hospital outpatient providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med...

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Hospital Outpatient Clinic Providers (as of 04/03/2009) Prov Name Address Prov Tele # ADIRONDACK MEDICAL CENTER PO BOX 1380, SARANAC LAKE, NY 129837380 (518) 8914141 ALBANY MEDICAL CTR HOSPITAL 99 DELAWARE AVE, DELMAR, NY 120541506 (518) 2622400 ALBANY MEMORIAL HSP 600 NORTHERN BLVD, ALBANY, NY 122041004 (518) 4713610 ALBERT LINDLEY LEE MEM HOSP FULTON, NY 130692904 (315) 5922224 ALICE HYDE MEDICAL CENTER MALONE, NY 129531243 (518) 4833000 AMSTERDAM MEMORIAL HOSPITAL 4988 STATE HIGHWAY 30, AMSTERDAM, NY 120107520 (518) 8423100 ARNOT OGDEN MEDICAL CENTER ELMIRA, NY 149051629 (607) 7374100 AUBURN MEMORIAL HOSPITAL 17 LANSING ST, AUBURN, NY 130211983 (315) 2557301 AURELIA OSBORN FOX MEM HOSP ONE NORTON AVE, ONEONTA, NY 13820 (607) 4315321 RUMC BAYLEY SETON HOSPITAL 75 VANDERBILT AVE, STATEN ISLAND, NY 103042604 (718) 3906000 BELLEVUE HOSPITAL CENTER 160 WATER ST RM 736, NEW YORK, NY 100384922 (646) 4583402 BENEDICTINE HOSPITAL 105 MARYS AVE, KINGSTON, NY 124015848 (914) 3382500 BERTRAND CHAFFEE HOSPITAL 224 E MAIN ST, SPRINGVILLE, NY 141411443 (716) 5922871 BETH ISRAEL MEDICAL CENTER 1ST AVE & 16TH ST, NEW YORK, NY 10003 (212) 4202558 BLYTHEDALE CHILDRENS HOSPITAL BRADHURST AVE, VALHALLA, NY 10595 (914) 5927555 BON SECOURS COMM HOSP 20 GRAND ST OFC, WARWICK, NY 109901035 (845) 9873943 BROOKDALE HSP MED CTR 10101 AVENUE D, BROOKLYN, NY 112361902 (718) 2405737 BROOKHAVEN MEMORIAL HOSPITAL 101 HOSPITAL RD, PATCHOGUE, NY 117724870 (516) 6547100 BROOKLYN HOSPITAL CENTER BROOKLYN, NY 112015425 (718) 2701000 BROOKS MEMORIAL HOSPITAL 529 CENTRAL AVE, DUNKIRK, NY 140482514 (716) 3661111 BUFFALO GENERAL HOSP 726 EXCHANGE ST STE 300, BUFFALO, NY 142101467 (716) 8598402 CALVARY HOSPITAL INC 1740 EASTCHESTER RD, BRONX, NY 104612300 (212) 8636900 CANTONPOTSDAM HOSPITAL POTSDAM, NY 136761786 (315) 2653300 CARTHAGE AREA HOSPITAL INC CARTHAGE, NY 136199703 (315) 4931000 CATSKILL REG MED CTR PO BOX 515, HARRIS, NY 127420515 (914) 7943300 CAYUGA MEDICAL CTR/ITHACA 101 DATES DR, ITHACA, NY 148501342 (607) 2744011 CHAMPLAIN VALLEY PHYSICIANS H PO BOX 2868, PLATTSBURGH, NY 129010259 (518) 5612000 CHENANGO MEMORIAL HOSP INC 179 N BROAD ST, NORWICH, NY 138151019 (607) 7222769 CLIFTON FINE HOSPITAL PO BOX 10, STAR LAKE, NY 136900010 (315) 8483351 COBLESKILL REGIONAL HOSPITAL 178 GRANDVIEW DR, COBLESKILL, NY 120435144 (518) 2543274 COLUMBIA MEMORIAL HOSPITAL 71 PROSPECT AVE, HUDSON, NY 125342907 (518) 8288099 GLENS FALLS HOSPITAL 100 PARK ST, GLENS FALLS, NY 128014413 (518) 7615321 COMMUNITY MEMORIAL HOSPITAL HAMILTON, NY 133469575 (315) 8246083 COMMUNITYGENRL HOSP SYRACUSE BROAD RD, SYRACUSE, NY 132155100 (315) 4925554 CONEY ISLAND HOSPITAL 160 WATER ST RM 736, NEW YORK, NY 100384922 (646) 4583402 CORTLAND REG MED CTR 134 HOMER AVE, CORTLAND, NY 130451206 (607) 7567525 CROUSE HOSPITAL 736 IRVING AVE, SYRACUSE, NY 132101687 (315) 7036257 C:\Documents and Settings\gxm07\Desktop\D&TC Hosp OP Clinic and FQHC Address Info for Debbie Bush 04032009 Tab: Hospital OP Clinic Listing Page 1 of 17

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Page 1: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

           

                       

                                                            

                                                                  

                                                                        

                                      

                                                      

                                                              

                                                                                                  

                                                  

                            

                                                      

              

                                               

Hospital Outpatient Clinic Providers (as of 04/03/2009)

Prov Name Address Prov Tele #

ADIRONDACK MEDICAL CENTER PO BOX 1380, SARANAC LAKE, NY 12983‐7380 (518) 891‐4141

ALBANY MEDICAL CTR HOSPITAL 99 DELAWARE AVE, DELMAR, NY 12054‐1506 (518) 262‐2400 ALBANY MEMORIAL HSP 600 NORTHERN BLVD, ALBANY, NY 12204‐1004 (518) 471‐3610 ALBERT LINDLEY LEE MEM HOSP FULTON, NY 13069‐2904 (315) 592‐2224

ALICE HYDE MEDICAL CENTER MALONE, NY 12953‐1243 (518) 483‐3000

AMSTERDAM MEMORIAL HOSPITAL 4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010‐7520 (518) 842‐3100

ARNOT OGDEN MEDICAL CENTER ELMIRA, NY 14905‐1629 (607) 737‐4100

AUBURN MEMORIAL HOSPITAL 17 LANSING ST, AUBURN, NY 13021‐1983 (315) 255‐7301

AURELIA OSBORN FOX MEM HOSP ONE NORTON AVE, ONEONTA, NY 13820 (607) 431‐5321

RUMC ‐ BAYLEY SETON HOSPITAL 75 VANDERBILT AVE, STATEN ISLAND, NY 10304‐2604 (718) 390‐6000

BELLEVUE HOSPITAL CENTER 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

BENEDICTINE HOSPITAL 105 MARYS AVE, KINGSTON, NY 12401‐5848 (914) 338‐2500

BERTRAND CHAFFEE HOSPITAL 224 E MAIN ST, SPRINGVILLE, NY 14141‐1443 (716) 592‐2871

BETH ISRAEL MEDICAL CENTER 1ST AVE & 16TH ST, NEW YORK, NY 10003 (212) 420‐2558

BLYTHEDALE CHILDRENS HOSPITAL BRADHURST AVE, VALHALLA, NY 10595 (914) 592‐7555

BON SECOURS COMM HOSP 20 GRAND ST OFC, WARWICK, NY 10990‐1035 (845) 987‐3943

BROOKDALE HSP MED CTR 10101 AVENUE D, BROOKLYN, NY 11236‐1902 (718) 240‐5737

BROOKHAVEN MEMORIAL HOSPITAL 101 HOSPITAL RD, PATCHOGUE, NY 11772‐4870 (516) 654‐7100

BROOKLYN HOSPITAL CENTER BROOKLYN, NY 11201‐5425 (718) 270‐1000

BROOKS MEMORIAL HOSPITAL 529 CENTRAL AVE, DUNKIRK, NY 14048‐2514 (716) 366‐1111

BUFFALO GENERAL HOSP 726 EXCHANGE ST STE 300, BUFFALO, NY 14210‐1467 (716) 859‐8402

CALVARY HOSPITAL INC 1740 EASTCHESTER RD, BRONX, NY 10461‐2300 (212) 863‐6900

CANTON‐POTSDAM HOSPITAL POTSDAM, NY 13676‐1786 (315) 265‐3300

CARTHAGE AREA HOSPITAL INC CARTHAGE, NY 13619‐9703 (315) 493‐1000

CATSKILL REG MED CTR PO BOX 515, HARRIS, NY 12742‐0515 (914) 794‐3300

CAYUGA MEDICAL CTR/ITHACA 101 DATES DR, ITHACA, NY 14850‐1342 (607) 274‐4011

CHAMPLAIN VALLEY PHYSICIANS H PO BOX 2868, PLATTSBURGH, NY 12901‐0259 (518) 561‐2000

CHENANGO MEMORIAL HOSP INC 179 N BROAD ST, NORWICH, NY 13815‐1019 (607) 722‐2769

CLIFTON FINE HOSPITAL PO BOX 10, STAR LAKE, NY 13690‐0010 (315) 848‐3351

COBLESKILL REGIONAL HOSPITAL 178 GRANDVIEW DR, COBLESKILL, NY 12043‐5144 (518) 254‐3274

COLUMBIA MEMORIAL HOSPITAL 71 PROSPECT AVE, HUDSON, NY 12534‐2907 (518) 828‐8099

GLENS FALLS HOSPITAL 100 PARK ST, GLENS FALLS, NY 12801‐4413 (518) 761‐5321

COMMUNITY MEMORIAL HOSPITAL HAMILTON, NY 13346‐9575 (315) 824‐6083

COMMUNITY‐GENRL HOSP SYRACUSE BROAD RD, SYRACUSE, NY 13215‐5100 (315) 492‐5554

CONEY ISLAND HOSPITAL 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

CORTLAND REG MED CTR 134 HOMER AVE, CORTLAND, NY 13045‐1206 (607) 756‐7525

CROUSE HOSPITAL 736 IRVING AVE, SYRACUSE, NY 13210‐1687 (315) 703‐6257

C:\Documents and Settings\gxm07\Desktop\D&TC Hosp OP Clinic and FQHC Address Info for Debbie Bush 04‐03‐2009 Tab: Hospital OP Clinic Listing Page 1 of 17

Page 2: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

           

                                 

                                                       

                              

                                        

                                                                                             

                                                                                          

                                      

                                      

                                    

                                                                

                                                      

                                          

                            

                                                              

                                               

Hospital Outpatient Clinic Providers (as of 04/03/2009)

Prov Name Address Prov Tele #

CUBA MEMORIAL HSP INC 140 W MAIN ST, CUBA, NY 14727‐1317 (716) 968‐2000

DELAWARE VALLEY HOSPITAL INC 1 TITUS PL OFC, WALTON, NY 13856‐1457 (607) 865‐4101 EASTERN LONG ISLAND HOSPITAL 201 MANOR PL, GREENPORT, NY 11944‐1222 (516) 477‐1000 EDWARD J NOBLE HOSP OF GOUVER GOUVERNEUR, NY 13642‐1040 (315) 287‐1000

ELIZABETHTOWN COMMUNITY HSP PARK STREET, ELIZABETHTOWN, NY 12932 (518) 873‐6377

ELLIS HOSPITAL 1482 ERIE BLVD OFC, SCHENECTADY, NY 12305‐1005 (518) 243‐1500

ELMHURST HOSPITAL CENTER 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

ERIE COUNTY MEDICAL CTR 462 GRIDER ST, BUFFALO, NY 14215‐3021 (716) 898‐3157

F F THOMPSON HOSPITAL 350 PARRISH ST, CANANDAIGUA, NY 14424‐1731 (716) 394‐1100

FAXTON‐ST LUKES HEALTHCARE 1710 BURRSTONE RD, NEW HARTFORD, NY 13413‐1002 (315) 624‐5038

FLUSHING HSP MED CNT 45TH AVE PARSON BLVD, FLUSHING, NY 11355 (718) 670‐5009

FRANKLIN HOSPITAL 972 BRUSH HOLLOW RD, WESTBURY, NY 11590‐1740 (516) 881‐7100

GENEVA GENERAL HOSPITAL 196 NORTH ST # 198, GENEVA, NY 14456‐1651 (315) 789‐4222

GLEN COVE HOSPITAL ST ANDREWS LANE, GLEN COVE, NY 11542 (516) 676‐5000

GOOD SAMARITAN HOSP MED CTR WEST ISLIP, NY 11795‐4927 (516) 376‐4053

GOOD SAMARITAN HSP SUFFERN 20 GRAND ST, WARWICK, NY 10990‐1035 (845) 987‐3943

HARLEM HOSPITAL CENTER 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

HELEN HAYES HOSPITAL ROUTE 9W, WEST HAVERSTRAW, NY 10993 (914) 947‐3000

CLAXTON‐HEPBURN MED CTR 214 KING ST, OGDENSBURG, NY 13669‐1142 (315) 393‐3600

HIGHLAND HOSP OF ROCHESTER 1000 SOUTH AVE # 76, ROCHESTER, NY 14620‐2733 (585) 756‐8519

HSP JOINT DISEASES ORTHO INST 301 E 17TH ST, NEW YORK, NY 10003‐3804 (212) 477‐8080

HUNTINGTON HOSPTIAL 270 PARK AVE, HUNTINGTON, NY 11743‐2787 (516) 351‐2230

INTER COMM MEM HSP NEWFANE 2600 WILLIAM ST, NEWFANE, NY 14108‐1026 (716) 778‐5111

INTERFAITH MEDICAL CENTER 1545 ATLANTIC AVE, BROOKLYN, NY 11213‐1122 (718) 613‐7101

IRA DAVENPORT MEM HSP IN 7571 STATE ROUTE 54, BATH, NY 14810‐9504 (607) 776‐8500

JACOBI MEDICAL CENTER 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

JAMAICA HOSPITAL MED CTR 8900 VAN WYCK EXPRES, JAMAICA, NY 11418 (718) 206‐6000

JOHN T MATHER MEM HOSP N COUNTRY RD, PORT JEFFERSON, NY 11777 (516) 473‐1320

JONES MEMORIAL HOSPITAL 191 MAIN ST, WELLSVILLE, NY 14895 (716) 593‐1100

KENMORE MERCY HOSPITAL 2950 ELMWOOD AVE, KENMORE, NY 14217‐1304 (716) 879‐6100

KINGS COUNTY HOSPITAL CENTER 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

