PFI: Y001 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian Barlow, M.D. Phone: (607) 847-8127 Fax: Address: 167 State Hwy 80, New Berlin, NY 13411 County: Otsego Country: United States Single or Primary Contact: Mark Johnson Contact Phone: (607) 293-0341 CLIA #: 33D2160735
NYU Langone Ambulatory Care Center at Essex Crossing
PFI: Y002 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeffrey S. Jhang, M.D. Phone: (929) 456-2634 Fax: Address: 171 Delancey Street, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Meri Razavi Contact Phone: (646) 501-6722 CLIA #: 33D2160732
PFI: Y003 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stephen Tranchina, M.D. Phone: (516) 407-4000 Fax: (516) 307-4192 Address: 1155 Northern Blvd, Manhasset, NY 11030 County: Nassau Country: United States Single or Primary Contact: Tina Marie Castellano Contact Phone: (516) 407-4117 CLIA #: 33D2160731
City Medical of Upper East Side PLLC d/b/a Summit Health
PFI: Y010 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter S Kim, M.D. Phone: (212) 794-0240 Fax: (212) 922-2188 Address: 535 Fifth Ave - Suite 604 and 611, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Cara Yobs Contact Phone: (908) 760-4078 CLIA #: 33D2160705
PFI: Y014 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stefan G Kantrowitz, M.D. Phone: (718) 651-0096 Fax: (718) 533-1357 Address: 107-20 Northern Blvd, Corona, NY 11368 County: Queens Country: United States Single or Primary Contact: Paul Faulk Contact Phone: (718) 651-0096 CLIA #: 33D2159992
Weill Cornell Medicine Dermatology at 425 E 61st Street
PFI: Y018 Secondary Site ID: 0000 Certification Type: PPMP Director: Rachel J Marchalik, M.D. Phone: (646) 962-3376 Fax: (646) 962-0033 Address: 425 E 61st Street, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Susan Koshy Contact Phone: (646) 962-2870 CLIA #: 33D2162532
Col C David Merkel MD Veterans Residential Program
PFI: Y019 Secondary Site ID: 0001 Certification Type: WAIVER Director: Craig W Richards, M.D. Phone: (518) 891-8387 Fax: (518) 891-3787 Address: 444 Kiwassa Lake Rd, Saranac Lake, NY 12983 County: Franklin Country: United States Single or Primary Contact: Penny M Schmidt Contact Phone: 51889183871507 CLIA #: 33D2162138
PFI: Y019 Secondary Site ID: 0004 Certification Type: WAIVER Director: Craig W Richards, M.D. Phone: (518) 834-5550 Fax: (518) 834-5557 Address: 1703 Front Street, Keeseville, NY 12944 County: Clinton Country: United States Single or Primary Contact: Penny M Schmidt Contact Phone: (518) 651-2305 CLIA #: 33D2162138
PFI: Y019 Secondary Site ID: 0008 Certification Type: WAIVER Director: Craig W Richards, M.D. Phone: (518) 891-5353 Fax: (518) 891-7361 Address: 50 John Munn Road, Saranac Lake, NY 12983 County: Franklin Country: United States Single or Primary Contact: Penny M Schmidt Contact Phone: (518) 651-2305 CLIA #: 33D2162138
PFI: Y019 Secondary Site ID: 0013 Certification Type: WAIVER Director: Craig W Richards, M.D. Phone: (315) 379-0139 Fax: Address: 25 Dies St, Canton, NY 13617 County: St. Lawrence Country: United States Single or Primary Contact: Penny M Schmidt Contact Phone: (315) 379-0139 CLIA #: 33D2162138