PFI: F778 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 753-4322 Fax: (716) 753-9693 Address: 2 Academy St, Mayville, NY 14757 County: Chautauqua Country: United States Single or Primary Contact: Timothy Carlson Contact Phone: (716) 753-4322 CLIA #: 33D2279942
PFI: F782 Secondary Site ID: 0000 Certification Type: WAIVER Director: William Greenhut, D.O. Phone: (845) 222-2135 Fax: Address: 47 S Liberty Dr, Stony Point, NY 10980 County: Rockland Country: United States Single or Primary Contact: Marcos Lopez Contact Phone: (787) 697-7241 CLIA #: 33D2279944
PFI: F783 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 483-7598 Fax: (716) 483-7720 Address: 200 Spring St, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Ryan Roush Contact Phone: (716) 483-7598 CLIA #: 33D2279948
PFI: F786 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason L Esses, M.D. Phone: (516) 432-2004 Fax: (516) 432-4154 Address: 440 E Bay Dr, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Gary Vasquez Contact Phone: (917) 945-9731 CLIA #: 33D2281459
PFI: F790 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leslie F Blum, M.D. Phone: (646) 439-7660 Fax: (212) 813-3147 Address: 350 Park Ave - 11th Floor, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Kate Meyers Contact Phone: (615) 628-9368 CLIA #: 33D2278324
PFI: F796 Secondary Site ID: 0000 Certification Type: WAIVER Director: Timothy A Mathis, M.D. Phone: (315) 339-5600 Fax: (315) 339-3075 Address: 105 N Doxtator St, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Paul Taylor Contact Phone: (315) 339-5600 CLIA #: 33D2281475
PFI: F799 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erik P Peterson, D.O. Phone: (585) 494-2100 Fax: (585) 494-2310 Address: 10 Hunter St, Bergen, NY 14416 County: Genesee Country: United States Single or Primary Contact: Barbara Zinter Contact Phone: (585) 727-3716 CLIA #: 33D2280857
Amsterdam Family Practice Carondelet Regional Medical PC
PFI: F801 Secondary Site ID: 0000 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 843-4522 Fax: (518) 843-8306 Address: 119 Holland Circle Drive, Amsterdam, NY 12010 County: Montgomery Country: United States Single or Primary Contact: Barbara Hutchins Contact Phone: (518) 841-3869 CLIA #: 33D0160913