KINGSBROOK JEWISH MED CENTER 585 SCHENECTADY AVE, BROOKLYN, NY 11203‐1809 (718) 756‐9700

KINGSTON HOSPITAL 396 BROADWAY, KINGSTON, NY 12401‐4626 (914) 331‐3131

LAKESIDE MEMORIAL HOSPITAL 156 WEST AVE, BROCKPORT, NY 14420‐1229 (716) 637‐3131

LENOX HILL HOSPITAL 100 E 77TH ST, NEW YORK, NY 10075‐1850 (212) 702‐7676

LEWIS COUNTY GENERAL HOSPITAL 7785 N STATE ST, LOWVILLE, NY 13367‐1229 (315) 376‐6521

LINCOLN MEDICAL/MENTAL HLTH 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

C:\Documents and Settings\gxm07\Desktop\D&TC Hosp OP Clinic and FQHC Address Info for Debbie Bush 04‐03‐2009 Tab: Hospital OP Clinic Listing Page 2 of 17

Page 3: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

           

                                                                                         

                                 

                                                                    

                                      

                                                                                                      

                                                                

                                                                    

                                              

                                                                                                                        

                                                                            

                              

                                               

Hospital Outpatient Clinic Providers (as of 04/03/2009)

Prov Name Address Prov Tele #

LITTLE FALLS HOSPITAL 140 BURWELL ST, LITTLE FALLS, NY 13365‐1725 (315) 823‐1000

LONG BEACH MEDICAL CENTER 455 E BAY DR, LONG BEACH, NY 11561‐2301 (516) 432‐8000 LONG ISLAND COLLEGE HSP 340 HENRY ST OFC, BROOKLYN, NY 11201‐5514 (718) 780‐1686 LONG ISLAND JEWISH MED CTR 27005 76TH AVE, NEW HYDE PARK, NY 11040‐1402 (718) 470‐7000

MAIMONIDES MEDICAL CENTER 4802 10TH AVE, BROOKLYN, NY 11219‐2916 (718) 283‐6000

MARGARETVILLE HOSP 42084 STATE HIGHWAY 28, MARGARETVILLE, NY 12455‐2820 (914) 586‐2631

MARY IMOGENE BASSETT HOSPITAL PO BOX 111, COOPERSTOWN, NY 13326‐0111 (607) 547‐6586

MASSENA MEMORIAL HOSPITAL 1 HOSPITAL DR, MASSENA, NY 13662‐1056 (315) 764‐1711

MEDINA MEMORIAL HOSPITAL MEDINA, NY 14103‐1063 (716) 798‐2000

MEMORIAL HSP CANCER ALLIED 633 3RD AVE FL 4, NEW YORK, NY 10017‐6706 (212) 639‐7722

MERCY HOSPITAL OF BUFFALO 565 ABBOTT RD, BUFFALO, NY 14220‐2039 (716) 656‐7137

MERCY MEDICAL CENTER 1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570‐1000 (516) 705‐2525

METROPOLITAN HOSPITAL CENTER 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

MILLARD FILLMORE HOSPITALS 726 EXCHANGE ST STE 300, BUFFALO, NY 14210‐1467 (716) 859‐8402

MOUNT SINAI HOSPITAL PO BOX 6000, NEW YORK, NY 10249‐6000 (212) 754‐5194

MOUNT ST MARY HSP HLTH CTR 5300 MILITARY RD, LEWISTON, NY 14092‐1903 (713) 298‐2101

MOUNT VERNON HOSPITAL 12 N 7TH AVE, MOUNT VERNON, NY 10550‐2026 (914) 664‐8000

N Y EYE AND EAR INFIRMARY 310 E 14TH ST, NEW YORK, NY 10003‐4201 (212) 979‐4000

NASSAU COUNTY HEALTH DEPT 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554‐1859 (516) 572‐6711

NATHAN LITTAUER HOSPITAL 99 E STATE ST, GLOVERSVILLE, NY 12078‐1203 (518) 725‐8621

NEW YORK HOSP MED CTR QUEENS 525 E 68 ST/BX 150, NEW YORK, NY 10065 (212) 297‐4437

NEW YORK METHODIST HOSP 506 6TH ST, BROOKLYN, NY 11215‐3609 (718) 780‐3000

HSP FOR SPECIAL SURGERY 535 E 70TH ST, NEW YORK, NY 10021‐4823 (212) 774‐2933

NIAGARA FALLS MEM MED CTR PO BOX 708, NIAGARA FALLS, NY 14302‐0708 (716) 278‐4512

NICHOLAS H NOYES MEM HOSP 111 CLARA BARTON ST OFC, DANSVILLE, NY 14437‐9503 (716) 335‐6001

NORTH CENTRAL BRONX 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

NORTH GENERAL HOSPITAL 1879 MADISON AVE, NEW YORK, NY 10035‐2709 (212) 423‐4840

NORTH SHORE UN HSP FOREST HIL 10201 66TH RD, FOREST HILLS, NY 11375‐2029 (718) 830‐4000

NORTH SHORE UNIVERSITY HOSP ESRD 300 COMMUNITY DR, MANHASSET, NY 11030‐4318 (516) 562‐0100

NORTHERN DUTCHESS HOSPITAL 6511 SPRINGBROOK AVE, RHINEBECK, NY 12572‐5002 (914) 876‐3001

NORTHERN WESTCHESTER HOSPITAL 400 E MAIN ST, MOUNT KISCO, NY 10549‐3417 (914) 666‐1794

NY HOSPITAL 525 E 68TH ST # 150, NEW YORK, NY 10065‐4870 (212) 297‐4437

NYACK HSP 160 N MIDLAND AVE, NYACK, NY 10960‐1912 (914) 358‐6200

NYU DOWNTOWN HOSPITAL ESRD 170 WILLIAM ST, NEW YORK, NY 10038‐2612 (212) 312‐5000

NYU HOSPITALS CENTER 550 1ST AVE, NEW YORK, NY 10016‐6402 (212) 679‐3200

O'CONNOR HOSPITAL ANDES ROAD, DELHI, NY 13753 (607) 746‐2371

OLEAN GENERAL HOSP MAIN 515 MAIN ST, OLEAN, NY 14760‐1513 (716) 373‐2600

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Page 4: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

           

                                                       

                                                          

                                              

                                      

                                                                                                                      

                                                                                                      

                                      

                                                                                                                                                              

                                                      

                                               

Hospital Outpatient Clinic Providers (as of 04/03/2009)

Prov Name Address Prov Tele #

ONEIDA HEALTHCARE CENTER 321 GENESEE ST, ONEIDA, NY 13421‐2611 (315) 363‐6000

ORANGE REGIONAL MEDICAL CTR 4 HARRIMAN DR, GOSHEN, NY 10924‐2410 (914) 294‐5441 OSWEGO HOSPITAL 110 W 6TH ST, OSWEGO, NY 13126‐2507 (315) 349‐5537 OUR LADY OF LOURDES MEM 169 RIVERSIDE DR, BINGHAMTON, NY 13905‐4246 (607) 798‐5335

PECONIC BAY MED CTR 1300 ROANOKE AVE, RIVERHEAD, NY 11901‐2031 (516) 548‐6000

PENINSULA HOSPITAL CENTER 5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691‐1042 (718) 945‐7100

PHELPS MEMORIAL HSP ASSOC NORTH BROADWAY, SLEEPY HOLLOW, NY 10591 (914) 366‐3000

PRESBYTERIAN HSP CITY OF NY 525 E 68TH ST # 150, NEW YORK, NY 10065‐4870 (212) 297‐4437

QUEENS HOSPITAL 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

RICHMOND UNIVERSITY MED CTR 750 CORPORATE DR, MAHWAH, NJ 07430‐2009 (201) 762‐6119

RIVER HOSPITAL ALEXANDRIA BAY, NY 13607‐1316 (315) 482‐2511

ROME MEMORIAL HOSP INC 1500 N JAMES ST OFC, ROME, NY 13440‐2844 (315) 336‐1400

ROSWELL PARK CANCER INST ELM AND CARLTON ST, BUFFALO, NY 14263‐0001 (716) 845‐3329

SAMARITAN HOSPITAL TROY 2215 BURDETT AVE, TROY, NY 12180‐2466 (518) 271‐3300

SAMARITAN MEDICAL CENTER 830 WASHINGTON ST OFC, WATERTOWN, NY 13601‐4034 (315) 785‐5710

SARATOGA HOSPITAL PO BOX 5178, SARATOGA SPRINGS, NY 12866‐8038 (518) 584‐6000

SCHUYLER HOSPITAL 220 STEUBEN ST, MONTOUR FALLS, NY 14865‐9740 (607) 535‐7121

SETON HEALTH SYSTEM 55 MOHAWK ST, COHOES, NY 12047‐2600 (518) 268‐4900

SHEEHAN MEMORIAL HOSPITAL BUFFALO, NY 14203‐2209 (716) 842‐2200

SISTERS OF CHARITY HOSP 2157 MAIN ST, BUFFALO, NY 14214‐2648 (716) 862‐2000

SOLDIERS AND SAILORS MEM HSP 196 NORTH ST, GENEVA, NY 14456‐1651 (315) 787‐4037

SOUND SHORE MC WESTCHESTER 16 GUION PL, NEW ROCHELLE, NY 10801‐5502 (914) 664‐8000

SOUTH NASSAU COMMUNITIES HSP 1 HEALTHY WAY, OCEANSIDE, NY 11572‐1551 (516) 377‐5032

SOUTHAMPTON HOSPITAL 240 MEETING HOUSE LN OFC, SOUTHAMPTON, NY 11968‐5009 (516) 283‐2600

SOUTHSIDE HOSPITAL 301 E MAIN ST OFC, BAY SHORE, NY 11706‐8408 (516) 859‐3000

ST BARNABAS HOSPITAL 4422 3RD AVE, BRONX, NY 10457‐2545 (718) 960‐9000

ST CATHERINE OF SIENA MED CTR 50 ROUTE 25A, SMITHTOWN, NY 11787‐1348 (631) 862‐3510

ST CHARLES HSP 200 BELLE TERRE RD, PORT JEFFERSON, NY 11777‐1928 (516) 473‐2800

ST ELIZABETH MED CTR 2209 GENESEE ST OFC, UTICA, NY 13501‐5930 (315) 798‐8100

ST FRANCIS HOSPITAL NORTH ROAD, POUGHKEEPSIE, NY 12601 (914) 471‐2000

ST FRANCIS HSP 100 PORT WASHINGTON BLVD, ROSLYN, NY 11576‐1353 (516) 627‐6200

ST JAMES MERCY HOSPITAL 411 CANISTEO ST, HORNELL, NY 14843‐2104 (607) 324‐3900

ST JOHNS EPISCOPAL HOSP 700 HICKSVILLE RD, BETHPAGE, NY 11714‐3471 (516) 228‐6100

MARY IMMACULATE HSP REGO PARK, NY 11374‐4511 (718) 558‐6940

ST JOHNS RIVERSIDE HOSPITAL 967 N BROADWAY, YONKERS, NY 10701‐1301 (914) 963‐3535

ST JOSEPH HSP CHEEKTOWAGA NY 2605 HARLEM RD, CHEEKTOWAGA, NY 14225‐4018 (716) 896‐6300

ST JOSEPHS HOSP 127 S BROADWAY, YONKERS, NY 10701‐4006 (914) 965‐6700

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Hospital Outpatient Clinic Providers (as of 04/03/2009)

Prov Name Address Prov Tele #

ST JOSEPHS HOSPITAL ELMIRA ELMIRA, NY 14901‐3223 (607) 733‐6541

ST LUKES CORNWALL LAUREL AVE, CORNWALL, NY 12518 (914) 534‐7711 ST LUKES ROOSEVELT HSP CTR NEW YORK, NY 10019‐2925 (212) 523‐4000 ST MARYS HOSP AMSTERDAM 427 GUY PARK AVE, AMSTERDAM, NY 12010‐1054 (518) 841‐7425

ST PETERS HOSPITAL ALBANY 315 SOUTH MANNING BD, ALBANY, NY 12208 (518) 454‐1550

ST VINCENTS HSP MED CTR NY 153 W 11TH ST, NEW YORK, NY 10011‐8305 (212) 604‐7000

ST JOSEPH HOSPITAL HEALTH CAMILLUS 301 PROSPECT AVE, SYRACUSE, NY 13203‐1807 (315) 448‐5378

STATEN ISLAND UNIV HOSP 475 SEAVIEW AVE, STATEN ISLAND, NY 10305‐3436 (718) 226‐9515

STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVE, ROCHESTER, NY 14642‐0001 (716) 275‐4931

