New York State Department of Health, Wadsworth Center
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PFI: F073 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ralph R Mader, M.D. Phone: (718) 336-2244 Fax: (718) 513-6991 Address: 1220 Ave P, Brooklyn, NY 11229 County: Kings Country: United States Single or Primary Contact: Jeremy Lebovitch Contact Phone: (718) 336-2244 CLIA #: 33D2253948
PFI: F108 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leilanie E Martin, N.P. Phone: (718) 790-0904 Fax: Address: 3640 Johnson Ave - PR1A Front Off, Bronx, NY 10463 County: Bronx Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2255215
PFI: F114 Secondary Site ID: 0000 Certification Type: WAIVER Director: Olateju I Odumosu, N.P. Phone: (315) 610-6702 Fax: (315) 610-6703 Address: 2025 Central Park Ave, Suite 203, Yonkers, NY 10710 County: Westchester Country: United States Single or Primary Contact: Teju Odumosu Contact Phone: (315) 610-6702 CLIA #: 33D2256954
PFI: F119 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gordon C Davis, D.O. Phone: (718) 749-9059 Fax: (718) 749-9428 Address: 2517 86th St, Brooklyn, NY 11214 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2254634
PFI: F127 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin C. Masarech, M.D. Phone: (607) 334-5564 Fax: (607) 334-2203 Address: 5862 County Rd 32 Suite 2, Norwich, NY 13815 County: Chenango Country: United States Single or Primary Contact: James Dean Contact Phone: (607) 334-5564 CLIA #: 33D2255241
Clementine Hudson Valley Legal Entity Eating Disorder Treatment NY LL
PFI: F128 Secondary Site ID: 0000 Certification Type: WAIVER Director: Molly M Perlman, M.D. Phone: (914) 370-4699 Fax: (914) 763-3901 Address: 171 South Main St, South Salem, NY 10590 County: Westchester Country: United States Single or Primary Contact: Chris King Contact Phone: (786) 478-9881 CLIA #: 33D2255242
PFI: F135 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel M Frogel, M.D. Phone: (929) 476-0448 Fax: (212) 202-5141 Address: 275 Madison Ave, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Ilana Kantor Contact Phone: (908) 588-3635 CLIA #: 33D2255510
PFI: F136 Secondary Site ID: 0000 Certification Type: WAIVER Director: Julietta Fiscella, M.D. Phone: (585) 341-7066 Fax: Address: 2400 S Clinton Ave - Bldg H Ste 135, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Matthew Stewart Contact Phone: (585) 341-8458 CLIA #: 33D2255511
PFI: F165 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michelle D Neier, M.D. Phone: (212) 475-4245 Fax: (212) 475-4399 Address: 337 E 17th St, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Melinda Trueblood Contact Phone: (212) 475-4245 CLIA #: 33D2259709
PFI: F165 Secondary Site ID: 0005 Certification Type: WAIVER Director: Michelle D Neier, M.D. Phone: (212) 475-4245 Fax: Address: 2190 Dr Martin Luther King Jr Blvd, Bronx, NY 10453 County: Bronx Country: United States Single or Primary Contact: Melinda Trueblood Contact Phone: (212) 475-4245 CLIA #: 33D2259709