New York State Department of Health, Wadsworth Center
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Restart Outpatient Clinic
PFI: Y107 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert B Young, M.D. Phone: (585) 546-7220 Fax: (585) 423-2201 Address: 79 N Clinton Ave, Rochester, NY 14604 County: Monroe Country: United States Single or Primary Contact: Sue Schmidt Contact Phone: (585) 546-7220 CLIA #: 33D2162366
The Rockefeller University Occupational Health Services
PFI: Y110 Secondary Site ID: 0000 Certification Type: WAIVER Director: Janica L Barnett, N.P. Phone: (212) 327-8414 Fax: (212) 327-8214 Address: 1230 York Ave - Hospital Room 118, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Iris Taylor Contact Phone: (212) 327-8414 CLIA #: 33D2162535
St Joseph's Hospital Health Center Mobile Integrated Services Team
PFI: Y118 Secondary Site ID: 0000 Certification Type: WAIVER Director: Natalie H Rivard, N.P. Phone: (315) 458-7373 Fax: (315) 218-9886 Address: 973 James Street, 3rd Floor, Syracuse, NY 13203 County: Onondaga Country: United States Single or Primary Contact: Brenda Ko Contact Phone: (315) 458-7373 CLIA #: 33D2163035
PFI: Y119 Secondary Site ID: 0001 Certification Type: WAIVER Director: Guy Pean, M.D. Phone: (718) 542-4127 Fax: (718) 632-1568 Address: 730 Kelly Street, Bronx, NY 10455 County: Bronx Country: United States Single or Primary Contact: Carl Feren Contact Phone: (718) 412-3155 CLIA #: 33D2163046
PFI: Y119 Secondary Site ID: 0002 Certification Type: WAIVER Director: Guy Pean, M.D. Phone: (718) 547-0133 Fax: (718) 632-1568 Address: 946 E 211th Street, Bronx, NY 10469 County: Bronx Country: United States Single or Primary Contact: Carl Feren Contact Phone: (718) 412-3155 CLIA #: 33D2163046
PFI: Y119 Secondary Site ID: 0004 Certification Type: WAIVER Director: Guy Pean, M.D. Phone: (718) 981-8117 Fax: (718) 632-1568 Address: 1268 Forest Ave, Staten Island, NY 10302 County: Richmond Country: United States Single or Primary Contact: Carl Feren Contact Phone: (718) 412-3155 CLIA #: 33D2163046
PFI: Y119 Secondary Site ID: 0005 Certification Type: WAIVER Director: Guy Pean, M.D. Phone: (718) 412-3170 Fax: (718) 632-1568 Address: 273 Henberton Ave, Staten Island, NY 10302 County: Richmond Country: United States Single or Primary Contact: Carl Feren Contact Phone: (718) 412-3155 CLIA #: 33D2163046
PFI: Y119 Secondary Site ID: 0000 Certification Type: WAIVER Director: Guy Pean, M.D. Phone: (718) 356-5100 Fax: Address: 460-H Brielle Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Carl Feren Contact Phone: (718) 412-3155 CLIA #: 33D2163046
PFI: Y126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Umamaheswara R Vejendla, M.D. Phone: (716) 665-2414 Fax: (716) 665-2978 Address: 220 Southwestern Drive, Lakewood, NY 14750 County: Chautauqua Country: United States Single or Primary Contact: Joy King Contact Phone: (716) 665-2414 CLIA #: 33D2162757
American Medical Response of New York LLC dba Hunter EMS
PFI: Y133 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anthony Shallash, M.D. Phone: (631) 777-5600 Fax: (631) 777-5616 Address: 299 Feldman Court, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Thomas Durfee Contact Phone: (631) 777-5606 CLIA #: 33D2163332