SUMMIT PARK HOSPITAL ROCKLAND SANATORIUM ROAD, POMONA, NY 10970 (914) 364‐2321

SUNNYVIEW HOSP 1270 BELMONT AVE, SCHENECTADY, NY 12308‐2104 (518) 382‐4508

TLC HEALTH NETWORK 845 RTES 5 20, IRVING, NY 14081 (716) 934‐2654

UNITED HEALTH SERV HOSP INC PO BOX 5214, BINGHAMTON, NY 13902‐5214 (607) 762‐3027

UNITED MEMORIAL MEDICAL CTR 127 NORTH ST, BATAVIA, NY 14020‐1631 (716) 343‐6030

UNIVERSITY HOSP OF BROOKLYN 445 LENOX RD BOX 3, BROOKLYN, NY 11203‐2017 (718) 270‐1031

UNIVERSITY HOSPITAL 31 RESEARCH WAY, EAST SETAUKET, NY 11733‐3527 (516) 444‐4150

UNIVERSITY HSP SUNY HLTH SC 750 E ADAMS ST, SYRACUSE, NY 13210‐2342 (315) 464‐4320

VASSAR BROTHERS MED CTR READE PLACE, POUGHKEEPSIE, NY 12601 (914) 454‐8500

WESTCHESTER MED CTR 95 GRASSLANDS RD/TCC RMD239, VALHALLA, NY 10595 (914) 493‐2848

WESTFIELD MEMORIAL HOSPITAL 189 E MAIN ST, WESTFIELD, NY 14787‐1104 (716) 326‐4921

WHITE PLAINS HOSPITAL CENTER DAVIS AVE/E POST RD, WHITE PLAINS, NY 10601 (914) 681‐0600

WINIFRED M.BURKE REHAB HOSPIT 785 MAMARONECK AVE, WHITE PLAINS, NY 10605‐2523 (914) 948‐0050

WINTHROP‐UNIVERSITY HOSPITAL 700 HICKSVILLE RD, BETHPAGE, NY 11714‐3471 (516) 576‐5640

WOMANS CHRISTIAN ASSOCIATION 207 FOOTE AVE, JAMESTOWN, NY 14701‐7077 (716) 487‐0141

WOMENS & CHILDRENS HSP BUFFAL 726 EXCHANGE ST STE 300, BUFFALO, NY 14210‐1467 (716) 859‐8402

WOODHULL MED & MNTL HLTH CTR 160 WATER ST RM 736, NEW YORK, NY 10038‐4922 (646) 458‐3402

WYCKOFF HEIGHTS MEDICAL CTR 374 STOCKHOLM ST, BROOKLYN, NY 11237‐4006 (718) 486‐4265

WYOMING COMMUNITY HOSP CO 400 N MAIN ST, WARSAW, NY 14569‐1025 (716) 786‐2233

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D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

Ability Beyond Disability (Datahr) DATAHR NEUROREHABILITATION E0117243 4 Berkshire Blvd, Bethel, Ct. 6801 (203) 775‐4700

ADDICTION RESEARCH & TREATMENT CORP(ARTC) ADDICTION RESEARCH & TRTMNT C E0273967 22 CHAPEL STREET, BROOKLYN, NY 11201 (718) 260‐2901

ADULTS & CHILDREN WITH LEARNING & DEV. DIS. ACLD DT E0084402 807 SOUTH OYSTER BAY ROAD, BETHPAGE, NY 11714 (516) 665‐1900

ADVANCED ENDOSCOPY CENTER ADVANCED ENDOSCOPY CENTER E0001662 5500 BROADWAY STE A, BRONX, NY 10463‐5238 (718) 548‐7900

ADVANTAGE CARE D&TC ADVANTAGE CARE D AND T CTR E0033989 189 WHEATLEY ROAD, Brookville, NY 11545 (516) 626‐1000

AIDS COMMUNITY HEALTH CENTER COMMUNITY HEALTH NETWORK INC E0176804 87 NORTH CLINTON AVE, 4TH FLOOR, ROCHESTER, NY 14604 (585) 244‐9000

AIDS COMMUNITY SERVICES OF WESTERN NY AIDS COMMUNITY SER WNY E0128886 206 South Elmwood Avenue, Buffalo, NY 14212 (716) 847‐2441

ALBANY COUNTY HEALTH DEPARTMENT ALBANY COUNTY HEALTH DEPT E0252155 175 GREEN STREET, ALBANY, NY 12201 (518) 447‐4581

ALBANY DIALYSIS CENTER NEW YORK DIALYSIS/ALBANY REG E0121922 64 ALBANY SHAKER ROAD, ALBANY, NY 12204 (212) 360‐4900

ALBANY REGIONAL EYE SURG CTR ALBANY REGIONAL EYE SURG CTR E0078589 562 EASTON AVE, SOMERSET, NJ 08873‐1900 (732) 846‐2501

ALBANY REGIONAL KIDNEY CENTER NEW YORK DIALYSIS/ALBANY DIAL E0158729 2 CLARA BARTON DRIVE, ALBANY, NY 12208 (212) 360‐4900

ALBERT EINSTEIN COLLEGE OF MEDICINE ALBERT EINSTEIN COLLEGE MED E0273871 VAN ETTEN HOSPITAL AND MMTP, 1500 WATERS PLACE, BRONX, NY 10461 (212) 430‐2000

ALL ‐MED AND REHABILITATION OF NY ALL MED & REHAB OF NEW YORK E0089987 4377 BRONX BLVD., BRONX, NY 10466 (718) 325‐0700

ALL CITY FAMILY HLTHCARE CTR ALL CITY FAMILY HLTHCARE CTR E0048395 3632 NOSTRAND AVE, BROOKLYN, NY 11229‐5303 (718) 332‐4409

ALLEGENY COUNTY DEPT OF HEALTH ALLEGANY COUNTY DEPT OF HLTH E0263581 FAMILY PLANNING PROGRAM, COUNTY OFFICE BUILDING, BELMONT, NY 14813 (716) 268‐7612

ALLHEALTH D & T CENTER ALLHEALTH DIAG & TRT CTR E0135649 68 ‐ 60 AUSTIN ST, FOREST HILLS, NY 11375 (212) 757‐7010

AMB SURG CTR WESTERN NY LLC AMB SURG CTR WESTERN NY LLC E0094851 3112 SHERIDAN DR, AMHERST, NY 14226‐1904 (716) 831‐9435

AMBULATORY SURGERY CENTER OF BROOKLYN AMBULATORY SURGERY CTR BKLYN E0263460 313 43RD STREET, BROOKLYN, NY 11232 (718) 788‐1919

AMBULATORY SURGERY CTR OF GNY AMBULATORY SURGERY CTR OF GNY E0191002 1101 PELHAM PKWY N, BRONX, NY 10469‐5411 (212) 515‐3500

AMUMC‐AMERICAN MEDICAL CENTERS AMUMC/AMERICAN MEDICAL CTRS E0082229 434 Rockaway Ave., BROOKLYN, NY 11212 (718) 346‐2628

ARC HEALTH RESOURCES OF ROCKLAND ARC HEALTHRESOURCES OF ROCKLAND E0015957 25 HEMLOCK DRIVE, CONGERS, NY 10920 (845) 267‐0110

ASPIRE OF WESTERN NY INC ASPIRE OF WESTERN NEW YORK IN E0252034 7 COMMUNITY DRIVE, Buffalo, NY 14225 (716) 505‐5560

ASTROCARE, INC ASTROCARE INC E0035358 C/O PSCH, 22‐44 199TH STREET, COLLEGE POINT, NY 11356 (718) 445‐4700

ATLANTIC HEMODIALYSIS CENTER ATLANTIC HEMODIALYSIS E0114452 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

BAKER VICTORY HEALTH CARE BAKER VICTORY HEALTHCARE CTR E0110096 790 RIDGE ROAD, LACKAWANNA, NY 14218 (716) 828‐9720

BAYRIDGE SUNSET PARK DIALYSIS CENTER BAY RIDGE SUNSET PK DIALYSIS E0136465 140 58TH ST, BUILDING B, BROOKLYN, NY 11220 (718) 567‐0255

BAYSIDE DIALYSIS CENTER BAYSIDE DIALYSIS CENTER,INC E0219781 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

BE WELL PRIMARY HEALTH CARE CENTER BE WELL PRIMARY HLTH CARE CTR E0047252 2019 NOSTRAND AVE, BROOKLYN, NY 11210 (718) 253‐9355

BEDFORD MEDICAL FAMILY HEALTH CTR BEDFORD MED FAM HEALTH CTR E0219460 100 ROSS STREET, BROOKLYN, NY 11211 (718) 387‐0780

BEST HEALTHCARE, INC BEST HEALTHCARE INC E0049089 22 VAN BUREN DRIVE, MONROE , NY 10950 (845) 783‐0989

BETH ISRAEL AMB SURG CTR B.D. BETH ISRAEL AMB SURG CTR B.D. E0133964 3121 KINGS HWY, BROOKLYN, NY 11234‐2644 (718) 951‐3020

BKLYN ENDO & AMB SURG CTR LLC BKLYN ENDO & AMB SURG CTR LLC E0043418 1630 E 14TH ST, BROOKLYN, NY 11229‐1104 (718) 336‐9100

BORO MEDICAL OF NEW YORK BORO MEDICAL NEW YORK E0120529 540 ATLANTIC AVENUE, BROOKLYN, NY 11217 (718) 423‐0808

BORO MEDICAL OF WESTCHESTER BORO MEDICAL WESTCHESTER E0121921 2202 Steinway St., SUITE 400, Astoria, NY 11105‐1875 (718) 423‐0808

BOULEVARD SURGICAL CENTER BOULEVARD SURGICAL CENTER E0182071 4604 31ST AVE, LONG ISLAND CITY, NY 11103‐1842 (718) 545‐5050

BRIGHTON SURGERY CENTER LLC BRIGHTON SURGERY CENTER LLC E0050792 980 WESTFALL RD, ROCHESTER, NY 14618‐2605 (585) 295‐8500

Bronx Addiction Services Integrated Concepts System (BASICS IN BASICS INC E0052240 1064 FRANKLIN AVE, BRONX, NY 10456 (718) 861‐5650

BRONX DIALYSIS CENTER / PELHAM PARKWAY DIALYSIS CTR BRONX DIALYSIS CTR E0130707 1615 EASTCHESTER ROAD, BRONX, NY 10461 (615) 341‐6407

BRONX RIVER NEPHRO CARE INC BRONX RIVER NEPHRO‐CARE INC E0118831 1616 BRONXDALE AVE, BRONX, NY 10462 (718) 430‐9800

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D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

BROOK PLAZA AMB SURG CTR,INC BROOK PLAZA AMB SURG CTR,INC E0182069 1901 UTICA AVE, BROOKLYN, NY 11234‐3213 (516) 371‐0126

BROOKDALE FAMILY CARE CENTER BROOKDALE FAMILY CARE CTR INC E0131897 1 BROOKDALE PLAZA, BROOKLYN , NY 11212‐3193 (718) 240‐5219

Brookdale Physicians Dialysis Assoc. BROOKDALE PHYSICIANS DIALYSIS E0113108 9701 Church Ave., BROOKLYN, NY 11212 (718) 495‐4680

BROOKLYN BIRTHING CENTER BROOKLYN BIRTHING CENTER E0090767 2183 OCEAN AVE, BROOKLYN, NY 11229 (718) 376‐6655

BROOKLYN COMPREHENSIVE CARE CENTER INC BROOKLYN COMP CARE CTR INC E0042372 2501 86TH ST, BROOKLYN, NY 11214 (718) 333‐2500

BROOKLYN EYE SURGERY CTR BROOKLYN EYE SURGERY CTR E0137888 1301 AVENUE J, BROOKLYN, NY 11230‐3605 (718) 645‐0600

BROOKLYN KIDNEY CENTER BROOKLYN KIDNEY CTR E0114451 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

BROOKLYN MEDCARE BROOKLYN MEDCARE E0067826 1110 PENSYLVANIA AVE, BROOKLYN, NY 11223 (718) 645‐0300

BROOME COUNTY HEALTH DEPARTMENT BROOME CNTY HEALTH DEPT E0252064 225 FRONT ST., BINGHAMPTON, NY 13905‐2424 (607) 772‐2802

BUFFALO AMBULATORY SURG CTR BUFFALO AMBULATORY SURG CTR E0178446 3095 HARLEM RD, CHEEKTOWAGA, NY 14225‐2500 (716) 896‐8831

BUFFALO HEARING & SPEECH CENTER, INC BUFFALO HEARING & SPEECH CTR E0252045 50 E. NORTH STREET, Buffalo, NY 14203 (716) 885‐8318

BUFFALO SURGERY CENTER LLC BUFFALO SURGERY CENTER LLC E0033845 3925 SHERIDAN DR, AMHERST, NY 14226‐1738 (716) 250‐6520

BUFFALO WOMEN SERVICES, LLC BUFFALO WOMENS SERVICES, LLC E0171766 2500 MAIN STREET, Buffalo, NY 14214 (716) 881‐5595

CAPITAL AREA SPEECH CENTER INC. CAPITAL AREA SPEECH CENTER E0244990 525 Washington Avenue, Albany, NY 12202 (518) 462‐6222

CAPITAL DISTRICT DIALYSIS CENTER BAYSIDE DIALYSIS CENTER E0216298 1101 NOTT ST., SCHENECTADY, NY 12308 (201) 447‐2501

CAPITAL REG AMB SURG CTR LLC CAPITAL REG AMB SURG CTR LLC E0086360 1367 WASHINGTON AVE, ALBANY, NY 12206‐1069 (518) 438‐1053

CASTLE HILL MEDICAL CTR OF NY INC CASTLE HILL MED CTR OF NY E0013432 920 CASTLE HILL AVE, BRONX, NY 10473 (718) 824‐0500

CATARACT CARE AMB SURGERY CTR CATARACT CARE AMB SURGERY CTR E0091875 137 CTY HWY 128, JOHNSTOWN, NY 12095 (518) 773‐2020

CATARACT CTR ADIRONDACKS CATARACT CTR ADIRONDACKS E0095535 450 MARGARET ST, PLATTSBURGH, NY 12901‐1755 (518) 561‐3144

CATHOLIC CHARITIES OF ROCKVILLE CENTER CATHOLIC CHARITIES HLTH AADC E0136480 ROCKVILLE CENTRE HIV/AIDS ADHCP, 333 NORTH MAIN STREET, FREEPORT, NY 11520 (516) 733‐7015

