New York State Department of Health, Wadsworth Center
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Walgreens No. 19049
PFI: Z206 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 455-5641 Fax: Address: 2616 Brewerton Rd, Mattydale, NY 13211 County: Onondaga Country: United States Single or Primary Contact: Joan E Petrowski Contact Phone: (847) 527-4274 CLIA #: 33D2191856
PFI: Z210 Secondary Site ID: 0000 Certification Type: WAIVER Director: Hamerton D Jeanty, M.D. Phone: (315) 339-3210 Fax: (315) 339-6927 Address: 800 W Chestnut St, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Mark Smith Contact Phone: (315) 339-3210 CLIA #: 33D2191603
PFI: Z213 Secondary Site ID: 0000 Certification Type: WAIVER Director: John A Reyes, M.D. Phone: (516) 656-8000 Fax: Address: 6 Medical Plaza, Glen Cove, NY 11542 County: Nassau Country: United States Single or Primary Contact: Ruslana Sigalova Contact Phone: (516) 656-8000 CLIA #: 33D2191602
PFI: Z219 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sarah M Howd, M.D. Phone: (585) 396-1010 Fax: (585) 396-1741 Address: 5102 Parrish St Ext, Canandaigua, NY 14424 County: Ontario Country: United States Single or Primary Contact: Laura Hollenbeck Contact Phone: (585) 396-1010 CLIA #: 33D2192041
PFI: Z225 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Zafaranloo, M.D. Phone: (718) 984-6600 Fax: (718) 984-6601 Address: 3833 Richmond Ave, Staten Island, NY 10312 County: Richmond Country: United States Single or Primary Contact: Robert Annichorico Contact Phone: (718) 984-6600 CLIA #: 33D2195760
PFI: Z238 Secondary Site ID: 0000 Certification Type: WAIVER Director: Francisco J Corbalan, M.D. Phone: (607) 733-6541 Fax: (607) 271-3406 Address: 555 St Joseph's Blvd, Elmira, NY 14901 County: Chemung Country: United States Single or Primary Contact: John L Zehr Contact Phone: (607) 733-6541 CLIA #: 33D2192292
PFI: Z240 Secondary Site ID: 0000 Certification Type: WAIVER Director: Igor A Gutnik, M.D. Phone: (631) 995-2900 Fax: (631) 995-2702 Address: 49 Oakcrest Ave, Middle Island, NY 11953 County: Suffolk Country: United States Single or Primary Contact: Turquoise Clinton Contact Phone: (631) 995-2900 CLIA #: 33D2192300