New York State Department of Health, Wadsworth Center
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Walgreens No 09154
PFI: Z919 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 730-5579 Fax: Address: 1850 Central Ave, Colonie, NY 12205 County: Albany Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2207257
PFI: Z923 Secondary Site ID: 0005 Certification Type: WAIVER Director: Paul Salzberg, M.D. Phone: 84579480801325 Fax: (845) 791-1716 Address: 305 North St, Middletown, NY 10940 County: Orange Country: United States Single or Primary Contact: Shannon Kelly Contact Phone: 84579480802010 CLIA #: 33D2212367
PFI: Z923 Secondary Site ID: 0008 Certification Type: WAIVER Director: Paul Salzberg, M.D. Phone: 84579480801425 Fax: (845) 791-1716 Address: 150 Pike Street, Port Jervis, NY 12771 County: Orange Country: United States Single or Primary Contact: Shannon Kelly Contact Phone: 84579480802010 CLIA #: 33D2212367
PFI: Z926 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert G Fafalak, M.D. Phone: (212) 933-0072 Fax: (646) 684-4511 Address: 36 West 9th St, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Dr. Robert Fafalak Contact Phone: (212) 933-0072 CLIA #: 33D2037566
PFI: Z961 Secondary Site ID: 0000 Certification Type: PPMP Director: Francesco Callipari, M.D. Phone: (212) 534-0200 Fax: (212) 534-2648 Address: 157 E 72nd St, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Melissa Smith Contact Phone: (516) 770-6334 CLIA #: 33D2208450
PFI: Z964 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristen M Taylor, N.P. Phone: (518) 399-8182 Fax: (518) 709-0920 Address: 322 Lake Hill Rd, Burnt Hills, NY 12027 County: Saratoga Country: United States Single or Primary Contact: Abbey Gamble Contact Phone: (518) 399-8182 CLIA #: 33D2208468
PFI: Z965 Secondary Site ID: 0001 Certification Type: WAIVER Director: Keith L Harden, M.D. Phone: (607) 296-6209 Fax: (607) 729-1858 Address: 257 Main Street, Binghamton, NY 13905 County: Broome Country: United States Single or Primary Contact: Amanda Stout Contact Phone: (607) 729-6206 CLIA #: 33D2208453