CATTARAGUS COUNTY DEPT OF HEALTH CATTARAUGUS COUNTY DOH E0252048 FAMILY PLANNING PROGRAM, 1 LEO MOSS DRIVE, OLEAN, NY 14760 (716) 373‐8052

CAYUGA CNTY DEPT OF HEALTH CAYUGA CNTY DEPT OF HEALTH E0263579 160 GENESEE STREET, AUBURN, NY 13021‐3424 (315) 253‐1301

CELIA DILL DIALYSIS CENTER CELIA DILL DIALYSIS CENTER E0027060 333 WESTCHESTER AVE, STE E103, WHITE PLAINS, NY 10604‐2912 (914) 949‐5371

CENTER FOR AMBULATORY SURGERY CENTER FOR AMBULATORY SURGERY E0081753 550 ORCHARD PARK RD, WEST SENECA, NY 14224‐2646 (716) 882‐3136

CENTER FOR COMPREHENSIVE HEALTH PRACTICE CENTER FOR COMP HLTH PRACTICE E0185010 PRIM CARE/ADDICTION UNIT/FAMILY CARE, 1900 Second Ave, NEW YORK, NY 10029 (212) 360‐7874

Center for the Disabled UCP ASSN OF THE CAPITAL DIST E0252157 314 South Manning Blvd., ALBANY, NY 12208 (518) 489‐8336

CENTRAL BROOKLYN DIALYSIS CENTER CENTRAL BROOKLYN DIALYSIS E0035423 818 Sterling Place, BROOKLYN, NY 11216 (347) 312‐3034

CENTRAL NEW YORK EYE CTR CENTRAL NEW YORK EYE CTR E0131290 22 GREEN ST, POUGHKEEPSIE, NY 12601‐1306 (914) 471‐3720

CENTRAL NY DIALYSIS CENTER CENTRAL NEW YORK DC, LLC E0070021 910 Erie Boulevard East, SYRACUSE, NY 13210 (303) 785‐7553

CENTRAL SUFFOLK ARTIFICIAL KIDNEY CENTER, INC NEW YORK DIALYSIS/CENTRAL SUF E0230881 861 Marcon Blvd Suite 2, BUILDING 9, Allentown, PA 18109‐9539 (610) 871‐9499

CENTURY MEDICAL & DENTAL CENTER, INC CENTURY MED & DENTAL CTR E0048140 260 AVENUE X, BROOKLYN, NY 11223 (718) 336‐8855

CENTURY SAME DAY SURGERY CENTURY SAME DAY SURGERY E0176054 7 CENTURY HILL DR, LATHAM, NY 12110‐2113 (518) 785‐0591

CHAUTAUQUA COUNTY HEALTH DEPT CHAUTAUQUA CO D O H PSSHSP E0156931 HALL R CLOTHIER BUILDING, 7 NORTH ERIE STREET, MAYVILLE, NY 14757‐1027 (716) 753‐4792

CHEMUNG COUNTY HEALTH DEPARTMENT/ CHEMUNG COUNTY HEALTH CENTER E0122418 FAMILY HEALTH NETWORK OF CENTRAL NY, 103 WASHINGTON STREET, ELMIRA, NY 149 (607) 737‐2867

CHILDRENS AID SOCIETY‐LORD MEMORIAL CLINIC CHILDRENS AID SOC‐LORD MEM CL E0273891 105 EAST 22ND STREET, NEW YORK, NY 10010 (212) 949‐4911

CHINATOWN DIALYSIS CENTER CHINATOWN DIALYSIS LLC E0061137 150 LAFAYETTE STREET, NEW YORK, NY 10013 (212) 889‐0770

CHOICES WOMENS MEDICAL CENTER INC CHOICES WOMENS MED CTR E0273096 2928 41st AVE #12FL, LONG ISLAND CITY, NY 11101‐3303 (718) 786‐5000

CITY DIALYSIS CENTER CITY DIALYSIS CENTER,INC E0215587 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

CITY WIDE HEALTH FACILITY, INC CITY WIDE HEALTH FACILITY INC E0072104 201 KINGS HIGHWAY, BROOKLYN, NY 11223 (718) 621‐1811

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D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

CITYCARE, INC. CITICARE INC E0198034 159 WEST 127TH STREET, NEW YORK, NY 10027 (212) 749‐3507

CLEVE HILL DIALYSIS CTR CLEVE HILL DIALYSIS CTR E0026899 1461 KENSINGTON AVENUE, Buffalo, NY 14215‐1436 (716) 831‐8892

CLINTON COUNTY HEALTH DEPARTMENT CLINTON CNTY HEALTH DEPT E0241304 133 MARGARET ST, PLATTSBURGH, NY 12901 (518) 563‐1500

CLOVE LAKE HEALTH CARE & REHAB CENTER CLOVE LAKES HLTH CARE & REHAB E0112434 25 Fanning St., P.O. Box 140703, STATEN ISLAND, NY 10314‐0703 (718) 289‐7878

COLUMBIA ‐GREEN DIALYSIS CENTER COLUMBIA‐GREENE DIALYSIS CENTERS E0131310 30 WHITTIER WAY, GHENT, NY 12075 (518) 828‐0717

COLUMBIA UNIVERSITY HEALTH CARE COLUMBIA UNIV HLTH CARE E0124323 COLUMBIA UNIVERSITY DENTAL SCHOOL, 630 WEST 168TH ST, NEW YORK, NY 10032 (212) 342‐5138

COMPREHENSIVE DIALYSIS CENTER OF WESTERN NY COMP DIALYSIS CTR WESTERN NY E0149690 6010 MAIN STREET, WILLIAMSVILLE, NY 14221 (716) 631‐4700

COMPREHENSIVE HEALTH CARE & REHABILITATION SRVS, LLC COMPREHENSIVE HLTH CARE REHAB E0042724 148 WILSON AVE, BROOKLYN, NY 11237 (718) 455‐5500

CONCOURSE MEDICAL CENTER INC CONCOURSE MEDICAL CENTER INC E0075788 880 MORRIS STREET, BRONX, NY 10451 (718) 665‐9340

CRD ASSOC, LLC (CLIFFSIDE RENAL DIALYSIS) CLIFFSIDE RENAL DIALYSIS E0026258 119‐19 GRAHAM COURT, FLUSHING, NY 11354 (718) 886‐0700

CUMBERLAND NFCC CUMBERLAND D & T CTR E0199271 NYC HEALTH AND HOSPITAL CORP‐REIMB SERV, 160 WATER STREET, NEW YORK, NY 100 (646) 458‐3402

DAYTOP VILLAGE INC DAYTOP VILLAGE,INC E0233722 54 WEST 40TH STREET, NEW YORK, NY 10018 (212) 354‐6000

DCI WESTCHESTER DCI‐WESTCHESTER E0083514 19 BRADHURST AVE, HAWTHORNE, NY 10532 (914) 592‐8030

DOCTORS UNITED INC DOCTORS UNITED E0095154 1 BRIDGE STREET, ARDSLEY, NY 10502 (914) 328‐8077

DOJ DIALYSIS CENTER, CORP DOJ DIALYSIS CENTER CORP E0031772 1160 TELLER AVE., BRONX, NY 10456‐4199 (914) 368‐4013

DUTCHESS AMBULATORY SUR CTR DUTCHESS AMBULATORY SUR CTR E0109779 23 DAVIS AVE, POUGHKEEPSIE, NY 12603‐2416 (914) 473‐6144

DUTCHESS COUNTY DOH DUTCHESS COUNTY DOH E0252218 387‐391 MAIN MALL, POUGHKEEPSIE, NY 12601 (845) 486‐3526

DUTCHESS DIALYSIS CENTER DUTCHESS DIALYSIS CENTER E0054152 861 Marcon Blvd Suite 2, 432 SOUTH ROAD, Allentown, PA 18109‐9539 (610) 871‐9449

E JOHN GAVRAS CENTER/UCP OF CAYUGA COUNTY E JOHN GAVRAS CENTER E0263576 182 NORTH STREET, AUBURN, NY 13021 (315) 252‐8282

EAST COAST REHABILITATION, INC COLUMBUS CTR FOR MED REHAB E0031360 1221 JEROME AVE., BRONX, NY 10452 (718) 538‐8343

EAST END DIALYSIS EAST END DIALYSIS E0003411 385 SENECA AVENUE, RIDGEWOOD, NY 11385‐1340 (718) 386‐4812

EAST NEW YORK D & T CENTER EAST NY D & T CTR E0151885 NYC HEALTH AND HOSPITAL CORP‐REIMB SERV, 160 WATER STREET, NEW YORK, NY 100 (646) 458‐3402

EASTER SEALS COMPREHENSIVE PRIMARY CARE D&TC EASTER SEALS COMP PRIMARY DT E0067662 103 WHITE SPRUCE BLVD, ROCHESTER, NY 14623 (603) 621‐3445

EASTMAN DENTAL CENTER EASTMAN DENTAL CENTER E0263662 625 ELMWOOD AVENUE, ROCHESTER, NY 14620 (716) 275‐5003

EASTVIEW DIALYSIS INC. EASTVIEW DIALYSIS INC E0110018 120 VICTOR HEIGHTS PKWY, VICTOR, NY 14564 (716) 742‐1250

ELMIRA ASC LLC ELMIRA ASC LLC E0099802 210 WILLIAM ST, ELMIRA, NY 14901‐3113 (607) 734‐1305

ELMWOOD HEALTH CENTER ELMWOOD HEALTH CENTER E0153468 2128 ELMWOOD AVE, Buffalo, NY 14207 (716) 634‐8132

ENDOSCOPIC PROCEDURE CENTER ENDOSCOPIC PROCEDURE CENTER E0022964 4900 BROAD RD, SYRACUSE, NY 13215‐2265 (315) 492‐5470

ENDOSCOPY CENTER/LI LLC ENDOSCOPY CENTER/LI LLC E0049972 711 STEWART AVE, GARDEN CITY, NY 11530‐4731 (516) 227‐3254

ENDOSCOPY CTR WESTERN NY LLC ENDOSCOPY CTR WESTERN NY LLC E0042259 60 Maple Road Suite 2, Williamsville, NY 14221‐2917 (866) 363‐6226

ERIE COUNTY HEALTH DEPARTMENT ERIE COUNTY HEALTH DEPT E0252042 MATERNITY & INFANT CARE PROJECT, 95 FRANKLIN STREET, Buffalo, NY 14202 (716) 858‐7964

EXECUTIVE WOODS AMB SURG CTR EXECUTIVE WOODS AMB SURG CTR E0089347 3 ATRIUM DR STE 150, ALBANY, NY 12205‐1445 (518) 453‐2361

EYE HEALTH ASSOCIATES INC EYE HEALTH ASSOCIATES INC E0093469 170 MAPLE RD, WILLIAMSVILLE, NY 14221‐2930 (716) 634‐4050

EYE SURGERY CTR/WESTCHESTER EYE SURGERY CTR/WESTCHESTER E0091287 838 PELHAMDALE AVE, NEW ROCHELLE, NY 10801‐1032 (914) 576‐9600

FAMILY MEDICAL CARE (BAPTIST HEALTH FAMILY MEDICAL CARE BAPTIST HLTH FAMILY MED CARE E0099822 7 CULLIGAN AVE, SCOTIA, NY 12302 (518) 377‐9444

FAMILY PLANNING SERV OF ONONDAGA COUNTY HD ONONDAGA COUNTY DOH E0252101 9TH FLOOR CIVIC CENTER, SYRACUSE, NY 13202 (315) 435‐3244

FAMILY RESIDENCES & ESSENTIAL ENTERPRISES, INC FAMILY RESIDENCES & ESSTL ENT E0083279 191 Sweet Hollow Road, Old Bethpage, NY 11804 (631) 293‐3030

FIFTH AVENUE SURGERY CTR FIFTH AVENUE SURGERY CTR E0176076 1049 5TH AVE, NEW YORK, NY 10028‐0115 (212) 772‐6667

FINGERLAKES UCP INC FINGER LAKES UCP INC E0136454 731 PRE‐EMPTION RD, GENEVA, NY 14456 (315) 789‐6828

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Page 9: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

         

                                                                                                                                         

                                                                                                                                         

                                                                        

                                                                                                                                            

                                                                                                                                                                                                

                                                                                                                                                                                                                                                                                                                                                            

                                                            

                                

                                            

D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

FIRST MEDCARE PRIMARY CARE CENTER FIRST MEDCARE PRIMARY CARE E0119258 8705 FLATLANDS AVE, BROOKLYN, NY 11236 (718) 257‐7777

FOOT CLINICS OF NEW YORK FOOT CLINICS OF NY E0273852 53 EAST 124TH STREET, NEW YORK, NY 10035 (212) 410‐8475

FORME REHABILITATION INC. FORME REHABILITATION INC E0091286 1075 CENTRAL PARK AVE., SCARSDALE, NY 10583 (914) 723‐4900

FRANKLIN MEDICAL REHAB INC FRANKLIN MEDICAL REHAB INC E0027912 605 FRANKLIN AVE, FRANKLIN SQUARE, NY 11010 (516) 775‐4404

FRANZISKA RACKER CENTERS FRANZISKA RACKER CENTERS E0263570 3226 WILKINS ROAD, ITHACA, NY 14850 (607) 272‐5891

FULTON COUNTY PHNS FULTON CO PHNS PSSHSP E0156915 2714 STATE HWY 29, JOHNSTOWN, NY 12095 (518) 762‐0720

Gates Circle Dialysis Center GATES CIRCLE DIALYSIS CENTER E0101559 267 W. Merrick Rd., FREEPORT, NY 11520 (303) 785‐7542

