New York State Department of Health, Wadsworth Center
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Doral Medical and Multispecialty Facility LLC
PFI: Y641 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leon R. Shein, M.D. Phone: (718) 367-2555 Fax: (718) 971-1955 Address: 1797 Pitkin Ave, Brooklyn, NY 11212 County: Kings Country: United States Single or Primary Contact: Daniel Gurgov Contact Phone: (917) 549-2847 CLIA #: 33D2178905
PFI: Y646 Secondary Site ID: 0000 Certification Type: WAIVER Director: Shawn K Samuel, D.O. Phone: (248) 321-4195 Fax: (248) 504-2788 Address: 185 Old Country Rd - Suite 7, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Lund Tami Contact Phone: (248) 321-4195 CLIA #: 33D2178887
PFI: Y649 Secondary Site ID: 0000 Certification Type: WAIVER Director: Patrick J Carguello, D.O. Phone: (315) 963-7494 Fax: Address: 3284 Main St, Mexico, NY 13114 County: Oswego Country: United States Single or Primary Contact: William Benjamin Contact Phone: (315) 247-0572 CLIA #: 33D2178863
PFI: Y651 Secondary Site ID: 0000 Certification Type: WAIVER Director: David M Burke, M.D. Phone: (301) 229-7555 Fax: Address: 4 E 107th Street, New York, NY 10029 County: New York Country: United States Single or Primary Contact: Mariedith Massey Contact Phone: (240) 595-0741 CLIA #: 33D2178860
PFI: Y652 Secondary Site ID: 0000 Certification Type: WAIVER Director: William D Mayer, M.D. Phone: (518) 842-3641 Fax: Address: 126 South Pawling St, Hagaman, NY 12086 County: Montgomery Country: United States Single or Primary Contact: Jessica Nagell Contact Phone: (518) 842-3641 CLIA #: 33D2178859
The Emerald Peek Rehabilitation and Nursing Center
PFI: Y656 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anthony Salem, M.D. Phone: (914) 737-8400 Fax: (914) 737-3470 Address: 2000 E Main St, Peekskill, NY 10566 County: Westchester Country: United States Single or Primary Contact: Millie Alvarez Contact Phone: (914) 737-8400 CLIA #: 33D2178852
PFI: Y658 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sarah M Howd, M.D. Phone: (585) 851-8696 Fax: (585) 730-5397 Address: 1175 Monroe Ave, Rochester, NY 14620 County: Monroe Country: United States Single or Primary Contact: Mary Kay Hausladen Contact Phone: (585) 851-8696 CLIA #: 33D2178850
PFI: Y660 Secondary Site ID: 0000 Certification Type: WAIVER Director: Cynthia C Martinez-Capolino, M.D. Phone: (315) 589-8440 Fax: (315) 589-8440 Address: 6334 Bennett St, Williamson, NY 14589 County: Wayne Country: United States Single or Primary Contact: Daniel W Brooks Contact Phone: (315) 589-5571 CLIA #: 33D2179351
PFI: Y662 Secondary Site ID: 0000 Certification Type: WAIVER Director: Steven M Weiss, M.D. Phone: (516) 544-2351 Fax: (516) 544-2356 Address: 761 Franklin Blvd, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Kim Springer Contact Phone: (516) 544-2351 CLIA #: 33D2179841
PFI: Y664 Secondary Site ID: 0000 Certification Type: WAIVER Director: Freddie C Verzosa, M.D. Phone: (646) 682-3555 Fax: (646) 682-3933 Address: 518 E 20th St, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Raiona Gaydos Contact Phone: (646) 531-7729 CLIA #: 33D2179372
PFI: Y671 Secondary Site ID: 0000 Certification Type: WAIVER Director: Noah P.K. Kondamudi, M.D. Phone: (718) 250-6911 Fax: (718) 250-6856 Address: 86 St Felix St - 6th Floor, Brooklyn, NY 11217 County: Kings Country: United States Single or Primary Contact: Dr. Noah Kondamudi Contact Phone: (718) 250-6934 CLIA #: 33D2179652