649-1382 Address: 206 Lake Street, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Cynthia Abulone Contact Phone: (716) 649-1010 CLIA #: 33D2116639
PFI: W496 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jay D Tortell, M.D. Phone: (516) 779-4886 Fax: (718) 651-5397 Address: 37-17 76th Street, Jackson Heights, NY 11372 County: Queens Country: United States Single or Primary Contact: Jeannine Wynne Contact Phone: (516) 779-4886 CLIA #: 33D2117521
PFI: W505 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vivian O Adeyemo, M.D. Phone: (347) 378-9898 Fax: (844) 803-8106 Address: 1985 Marcus Ave - Suite 110, New Hyde Park, NY 11042 County: Nassau Country: United States Single or Primary Contact: Stephen Bredemeier Contact Phone: (804) 380-3501 CLIA #: 33D2118738
PFI: W506 Secondary Site ID: 0000 Certification Type: WAIVER Director: Konstantin Vasyukevich, M.D. Phone: (212) 380-3634 Fax: (212) 380-3673 Address: 59 E 79th St - 1st Floor, New York, NY 10075 County: New York Country: United States Single or Primary Contact: Maria Kubiak Contact Phone: CLIA #: 33D2120143
PFI: W510 Secondary Site ID: 0000 Certification Type: WAIVER Director: Benjamin R Hodson, M.D. Phone: (518) 235-5431 Fax: Address: 146 Speigletown Road, Troy, NY 12182 County: Rensselaer Country: United States Single or Primary Contact: Lawrence Funk Contact Phone: (518) 937-3969 CLIA #: 33D2116658
PFI: W514 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alla Goldberg, M.D. Phone: (646) 931-1000 Fax: (718) 275-0456 Address: 74-07 88th Street, Glendale, NY 11385 County: Queens Country: United States Single or Primary Contact: Miles Davis Contact Phone: (646) 931-1000 CLIA #: 33D2117603
PFI: W519 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rahul Sharma, M.D. Phone: (212) 746-0885 Fax: (212) 746-5476 Address: 525 E 68th St - Rm M-101, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Keith Herrera Contact Phone: (212) 746-0885 CLIA #: 33D2118451
PFI: W528 Secondary Site ID: 0000 Certification Type: PPMP Director: Kenya M Parks-Dayer, M.D. Phone: (212) 241-8015 Fax: (212) 241-2150 Address: 2351 First Ave, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Kenya M Parks, M.D. Contact Phone: (212) 241-8015 CLIA #: 33D2118743
PFI: W531 Secondary Site ID: 0005 Certification Type: WAIVER Director: Daniel P Pisaniello, M.D. Phone: (315) 779-1772 Fax: (315) 782-0609 Address: 1130 State St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: John Wilson Contact Phone: (315) 779-1772 CLIA #: 33D2118774