GATEWAY DIALYSIS CENTER GATEWAY DIALYSIS CENTER E0038076 1170 EAST 98TH STREET, BROOKLYN, NY 11236 (718) 223‐2100

GHI‐FAMILY DENTAL PRACTICE GHI FAMILY DENTAL PRACTICE E0252156 1873 WESTERN AVE., SUITE 200, ALBANY, NY 12203 (518) 869‐1044

GOUVERNEUR D & T CENTER GOUVERNEUR DIAGNOSTIC&TRT CTR E0274075 NYC HEALTH AND HOSPITAL CORP‐REIMB SERV, 160 WATER STREET, NEW YORK, NY 100 (212) 238‐7102

GREATER ROCH DIGEST AND LIVER DISEA GREATER ROCH DIGEST AND LIVER DISEA E0000459 222 ALEXANDER ST, STE 3100, ROCHESTER, NY 14607‐4047 (585) 325‐2390

GREEN COUNTY PUBLIC HEALTH NURSING SERVICE GREENE CNTY PUB HLTH NURS SER E0252197 411 MAIN STREET, A 201, CATSKILL, NY 12414 (518) 719‐3580

GREENWICH HOUSE COUNSELLING CENTER GREENWICH HOUSE INC AI E0155208 224 West 30th Street, Floor 3, NEW YORK, NY 10001‐4905 (212) 991‐0003

GUTHRIE SAME DAY SURG CTR INC GUTHRIE SAME DAY SURG CTR INC E0066911 GUTHRIE SQUARE, SAYRE, PA 18840 (570) 882‐4587

HARLEM DIALYSIS CENTER HARLEM DIALYSIS CTR E0126614 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

Harlem East Life Plan HARLEM EAST LIFE PLAN E0102156 2369 Second Ave., NEW YORK, NY 10035 (212) 876‐2300

HARRISON CENTER OTPT SURGERY HARRISON CENTER OTPT SURGERY E0189663 550 HARRISON ST STE 230, SYRACUSE, NY 13202‐3064 (315) 472‐4424

HASC DIAGNOSTIC & TREATMENT CENTER HASC DIAGNOSTIC & TREAT CTR E0081471 1221 EAST 14TH ST, BROOKLYN, NY 11230 (718) 745‐7575

HEALTH UNLIMITED HENRY ST SETTLEMENT HLTH CORP E0273854 40 MONTGOMERY ST, NEW YORK, NY 10002 (212) 766‐9200

HEARING & SPEECH CENTER OF ROCHESTER HEARING AND SPEECH CTR ROCHES E0263658 1000 ELMWOOD AVENUE, ROCHESTER, NY 14620 (716) 442‐4100

HEARTSHARE WELLNESS LTD HEARTSHARE WELLNESS LTD E0091367 50 COURT ST., 9TH FLOOR, BROOKLYN, NY 11201 (718) 855‐7707

HEMOPHILIA CTR OF WESTERN NY HEMOPHILIA CTR OF WEST NY INC E0252040 462 GRIDER STREET, Buffalo, NY 14215 (716) 896‐2470

HEMPSTEAD COMMUNITY HEALTH(NASSAU HEALTH CARE CORP NASSAU UNIVERSITY MEDICAL CEN E0103841 2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554 (516) 572‐6711

HERKIMER COUNTY PUBLIC HEALTH HERKIMER CTY PHNS E0252165 301 NORTH WASHINGTON STREET, HERKIMER, NY 13350 (315) 867‐1445

Hillside Diagnostic and Treatment Center HILLSIDE DIAG & TRT CTR LLC E0089983 188‐11 Hillside Ave, Hollis, NY 11423 (718) 291‐8200

HILLSIDE POLYMEDIC D ANT T CTR HILLSIDE POLYMEDIC D ANT T CTR E0009850 18730 HILLSIDE AVENUE, JAMAICA, NY 11432‐3216 (718) 264‐1111

HILLTOP MEDICAL DIAGNOSTIC AND TREATMENT CENTER, INC HILLTOP MED DIAG & TRT CTR E0049093 251‐12 HILLSIDE AVE, QUEENS, NY 11426 (718) 831‐1700

HORIZON HUMAN SERVICES HORIZON HEALTH SERVICES MH E0079490 699 Hertel Ave, Buffalo, NY 14201 (716) 831‐1800

HORTENSE & LOUIS RUBIN DIALYSIS CENTER HORTENSE&LOUIS RUBIN DIALYSIS E0203338 1850 PEOPLES AVENUE, TROY, NY 12180 (518) 271‐0702

HOUSING EAST NINTH STREET ADHCP HOUSING WORKS SER,INC AADC E0124799 743‐749 EAST NINTH ST, NEW YORK, NY 10009 (347) 473‐7402

HOUSING WORKS EAST NY HIV/AIDS ADHCP HOUSING WORKS E NY HIV 3 AADC E0117429 2640 PITKIN AVE, BRONX, NY 11208 (212) 966‐0466

HOUSING WORKS LOWER MANHATTAN ADHCP HOUSING WORKS SVC II AADC E0136483 320 WEST 13TH STREET, NEW YORK, NY 10014 (212) 645‐8111

HUDSON VALLEY CEREBRAL PALSY ASSOCIATION UCPA OF PUTNAM & SO DUTCHESS E0068790 40 JON BARRETT ROAD, PATTERSON, NY 12563 (845) 878‐9078

HUDSON VALLEY DIALYSIS CTR, INC LIBERTY RC, INC E0121911 155 WHITE PLAINS ROAD, SUITE 107,TARRYTOWN, NY 10591 (914) 949‐5371

HUDSON VALLEY ENDOSCOPIC CTR HUDSON VALLEY ENDOSCOPIC CTR E0099801 400 WESTAGE BUSINESS, FISHKILL, NY 12524 (914) 896‐3636

HUDSON VALLEY HEALTH SPECIALTIES HUDSON VALLEY HTH SPECIALTIES E0091285 139 CORNELL ST, KINGSTON, NY 12401 (845) 331‐4300

HUNTINGTON ARTIFICIAL KIDNEY CENTER HUNTINGTON ARTIFICIAL KIDNEY E0229453 P.O. BOX 335 , 267 WEST MERRICK ROAD, FREEPORT, NY 11520 (516) 379‐5000

HUNTINGTON HOSPITAL DOLAN FAMILY HLTH CTR HUNTINGTON HOSP DOLAN FHC E0125670 284 PULASKI RD, GREENLAWN, NY 11740 (516) 425‐5244

ICD/INTERNATIONAL CENTER FOR THE DISABLED ICD INTERNATL CTR FOR DISABL E0273982 340 EAST 24TH STREET, NEW YORK, NY 10010 (212) 585‐6009

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Page 10: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

         

                                     

                                                                                                      

                                                                                              

                                                                                                                              

                                                                                                        

                                                    

                                                                                                                                                                                            

                                                      

                                                                                                  

                                                

                                                                                                                  

                                                  

                      

                                            

D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

ICL HEALTHCARE CHOICES INC. ICL HEALTHCARE CHOICES INC E0081441 40 RECTOR ST, NEW YORK, NY 10006 (718) 234‐0073

INDUSTRIAL HOME FOR THE BLIND HELEN KELLER SVC FOR BLIND E0274106 57 WILLOUGHBY STREET, BROOKLYN, NY 11201 (718) 522‐2122

ISLAND EYE SURGICENTER LLC ISLAND EYE SURGICENTER LLC E0093655 255 Glen Cove Road, Carle Place, NY 11514‐1207 (516) 804‐5214

ISLAND REHABILITATION CENTER ISLAND REHAB SVCS KINGS E0247684 470 SEAVIEW AVE, STATEN ISLAND, NY 10305 (718) 448‐5641

Ithaca Dialysis Center ITHACA DIALYSIS CTR E0109082 267 West Merrick Rd., FREEPORT, NY 11520 (516) 379‐5000

J G B REHABILITATION JGB REHABILITATION CORP E0193757 15 WEST 65TH STREET, NEW YORK, NY 10023 (212) 769‐6200

JACOBUS CTR FOR REPRODUCTIVE HEALTH CORTLAND CTY DEPT OF HEALTH E0262676 CORTLAND COUNTY DEPT OF HEALTH, 60 CENTRAL AVE., CORTLAND, NY 13045 (607) 753‐5027

JOWONIO INC JAWONIO INC E0260037 260 LITTLE TOR ROAD NORTH, POST OFFICE BOX 312, NEW YORK, NY 10956 (914) 634‐4648

JUST KIDS DIAGNOSTIC & TREATMENT CTR JUST KIDS DIAGNOSTIC &TRT CTR E0186603 P O BOX 12, LONGWOOD ROAD, MIDDLE ISLAND, NY 11953 (516) 924‐0008

KEW GARDENS DIALYSIS CENTER KEW GARDENS DIALYSIS CTR E0028385 ISLAND REHABILITATIVE SERVICES/QUEENS, 120‐46 QUEENS BLVD, KEW GARDENS, NY 1 (718) 448‐5641

KINGS HARBOR DIALYSIS CENTER KINGS HARBOR DIALYSIS CTR E0040638 2000 EAST GUN HILL ROAD, BRONX, NY 10469 (718) 405‐3611

KINGSTON AMBULATORY SURGICAL CENTER KINGSTON AMBULATORY SURGICAL CENTER E0182049 40 HURLEY AVE STE 13, KINGSTON, NY 12401‐3738 (845) 338‐4777

LA CASA DE SALUD, INC LA CASA DE SALUD INC E0026256 966 PROSPECT AVE, BRONX, NY 10459 (718) 991‐7100

LaProvidencia Family Health Center CALEDONIAN COMM HLTH CTR INC E0053990 121 Dekalb Ave, BROOKLYN, NY 11201 (718) 250‐8176

LATTIMORE COMM SURGICENTER LATTIMORE COMM SURGICENTER E0176002 125 LATTIMORE RD, ROCHESTER, NY 14620‐4159 (585) 473‐9000

LEXINGTON HEARING & SPEECH CENTER LEXINGTON HEARING AND SPEECH E0232916 74 20 25TH AVE, JACKSON HEIGHTS, NY 11370 (718) 899‐8800

LIFE CARE DIALYSIS LIFE CARE DIALYSIS CENTER INC E0164073 221 WEST 61ST ST, NEW YORK, NY 10023 (610) 644‐4796

LIFETIME HEALTH MEDICAL GROUP LIFETIME HEALTH MEDICAL GROUP E0263659 800 CARTER ST, ROCHESTER, NY 14621 (585) 350‐7944

LONG ISLAND EYE SURG CTR LLC LONG ISLAND EYE SURG CTR LLC E0181792 601 SUFFOLK AVE, BRENTWOOD, NY 11717‐4309 (516) 231‐4455

LORETTO GERIATRIC CENTER LORETTO GERIATRIC CENTER E0212201 700 EAST BRIGHTON AVENUE, SYRACUSE, NY 13205 (315) 469‐5561

LOWER EASTSIDE SERVICE CENTER LOWER EASTSIDE SERVICE CENTER E0273867 MMTP, 46 East Broadway, NEW YORK, NY 10002 (212) 566‐5372

LOWER MANHATTAN DIALYSIS CENTER INC LOWER MANHATTAN DIALYSIS CTR E0208964 323 E 34TH STREET, NEW YORK, NY 10016 (212) 889‐1082

LOWER MANHATTAN DIALYSIS CENTER‐2 LOWER MANHATTAN DIALYSIS CTR2 E0136332 187 THIRD AVE, NEW YORK, NY 10003 (212) 889‐0770

MACKOOL EYE INSTITUTE,LLC MACKOOL EYE INSTITUTE,LLC E0147261 3127 41ST ST, ASTORIA, NY 11103‐3901 (718) 728‐3400

MADISON COUNTY PUBLIC HEALTH MADISON CNTY PUBLIC HLTH DEPT E0252105 COUNTY OFFICE BUILDING, WAMPSVILLE, NY 13163 (315) 366‐2361

MARY M GOOLEY HEMOPHILIA CENTER MARY M.GOOLEY HEMOPHILIA CTR. E0263657 1425 PORTLAND AVENUE, ROCHESTER, NY 14621 (716) 544‐3630

MEDALLIANCE MEDICAL AND REHABILITATION SERVICES MEDALLIANCE MEDICAL HLTH SVC E0038238 625 EAST FORDHAM ROAD, BRONX, NY 10458 (718) 933‐1900

MEDCARE, LLC MEDCARE, LLC E0081219 217 BEACH 95TH STREET, ROCKAWAY BEACH, NY 11693 (718) 634‐9384

MEDEX DIAGNOSTIC AND TREATMENT CENTER MEDEX D & T CTR E0090763 111‐29 QUEENS BLVD, FOREST HILLS, NY 11375 (718) 275‐8900

MEDISYS FAMILY CARE CENTER MEDISYS FAMILY CARE E0113372 111‐20 MERRICK BOULEVARD, JAMAICA, NY 11433 (718) 206‐6291

MELVILLE SURGERY CENTER, LLC MELVILLE SURGERY CENTER, LLC E0171203 1895 WALT WHITMAN RD, MELVILLE, NY 11747‐3031 (516) 293‐9700

MERCY CENTER FOR HEALTH SERVICES MERCY CENTER FOR HLTH SVC E0177245 218 STONE STREET, WATERTOWN, NY 13601 (315) 782‐7400

MERMAID HEALTH CENTER MERMAID HEALTH CENTER E0027362 1704‐1706 MERMAID AVENUE, BROOKLYN, NY 11224 (718) 265‐0900

MIC (MATERNITY INFANT CARE FP PROGM) MEDICAL HLTH RESEARCH ASC NYC E0273882 MEDICAL & HEALTH RESEARCH ASSCN, 40 WORTH STREET, NEW YORK, NY 10013 (718) 285‐0220

