New York State Department of Health, Wadsworth Center
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Charlotte Valley Central School
PFI: Z763 Secondary Site ID: 0008 Certification Type: WAIVER Director: William Fredette, M.D. Phone: (607) 278-5511 Fax: Address: 15611 NY-23, Davenport, NY 13750 County: Otsego Country: United States Single or Primary Contact: Dr. Jennifer Avery Contact Phone: 6072785511302 CLIA #: 33D2207266
PFI: Z763 Secondary Site ID: 0009 Certification Type: WAIVER Director: William Fredette, M.D. Phone: (607) 432-2050 Fax: (607) 432-4388 Address: 55 Main St, Laurens, NY 13796 County: Otsego Country: United States Single or Primary Contact: Dr. Jennifer Avery Contact Phone: (607) 432-2050 CLIA #: 33D2207266
PFI: Z763 Secondary Site ID: 0011 Certification Type: WAIVER Director: William Fredette, M.D. Phone: (607) 263-6100 Fax: (607) 263-2483 Address: 65 Main St, Morris, NY 13808 County: Otsego Country: United States Single or Primary Contact: Dr. Jennifer Avery Contact Phone: (607) 263-6102 CLIA #: 33D2207266
PFI: Z763 Secondary Site ID: 0006 Certification Type: WAIVER Director: William Fredette, M.D. Phone: (607) 652-7301 Fax: (607) 652-3446 Address: 1 River St, Stamford, NY 12167 County: Delaware Country: United States Single or Primary Contact: Dr. Jennifer Avery Contact Phone: (607) 652-7301 CLIA #: 33D2207266
PFI: Z764 Secondary Site ID: 0002 Certification Type: WAIVER Director: Robert J Tuite, M.D. Phone: (585) 267-1300 Fax: (585) 385-6426 Address: 15 School Ln, Pittsfield, NY 14534 County: Monroe Country: United States Single or Primary Contact: Shana Cataia Contact Phone: (585) 267-1301 CLIA #: 33D2206374
PFI: Z764 Secondary Site ID: 0004 Certification Type: WAIVER Director: Robert J Tuite, M.D. Phone: (585) 267-1500 Fax: (585) 385-6356 Address: 50 Park Rd, Pittsfield, NY 14534 County: Monroe Country: United States Single or Primary Contact: Shana Cataia Contact Phone: (585) 267-1501 CLIA #: 33D2206374
PFI: Z764 Secondary Site ID: 0001 Certification Type: WAIVER Director: Robert J Tuite, M.D. Phone: (585) 267-1200 Fax: (585) 381-9217 Address: 3188 East Ave, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Shana Cataia Contact Phone: (585) 267-1201 CLIA #: 33D2206374
PFI: Z765 Secondary Site ID: 0007 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 434-3428 Fax: (516) 756-3204 Address: 1159 Round Swamp Rd, Old Bethpage, NY 11804 County: Nassau Country: United States Single or Primary Contact: Christopher Donarummo Contact Phone: (516) 434-3419 CLIA #: 33D2206568
PFI: Z765 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 434-3040 Fax: (516) 937-6313 Address: 106 Washington Ave, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Christopher Donarummo Contact Phone: (516) 434-3074 CLIA #: 33D2206568
PFI: Z765 Secondary Site ID: 0006 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 434-3362 Fax: (516) 349-4780 Address: 300 Manetto Hill Rd, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Christopher Donarummo Contact Phone: (516) 434-3358 CLIA #: 33D2206568
PFI: Z765 Secondary Site ID: 0005 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 434-3453 Fax: Address: 3 Richard Ct, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Christopher Donarummo Contact Phone: (516) 434-3451 CLIA #: 33D2206568
PFI: Z765 Secondary Site ID: 0003 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 434-3318 Fax: Address: 131 Central Park Rd, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Christopher Donarummo Contact Phone: (516) 434-3318 CLIA #: 33D2206568
PFI: Z765 Secondary Site ID: 0004 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 434-3389 Fax: Address: 33 Bedford Rd, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Christopher Donarummo Contact Phone: (516) 434-3389 CLIA #: 33D2206568
PFI: Z765 Secondary Site ID: 0001 Certification Type: WAIVER Director: Ronald V Marino, D.O. Phone: (516) 434-3210 Fax: (516) 937-6455 Address: 50 Kennedy Dr, Plainview, NY 11803 County: Nassau Country: United States Single or Primary Contact: Christopher Donarummo Contact Phone: (516) 434-3125 CLIA #: 33D2206568