MID HUDSON FAMILY HEALTH SERV INST INSTITUTE FOR URBAN FAMILY HEALTH E0226322 279 MAIN STREET, SUITE 201, NEW PALTZ, NY 12561 (845) 255‐3435

MID MANHATTAN SURGI CTR INC MID MANHATTAN SURGI CTR INC E0094849 61 W 23RD ST FL 7, NEW YORK, NY 10010‐4243 (212) 367‐7626

MIDDLETOWN DIALYSIS CENTER MIDDLETOWN DIALYSIS CTR,INC E0187588 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

MIDWOOD CHAYIM ARUCHIM DIALYSIS ASSOC. MIDWOOD CHAYIM ARUCHIM DIALYS E0099796 1915 OCEAN AVE., BROOKLYN, NY 11230 (718) 258‐7700

MOBILE HEALTHCARE, LLC MOBILE HEALTH CARE, LLC E0082874 791 WEST BROADWAY, WOODMERE, NY 11598 (917) 417‐7882

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D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

MONROE COUNTY HEALTH DEPT CLINIC MONROE CNTY DEPT HLTH CLINIC E0263656 ROOM 854, 111 WESTFALL ROAD, ROCHESTER, NY 14692 (585) 753‐5027

MONTEFIORE DIALYSIS CENTER III (EVEREST) MONTEFIORE DIALYSIS CTR III E0090366 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

MORRISANIA NEIGHBORHOOD FAMILY CARE CTR MORRISANIA D & T CTR E0273824 NYC HEALTH AND HOSPITAL CORP‐REIMB SERV, 160 WATER STREET, NEW YORK, NY 100 (646) 458‐3403

MOUNT SINAI D&TC MOUNT SINAI D&T CENTER E0045090 1176 FIFTH AVE, NEW YORK, NY 10029 (212) 731‐3752

MOUNT ST. URUSULA SPEECH CENTER MOUNT ST URSULA SPEECH CTR E0273850 200 STREET AND MARION AVENUE, BRONX, NY 10458 (212) 584‐7679

NARCO FREEDOM NARCO FREEDOM INC E0273921 479 WILLIS AVE., BRONX, NY 10455 (718) 993‐3343

NASSAU CTR FOR AM SURGERY ENDO GROUP LLC E0190974 400 ENDO BLVD, GARDEN CITY, NY 11530‐6723 (516) 832‐8000

Nassau Dialysis LLC NASSAU DIALYSIS, LLC E0219340 160 NORTH FRANKLIN STREET, HEMPSTEAD, NY 11550 (914) 644‐9250

NEPHRO CARE INC NEPHRO CARE INC E0193839 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

NEPHROLOGY FOUNDATION OF BROOKLYN NEPHROLOGY FOUNDATION OF BKYN E0253740 342 FLATBUSH AVE, BROOKLYN, NY 11238 (718) 857‐3000

NEW ALTERNATIVES FOR CHILDREN NEW ALTERNATIVES F CHILDREN E0015130 37 WEST 26TH STREET, NEW YORK, NY 10010 (212) 696‐1550

NEW BERLIN FAMILY PRACTICE, INC. NEW BERLIN FAMILY PRACT INC. E0083982 4 TERRACE HEIGHTS, NEW BERLIN, NY 13411 (607) 847‐7000

NEW DIMENSIONS IN HEALTHCARE/LIBERTY HEALTH CARE NEW DIMENSIONS IN HEALTH CARE E0133303 P.O. BOX 639, ROUTE 5 S, AMSTERDAM, NY 12010 (518) 954‐3134

NEW ENGLAND LASER COSMETIC LL NEW ENGLAND LASER COSMETIC LL E0103792 1072 Troy Schenectady Road, Latham, NY 12110 (518) 389‐1803

NEW HYDE PARK DIALYSIS CENTER NEW HYDE PARK DIALYSIS CTR E0082383 1574 HILLSIDE AVE, NEW HYDE PARK, NY 11040 (347) 312‐3034

NEW YORK ARTIFICIAL KIDNEY NEW YORK ARTIFICIAL KIDNEY E0074177 2651 EAST 14TH STREET, BROOKLYN, NY 11235 (718) 769‐4100

NEW YORK MEDICAL AND DIAGNOSTIC CENTER NEW YORK MED & DIAGNOSTIC CTR E0118844 80‐46 KEW GARDENS ROAD, KEW GARDENS, NY 11415 (718) 261‐1000

NEW YORK NEURO & REHAB CTR NEW YORK NEURO AND REHAB CTR E0132718 4468‐4474 BROADWAY , NEW YORK, NY 10040 (212) 569‐7144

New York Renal Associates NEW YORK RENAL ASSOCIATES INC E0114460 3468 Park Avenue, BRONX, NY 10456 (718) 401‐2836

NEWTOWN DIALYSIS CENTER NEWTOWN DIALYSIS CTR INC E0122635 29‐20 NEWTOWN AVE, ASTORIA, NY 11102 (347) 312‐3034

NIAGARA RENAL CENTER NIAGARA RENAL CENTER E0060720 3018 MILITARY ROAD, NIAGARA FALLS, NY 14304 (716) 298‐4195

NORTH CNTRY ORTHO AMB SURG NORTH CNTRY ORTHO AMB SURG E0061568 1571 WASHINGTON ST, WATERTOWN, NY 13601‐9304 (315) 836‐2202

NORTH COUNTRY CHILDRENS CLINIC INC NORTH COUNTRY CHILDRENS CLIN E0241309 238 Arsenal St., Watertown, NY 13601‐2504 (315) 782‐9450

NORTH GENERAL HOSPITAL D&T CENTER NORTH GENERAL D&T CENTER INC E0042354 1879 MADISON AVENUE, NEW YORK, NY 10035 (212) 423‐4825

NORTH SHORE SURGI‐CENTER NORTH SHORE SURGI‐CENTER E0182056 989 W JERICHO TPKE, SMITHTOWN, NY 11787‐3241 (516) 864‐7100

NORTHERN ADIRONDACK PLANNED PARENTHOOD NORTHERN ADIRONDACK PP INC E0241305 66 BRINKERHOFF STREET, PLATTSBURGH, NY 12901 (518) 561‐4430

NORTHERN NY CEREBRAL PALSY ASSCN NORTHERN NY CP ASSOC E0197237 714 WASHINGTON STREET, WATERTOWN, NY 13601 (315) 788‐5650

NY LEAGUE FOR HARD OF HEARING LEAGUE FOR THE HARD OF HEARIN E0266808 50 BROADWAY, NEW YORK, NY 10004 (917) 305‐7700

NY UNIVERSITY DENTAL CLINIC NEW YORK UNIV DENTAL CTR E0166474 NY UNIV. COLLEGE OF DENTISTRY, 345 EAST 24TH STREET, NEW YORK, NY 10010 (212) 998‐9930

NYC HEALTH DEPARTMENT NYCDOH‐RICHMOND E0273687 DVN OF FINANCIAL SYSTEM & ANALYSIS, 125 WORTH STREET BOX 48, NEW YORK, NY 10 (212) 232‐2423

NYCDOH Astoria/Corona NYCDOH‐ASTORIA/CORONA E0273684 34‐33 Junction Blvd., Corona, NY 11368 (212) 232‐2423

NYCDOH Bedford NYCDOH‐BEDFORD E0273679 485 Throop Avenue, BROOKLYN, NY 11221 (212) 232‐2423

NYCDOH Brownsville NYCDOH‐BROWNSVILLE E0273680 259 Bristol Street, BROOKLYN, NY 11212 (212) 232‐2423

NYCDOH Bushwick NYCDOH‐BUSHWICK E0273681 335 Central Avenue, BROOKLYN, NY 11221 (212) 232‐2423

NYCDOH East Harlem NYCDOH‐HARLEM E0273675 158 East 115 Street, NEW YORK, NY 10029 (212) 232‐2423

NYCDOH Fort Green NYCDOH‐FT GREEN E0273683 295 Flatbush Avenue Ext., BROOKLYN, NY 11201 (212) 232‐2423

NYCDOH Homecrest NYCDOH‐HOMECREST E0273682 1601 Avenue S., BROOKLYN, NY 11229 (212) 232‐2423

NYCDOH Jamaica NYCDOH‐JAMAICA E0273685 90‐37 Rasons Blvd., JAMAICA, NY 11372 (212) 232‐2423

NYCDOH Lower Manhattan NYCDOH‐LOWER MANHATTAN E0273605 303 Ninth Avenue, NEW YORK, NY 10001 (212) 232‐2423

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Page 12: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

         

                                                                   

                                                                                                

                                      

                                                                      

                                                

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

                                                            

                                                                                                    

                                                                                                                                

                                            

D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

NYCDOH North Bronx‐Tremont NYCDOH‐NORTH BRONX‐TREMONT E0273678 1826 Arthur Avenue, BRONX, NY 10457 (212) 232‐2423

NYCDOH South Bronx‐Morrisania NYCDOH‐SOUTH BRONX‐MORRISANIA E0273677 1309 Fulton Avenue, BRONX, NY 10456 (212) 232‐2423

NYCDOH Westside‐Washington‐Riverside NYCDOH‐UPPER WESTSIDE‐WASHING E0273676 160 West 100th Street, NEW YORK, NY 10025 (212) 232‐2423

NYS ASSN FOR RETARDED CHILDREN of Chautauqua County (NYS NYS ARC (CHAUTAUQUA CNTY) E0235739 CHAUTAUQUA COUNTY, 880 EAST 2ND STREET, JAMESTOWN, NY 14701 (716) 664‐3893

ODYSSEY HOUSE OF NEW YORK ODYSSEY HOUSE OF NEW YORK E0159987 95 PINE ST, NEW YORK, NY 10005 (212) 361‐1600

ONEIDA COUNTY HEALTH DEPARTMENT ONEIDA COUNTY DEPT OF HEALTH E0252103 406 ELIZABETH ST., UTICA, NY 13501 (315) 798‐5080

OPTI‐HEALTH CARE, DDI OPTI‐HEALTHCARE E0153531 99 HOLLYWOOD DRIVE, SMITHTOWN, NY 11787 (631) 284‐5500

OSWEGO COUNTY OPPORTUNITIES OSWEGO CO OPPORTUNITIES INC E0169432 239 ONEIDA ST., FULTON, NY 13069 (315) 598‐4710

OUR LADY OF MERCY HEALTHCARE SYSTEM, INC OLM AMBULATORY CARE CTR INC E0044774 JOHN CARDINAL O'CONNOR CAMPUS, 600 EAST 233RD ST, BRONX, NY 10466 (347) 341‐4300

OUTPATIENT REHAB CENTERS OF NY/CENTER FOR REHABILITATIO CENTER FOR REHABILITATION E0101296 145 DREISER LOOP, BRONX, NY 10475 (718) 377‐6970

P.P. MOHAWK HUDSON PLANNED PTHD MOHAWK HUDSON E0252152 1040 State St., Schenectady, NY 12307 (518) 374‐5353

PARKER JEWISH GERIATRIC INST PARKER JEWISH GERIATRIC D&T E0184985 1 DELAWARE DRIVE, LAKE SUCCESS, NY 11042 (718) 343‐2100

PARKMED PARKMED E0100508 800 Second Ave, NEW YORK, NY 10017 (212) 686‐6402

PERRY AVENUE FAMILY MEDICAL INC PERRY AVE FAMILY MEDICAL CTR E0055678 3071 PERRY AVE, BRONX, NY 10467 (718) 231‐6700

PHASE: PIGGY BACK, INC / Barbee Family HC PHASE PIGGY BACK INC E0100775 266 W 145th STREET, NEW YORK, NY 10039 (212) 234‐1660

PHOENIX HOUSE FOUNDATION INC PHOENIX HOUSE FOUNDATION INC E0262066 164 WEST 74TH STREET, NEW YORK, NY 10023 (212) 595‐5810

PHOENIX HOUSES OF LONG ISLAND (APPLE) PHOENIX HSES OF LONG ISLAND E0148088 998 CROCKED HILL ROAD, PILGRIM PSYCH CTR BUILDING 5, BRENTWOOD, NY 11717‐300 (631) 306‐5749

PHOENIX MEDICAL CENTER PHOENIX MEDICAL CENTER INC E0144692 341‐3 KNICKERBOCKER AVENUE, BROOKLYN, NY 11237 (718) 386‐1100

PHYSICARE MULTI‐SERVICES,LTD PHYSICARE MULTI‐SERVICES, LTD E0043020 3508 Flatlands Ave, BROOKLYN, NY 11234 (718) 253‐3900

PLANNED PARENTHOOD HUDSON PECONIC PLANNED PRTD HUDSON‐PECONIC I E0259769 4 SKYLINE DRIVE, HAWTHORNE, NY 10532 (914) 467‐7300

PLANNED PARENTHOOD MID‐HUDSON VALLEY PP OF MID‐HUDSON VALLEY INC E0273908 178 CHURCH STREET, POUGHKEEPSIE, NY 12601 (914) 471‐1540

PLANNED PARENTHOOD OF BUFFALO & ERIE CO PLANNED PRTHD BUFFALO & ERIE E0252036 2697 MAIN STREET, Buffalo, NY 14214 (716) 831‐2200

PLANNED PARENTHOOD OF NASSAU CO PLANNED PARENTHOOD OF NASSAU E0260722 540 FULTON AVENUE, HEMPSTEAD, NY 11550 (516) 750‐2600

PLANNED PARENTHOOD OF NIAGARA CO PLANNED PARENTHOOD OF NIAG CO E0252030 2697 Main Street, 6951 WILLIAMS RD, Buffalo, NY 14214 (716) 831‐2200

PLANNED PARENTHOOD OF NORTHERN NEW YORK CIRCLE ADOL PREG PROG TS E0193583 160 STONE STREET, WATERTOWN, NY 13601 (315) 782‐1818

PLANNED PARENTHOOD OF NYC INC MARGARET SANGER CTR E0273963 26 BLEEKER STREET, 4TH FLOOR, NEW YORK, NY 10012 (212) 274‐7200

PLANNED PARENTHOOD OF ROCHESTER/SYRACUSE PLANNED PRTHD ROCHSTR/SYRACUS E0260994 114 UNIVERSITY AVENUE, ROCHESTER, NY 14605 (716) 546‐2595

PLANNED PARENTHOOD OF SOUTH CENTRAL NEW YORK PLANNED PRTHD SO CENTRAL NY E0252630 37 DIETZ STREET, ONEONTA, NY 13820 (607) 432‐2252

PLANNED PARENTHOOD OF TOMPKINS CO PLANNED PARENTHOOD SO FINGER LAKES E0262944 314 WEST STREET, ITHACA, NY 14850 (607) 796‐0220

POLO TENENBAUM CENTER FOR RENAL CARE (PREMIER) POLA TENENBAUM CTR RENAL CARE E0101603 430 BEACH 68TH STREET, ARVERNE, NY 11692 (718) 474‐5200

PORTCHESTER DIALYSIS & RENAL CENTER PORT CHESTER DIALYSIS/RENAL E0139312 38 BUCKLEY AVE, PORT CHESTER, NY 10593 (615) 320‐4414

PRASAD CHILDRENS DENTAL HEALTH PROGRAM INC PRASAD CHILDS DENTAL HLTH PGR E0094834 465 BRICKMAN RD, HURLEYVILLE, NY 12747‐5314 (914) 434‐0376

Premiere Healthcare Diagnostic & Trtmnt Ctr PREMIER HEALTHCARE D & T CTR E0124927 460 West 34th Street, 11th FLOOR, NEW YORK, NY 10001 (212) 273‐6149

PRIMARY HEALTH CARE PLUS, INC PRIMARY HEALTH CARE PLUS INC E0047663 1209 HEMPSTEAD TURNPIKE, FRANKLIN SQUARE, NY 11010 (516) 352‐8300

PRIME CARE ON THE BAY, LLC PRIME CARE ON THE BAY LLC E0057465 1711 SHEEPSHEAD BAY ROAD, BROOKLYN, NY 11235 (718) 332‐8002

PRIVILEGE CARE DIAGNOSTIC AND TREATMENT CENTER PRIVILEGE CARE DIAG TRTMNT E0025171 40‐18 76th STREET, ELMHURST, NY 11373 (718) 779‐6800

QUALITY HEALTH CENTER QUALITY MOBILE CARE E0139080 220‐05 94TH DRIVE, QUEENS VILLAGE, NY 11428 (718) 465‐3265

QUEENS ARTIFICIAL KIDNEY CENTER QUEENS ARTIFICIAL KIDNEY CTR E0273916 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐4841

QUEENS SURGI‐CENTER QUEENS SURGI‐CENTER E0162601 83‐40 WOODHAVEN BLVD, GLENDALE, NY 11385 (718) 849‐8700

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Page 13: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

         

                                                                                                                       

                                                          

                                                                                              

                                                                                                

                                                                                             

                                                                                  

                                                                                                

                                                            

                                                                                                                                                                                                                                                                                                          

                                                                                                                                                

                                            

D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

Queens Village Committee for Mental Health for JCAP Inc. QUEENS VLG COM FOR MH/J CAP E0190872 231 ‐ 35 Merrick Blvd, Laurelton, NY 11413 (718) 712‐1100

RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION RALPH LAUREN CTR F/CANCR CARE E0057667 1919 MADISON AVE, NEW YORK, NY 10035 (212) 987‐1777

RAYMOND NAFTALI CENTER FOR REHABILITATION RAYMOND NAFTALI AMB CTR F/ REHAB E0001764 508 WEST 26TH STREET, NEW YORK, NY 10001 (646) 230‐9292

REHABILITATION PROGRAMS INC CAH REHABILITATION PROGRAM E0148201 230 NORTH ROAD, POUGHKEEPSIE, NY 12601 (914) 485‐9803

RENAISSANCE HEALTH CARE NETWORK RENAISSANCE HLTH CARE NETWORK E0178852 NYC HEALTH AND HOSPITAL CORP‐REIMB SERV, 160 WATER STREET, NEW YORK, NY 100 (646) 458‐3402

RENAL CARE NORTHERN NY LLC RENAL CARE NORTHERN NY LLC E0010415 19328 WASHINGTON ST, SUITE II, WATERTOWN, NY 13601 (315) 779‐2140

RENAL CARE OF BUFFALO, INC RENAL CARE OF BUFFALO E0159888 550 ORCHARD PARK ROAD, WEST SENECA, NY 14224 (615) 320‐4414

RENAL CARE OF ROCKLAND , INC RENAL CARE OF ROCKLAND INC E0120122 131 ROUTE 303, VALLEY COTTAGE, NY 10909 (516) 379‐5000

RIDGEWOOD DIALYSIS CENTER RIDGEWOOD DIALYSIS CENTER E0171891 385 SENECA AVE, RIDGEWOOD, NY 11385 (718) 366‐1111

ROCHESTER REHABILITATION CTR INC ROCHESTER REHABILITATION CTR E0263655 1000 ELMWOOD AVENUE, ROCHESTER, NY 14620 (716) 442‐4100

ROCKLAND COUNTY HEALTH DEPT‐PRIMARY CARE ROCKLAND COUNTY HEALTH DEPT E0266611 SANATORIUM ROAD, POMONA, NY 10970 (914) 354‐0200

ROGOSIN INSTITUTE INC ROGOSIN KIDNEY CENTER E0219339 504 EAST 74TH STREET, 5TH FLOOR , NEW YORK, NY 10021 (212) 472‐5926

ROSE F KENNEDY & BAUMRITTER CTR ROSE F KENNEDY CTR E0273872 1300 MORRIS PARK AVE., BRONX, NY 10461 (425) 776‐2494

SAMARITAN VILLAGE INC SAMARITAN VILLAGE INC E0273903 138 02 QUEENS BOULEVARD, BRIARWOOD, NY 11435 (718) 206‐2000

SARATOGA CARE FAMILY HEALTH CENTERS SARATOGA CARE FAMILY HEALTH CENTERS E0229974 201 CHURCH STREET, SARATOGA SPRINGS, NY 12866 (518) 580‐2022

SARATOGA‐SCHENECTADY ENDOSCPY, LLC SARATOGA‐SCHENECTADY ENDOSCPY, LLC E0041618 PO BOX 419, BURNT HILLS, NY 12027‐0419 (518) 831‐1550

SCHENECTADY CO CHAP NYS ARC SCHENECTADY CO CHAP NYS ARC E0144251 214 STATE STREET, PO BOX 2236, SCHENECTADY, NY 12305‐1806 (518) 372‐1160

SCHENECTADY CO PHNS SCHENECTADY CNTY PUBLIC HLTH E0178023 107 NOTT TERRACE, THIRD FLOOR, SCHENCTADY, NY 12307 (518) 386‐2810

SDTC‐THE CENTER FOR DISCOVERY SDTC THE CENTER FOR DISCOVERY E0077730 606 Old Route 17, Monticello, NY 12742 (845) 794‐1400

SEGUNDO RUIZ BELVIS NFCC SEGUNDO RUIZ BELVIS D & T CTR E0179413 NYC HEALTH AND HOSPITAL CORP‐REIMB SERV, 160 WATER STREET, NEW YORK, NY 100 (646) 458‐3402

SHEEPSHEAD BAY SURGERY CTR SHEEPSHEAD BAY SURGERY CTR E0102771 2269 OCEAN AVE, BROOKLYN, NY 11229‐3103 (718) 787‐0387

SITRIN MEDICAL REHAB CENTER SITRIN MEDICAL REHAB CTR E0118493 2050 TILDEN AVE, NEW HARTFORD, NY 13413 (315) 797‐3114

SL QUALITY CARE DIAGNOSTIC AND TREATMENT CTR SL QUALITY CARE D&T CTR INC E0092415 1220 Avenue P, BROOKLYN, NY 11229 (718) 376‐1004

SOUNDSHORE DIALYSIS CTR (RENAL RESEARCH INS) SOUND SHORE DIALYSIS CTR INC E0092683 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

SOUTH BROOKLYN HEALTH CENTER INC SOUTH BROOKLYN HEALTH CTR INC E0273974 120 RICHARDS STREET, BROOKLYN, NY 11231 (717) 625‐3986

SOUTH BROOKLYN MEDICAL ADMINISTRATIVE SERVICES SO BROOKLYN MED ADMIN SVCS E0026459 685 THIRD AVE, BROOKLYN, NY 11252 (718) 788‐2594

SOUTH BROOKLYN NEPHROLOGY CENTER SOUTH BROOKLYN NEPHROLOGY CTR E0229895 39 15 AVEVUE V, BROOKLYN, NY 11234 (718) 252‐8440

SOUTH OCEAN CARE SOUTH OCEAN CARE LLC E0071121 101 SOUTH BERGEN PLACE, FREEPORT, NY 11520 (516) 623‐3600

SOUTH QUEENS DIALYSIS CENTER SOUTH QUEENS DIALYSIS CENTER E0204374 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐4841

SOUTHERN MANHATTAN DIALYSIS CENTER SO MANHATTAN DIALYSIS E0206870 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

SOUTHERN TIER COMMUNITY HEALTH CENTER SOUTHERN TIER COMMUNITY HLTH E0041432 500 MAIN STREET, OLEAN, NY 14760 (716) 692‐2160

SOUTHERN WESTCHESTER DIALYSIS CENTER SOUTHERN WESTCHESTER DIALYSIS E0181651 861 Marcon Blvd Suite 2, Allentown, PA 18109‐9539 (610) 871‐9499

SPECIALISTS ONE‐DAY SURG CTR SPECIALISTS ONE‐DAY SURG CTR E0073642 5719 WIDEWATERS PKWY, SYRACUSE, NY 13214‐1880 (315) 251‐3135

SPECIALTY SURG CTR/CENTRAL NY SPECIALTY SURG CTR/CENTRAL NY E0094830 225 GREENFIELD PKWY STE 105, LIVERPOOL, NY 13088‐6656 (315) 451‐6911

ST CAMILLUS DIAGNOSTIC & TREATMENT CTR ST CAMILLUS RHCF D&TC E0212613 813 FAY ROAD, SYRACUSE, NY 13219‐3098 (315) 488‐2951

ST LAWRENCE CO HEALTH DEPT ST LAWRENCE CTY PUB HLTH DEPT E0241311 80 State Highway 310, Suite #2, Canton, NY 13617‐1476 (315) 386‐2325

ST PETERS SURGERY & ENDOSCOPY ST PETERS SURGERY & ENDOSCOPY E0072448 1375 WASHINGTON AVE, ALBANY, NY 12206‐1070 (518) 533‐3420

ST. CHRISTOPHER'S INN ST CHRISTOPHERS INN INC E0136176 P.O. BOX 150, GRAYMOOR, GARRISON, NY 10524‐0150 (845) 424‐3616

STATEN ISLAND DIALYSIS CLINIC, INC STATEN ISLAND ARTIFICIAL KIDN E0124373 1550 RICHMOND AVE, STATEN ISLAND, NY 10314 (718) 983‐7000

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Page 14: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

         

                                                           

                                                                                                                          

                                                                                                                    

                                                                                                                                                                                        

                                                                                                        

                                                                                                                                                                                                                                                                                                                                

                                                                                                                                                                                                

                                                                                                                        

                        

                                            

D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

STERLING SURGICAL CENTER LLC STERLING SURGICAL CENTER LLC E0070965 303 STERLING DR, ORCHARD PARK, NY 14127‐1570 (716) 712‐0600

Stonybrook Dialysis Clinic STONYBROOK DIALYSIS CLINIC E0120105 26 Research Way, East Setauket, NY 11733 (516) 444‐0501

STRONG HEALTH DIALYSIS ‐ AMBULATORY UNIT STRONG HLTH DIALYSIS AMB CARE E0067141 601 ELMWOOD AVE, ROCHESTER, NY 14642 (412) 922‐8439

STRONG HEALTH DIALYSIS ‐ CLINTON CROSSING UNIT STRONG HLTH DIALYSIS CLINTON E0067144 2400 SOUTH CLINTON AVE, ROCHESTER, NY 14618 (412) 922‐8439

SUFFOLK COUNTY DEPT OF HEALTH SUFFOLK CNTY DOH CLINIC SERV E0252192 225 RABRO DRIVE EAST, HAUPPAUGE, NY 11788‐4290 (516) 339‐3700

SUFFOLK HEARING & SPEECH CENTER SUFFOLK HEARING & SPEECH CTR E0273906 369 E. MAIN ST , SUITE 1, EAST ISLIP, NY 11730 (516) 277‐6000

SUNY AT STONY BROOK DENTAL CLINIC SUNY AT STONY BROOK E0252020 SCHOOL OF DENTAL MEDICINE, ROCKLAND HALL, STONY BROOK, NY 11794‐8700 (631) 632‐8972

SURGICARE AMB SURG CTR OF NY SURGICARE AMB SURG CTR OF NY E0108888 3250 WESTCHESTER AVE, BRONX, NY 10461‐4500 (718) 518‐9000

SYRACUSE ENDOSCOPY ASSOC LLC SYRACUSE ENDOSCOPY ASSOC LLC E0031028 STE 205, SYRACUSE, NY 13210‐1746 (315) 234‐6677

TERENCE CARDINAL COOKE HCC TERENCE CARDINAL COOKE HCC E0263665 1249 5TH AVENUE, NEW YORK, NY 10029‐4413 (212) 860‐8000

THE DOOR ‐ A CENTER OF ALTERNATIVES DOOR,THE‐CTR OF ALTERNATIVES E0273533 121 AVENUE OF THE AMERICAS, NEW YORK, NY 10013 (212) 941‐9090

THE LIGHTHOUSE INC THE LIGHTHOUSE, INC. E0217090 NEW YORK ASSOCIATION FOR THE BLIND, 111 EAST 59TH ST, NEW YORK, NY 10022 (212) 821‐9398

THE PLUTA FAMILY CANCER CENTER INC PLUTA FAMILY CANCER CTR E0077718 125 RED CREEK DRIVE, ROCHESTER, NY 14623 (585) 486‐0600

THE STATE UNIVERSITY AT BUFFALO SCHOOL OF DENTAL MEDIC DANIEL SQUIRE ORAL D & T CTR E0128749 Re:DANIEL SQUIRE ORAL D & T CENTER, SQUIRE HALL ROOM 325, Buffalo, NY 14214‐300 (716) 829‐3226

THE URBAN STRATEGIES / BROOKDALE FAMILY HLTH URBAN STRATEGIES/B F C C E0126588 1 BROOKDALE PLAZA, BROOKLYN, NY 11212‐3194 (718) 240‐5219

THRESHOLD CENTER FOR ALTERNATIVE LIVING THRESHOLD CTR FOR ALT YOUTH E0234834 80 SAINT PAUL STREET, 4TH FLOOR, ROCHESTER, NY 14604 (585) 327‐7200

TIOGA COUNTY HEALTH DEPARTMENT TIOGA COUNTY HEALTH DEPT E0263566 HUMAN RESOURCES BUILDING, 1062 Route 38, OWEGO, NY 13827 (607) 687‐8600

TIOGA OPPORTUNITIES PROGRAM INC TIOGA COUNTY FAMILY PLANNING E0263567 DEPT OF FAMILY HEALTH SERVICE, 110 CENTRAL AVE (PO BOX 70), OWEGO, NY 13827 (607) 687‐5333

U C P & HANDICAPPED PERSONS ASSN OF UTICA AREA INC UCP HANDI PER OF UTICA AREA E0252102 1020 MARY STREET, UTICA, NY 13501 (315) 724‐3141

U C P & HANICAPPED CHILDRENS ASSOC. OF SYRACUSE UCP & HANDI CHILD SYRACUSE E0252099 1603 COURT STREET, SYRACUSE, NY 13208 (315) 703‐6275

U C P A OF GREATER SUFFOLK INC UCP ASSO OF GREATER SUFFOLK E0263689 250 MARCUS BLVD, HAUPPAUGE, NY 11788 (516) 232‐0011

U C P ASSN OF NASSAU COUNTY UCPA OF NASSAU COUNTY INC E0199171 380 WASHINGTON AVENUE, ROOSEVELT, NY 11575 (516) 378‐2000

U C P ASSN OF NEW YORK STATE UCP ASSO OF NYS STATEN IS E0205030 FINANCE DEPARTMENT, 330 WEST 34TH ST, NEW YORK, NY 10001 (212) 947‐5770

U C P ASSN OF ROCHESTER AREA UNITED CEREBRAL PALSY ROCH E0263653 3399 WINTON ROAD SOUTH, ROCHESTER, NY 14623 (716) 248‐3700

U C P OF THE TRI COUNTIES INC PROSPECT CHILD & FAMILY CTR E0224469 133 AVIATION ROAD, QUEENSBURY, NY 12804‐1199 (518) 798‐0170

U C P OF ULSTER COUNTY INC UCP OF ULSTER COUNTY E0252209 250 TUYTEN BRIDGE ROAD, LAKE KATRINE, NY 12449 (914) 338‐9320

UCP OF CHEMUNG COUNTY INC UCP DIAGNOSTIC AND TRT CTR E0160154 1118 CHARLES STREET, ELMIRA, NY 14904 (607) 734‐7107

ULITMATE HEALTH OUTCOMES, INC ULTIMATE HEALTH OUTCOMES INC E0055979 2343 NEW HYDE PARK ROAD, NEW HYDE PARK, NY 11040 (516) 437‐7236

Ulster County Health Department ULSTER CNTY DOH NURS DIV E0252191 300 Flatbush Avenue , KINGSTON, NY 12402 (914) 338‐8443

UNION SANATORIUM ASSOC. INC UNION HEALTH CENTER ILGWU E0118207 275 7TH AVE, NEW YORK, NY 10001 (212) 924‐2510

UNITED CEREBRAL PALSY OF NYC UNITED CEREBRAL PALSY OF NYC E0273930 80 MAIDEN LANE, NEW YORK, NY 10038‐4811 (212) 683‐6700

UNITED COMPREHENSIVE CARE LTD UNITED COMPREHENSIVE CARE LTD E0074472 201 Portian Road, Suite A, Lake Ronkonkoma, NY 11779 (631) 981‐1333

UNIVERSITY DIALYSIS CENTER UNIVERSITY DIALYSIS CENTER E0163229 1127 EAST GENESEE STREET, SYRACUSE, NY 13210 (315) 473‐5100

UNIVERSITY OPTOMETRIC CENTER UNIVERSITY OPTOMETRIC CTR E0273975 33 West 42nd Street, NEW YORK, NY 10036 (212) 780‐4935

UPPER EAST SIDE DIALYSIS UPPER EAST SIDE DIALYSIS CTR E0028386 ISLAND REHABILITATIVE SERVICES/MANHATTAN, 210 EAST 86TH ST, NEW YORK, NY 100 (718) 448‐5641

UPPER HUDSON PLANNED PARENTHOOD UPPER HUDSON PLANNED PARENT E0268970 259 LARK STREET, ALBANY, NY 12210 (518) 434‐2182

UPPER ROOM AIDS MINISTRY (HARLEM UNITED) UPPER ROOM AIDS MINISTRY AADC E0125852 123‐125 WEST 124TH STREET, NEW YORK, NY 10027 (212) 531‐1300

UTICA AVE DIALYSIS CENTER UTICA AVENUE DIALYSIS CLINIC E0144496 (STERLING), 1305 UTICA AVE, BROOKLYN, NY 11203 (516) 379‐5000

VALENTINE LANE FAMILY PRACTICE VALENTINE LANE FAMILY PRACTIC E0252203 503 South Broadway, YONKERS, NY 10705 (914) 965‐9771

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Page 15: Hospital Outpatient Providers (as of 04/03/2009) · 2013-09-03 · jamaica, jamaica rm hospital med ctr van ny wyck ... bay st dr, 11201 (718) beach, ny 11561 ... queens; richmond

         

                                                             

                                                                  

                                                                                

                                                      

                                                                                                                                                                                                  

                               

                                            

D&TC Provider Listing (as of 04/03/2009)

Mailing Name Entity Name Entity ID Address Prov Telephone #

VESTAL HEALTHCARE LLC VESTAL HEALTHCARE LLC E0009325 116 N JENSEN ROAD, VESTAL, NY 13850‐2128 (914) 644‐9276

VILLAGE CARE HEALTH CLINIC VILLAGE CARE HEALTH CLINIC E0025833 121B W 20TH STREET, NEW YORK, NY 10011 (212) 337‐9251

VOCATIONAL INSTRUCTION PROJECT VOCATIONAL INST PROJ COMM SVC E0216844 COMMUNITY SERVICES (TREMONT COMM COUNCIL), 1910 ARTHUR AVE, BRONX, NY 10 (718) 583‐5150

Wayne Co Public Health Nursing Service WAYNE CTY PUBLIC HLTH SERVICE E0263647 1519 Nye Road , Lyons, NY 14489 (315) 946‐5949

WESCHESTER INSTITUTE FOR HUMAN DEVELOPMENT WIHD INC E0035717 325 CEDERWOOD HALL, VALHALLA, NY 10595 (914) 493‐8208

WEST MIDTOWN MANAGEMENT INC. WEST MIDTOWN MEDICAL GROUP E0108910 505 8TH AVE., 10TH FLOOR, NEW YORK, NY 10018 (212) 643‐8811

WEST NASSAU DIALYSIS CENTER WEST NASSAU DIALYSIS CTR INC E0089752 75 ROCKAWAY AVE., VALLEY STREAM, NY 11580 (347) 312‐3034

WESTCHESTER COUNTY HEALTH DEPT WESTCHESTER CNTY DOH E0252202 145 HUGUENOT ST, 8TH FLOOR, NEW ROCHELLE, NY 10801 (914) 813‐5027

WESTCHESTER DIALYSIS CLINIC‐DCI (DIALYSIS CLINIC INC) WESTCHESTER ARTIFICIAL KIDNEY E0069966 234 Tarrytown Road, Elmsford, NY 10523 (914) 592‐5858

WESTERN NEW YORK ARTIFICIAL KIDNEY CTR WESTERN NY ARTI KIDNY CTR INC E0252032 237 LINWOOD AVE, Buffalo, NY 14209 (716) 871‐9988

WESTERN QUEENS HEALTH ASSOC. WESTERN QUEENS HEALTH ASSOC E0112674 82‐01 37th Ave., JACKSON HEIGHTS, NY 11372 (718) 721‐1500

Westfall Surgery Center, LLP WESTFALL SURGERY CENTER, LLP E0194016 1065 Senator Keating Blvd, ROCHESTER, NY 14618 (716) 256‐3861

WOMENS HEALTH CENTER LIVINGSTON CNTY HLTH DEPT E0263661 LIVINGSTON COUNTY HEALTH CENTER, BUILDING # 2 , MOUNT MORRIS, NY 14510 (716) 658‐3111

WOMEN'S OUTREACH NETWORK WOMANS OUTREACH NETWORK E0170649 54 LINCOLN AVE., ISLIT TERRACE, NY 11752 (516) 581‐4171

WOODMERE DIALYSIS LLC WOODMERE DIALYSIS LLC E0014101 121 FRANKLIN PLACE, WOODMERE, NY 11598 (516) 791‐5277

WYOMING COUNTY HEALTH DEPARTMENT WYOMING CO HEALTH DEPT E0263585 FAMILY PLANNING CLINIC, 5362 Mungers Mill Rd, Silver Springs, NY 14530 (585) 786‐8890

YATES COUNTY FAMILY PLANNING SERVICES YATES FAMILY PLANNING SVC CO E0263645 160 MAIN STREET, PENN YAN, NY 14527 (315) 536‐2752

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FQHC Provider Listing (as of 04/03/2009)

Note: Not all locations at an FQHC provider are FQHC locations; hospital outpatient clinic providers that opted into APGs are noted with an * .

Mailing Name Entity Name Address Prov Telephone #

Hospital Outpatient Clinic Providers:

BRONX LEBANON HOSPITAL CENTER * BRONX LEBANON HOSPITAL CENTER * 1276 FULTON AVE, BRONX, NY 10456‐3402 (718) 590‐1800

LUTHERAN MEDICAL CENTER LUTHERAN MEDICAL CENTER 5800 3RD AVE, BROOKLYN, NY 11220‐3702 (718) 630‐7124

MONTEFIORE MEDICAL CTR * MONTEFIORE MEDICAL CENTER * 1 FORDHAM PLAZA, BRONX, NY 10458‐5871 (718) 405‐4121

ROCHESTER GENERAL HOSPITAL * ROCHESTER GENERAL HOSPITAL * 333 HUMBOLTD ST LOWE, ROCHESTER, NY 14610 (716) 922‐1904

UNITY HOSPITAL ROCHESTER UNITY HOSPITAL ROCHESTER 1555 LONG POND RD, ROCHESTER, NY 14626‐4122 (716) 723‐7000

D&TC Clinic Providers (as of this date, a list of D&TC Clinic providers that have opted into APGs has not been finalized.)

AHRC HEALTH CARE, INC. AHRC HEALTH CARE INC 83 Maiden Lane, NEW YORK, NY 10038 (212) 780‐2692

ANTHONY L JORDAN HEALTH CENTER ANTHONY L JORDAN HEALTH CTR 82 HOLLAND STREET, BOX 876, ROCHESTER, NY 14603 (716) 423‐5800

BEACON CHRISTIAN COMMUNITY HEALTH CTR BEACON CHRISTIAN COMM HLTH 2079 FOREST AVENUE, STATEN ISLAND, NY 10303 (718) 815‐6560

BEDFORD STUYVESANT FAMILY HEALTH CTR BED STUY FAMILY HLTH CTR 1413 FULTON STREET, BROOKLYN, NY 11216 (718) 636‐4500

BETANCES HEALTH CENTER BETANCES HEALTH CENTER 280 HENRY ST, NEW YORK, NY 10002 (212) 982‐2920

BROOKLYN PLAZA MEDICAL CENTER BROOKLYN PLAZA MEDICAL CTR 650 FULTON STREET, 2ND FLOOR, BROOKLYN, NY 11217 (718) 596‐9800

BROWNSVILLE MULTI‐SERVICE FAMILY HLTH BROWNSVILLE MULTI‐SRV FAM H C 592 ROCKAWAY AVE, BROOKLYN, NY 11212 (718) 345‐5000

CHARLES B. WANG COMM. HLTH CTR CHARLES B WANG COMM HTH CTR I 125 WALKER ST, NEW YORK, NY 10013 (212) 233‐5059

COMMUNITY HEALTH CARE NETWORK COMMUNITY HEALTHCARE NETWORK 79 MADISON AVE, 6th FLOOR, NEW YORK, NY 10016‐7802 (212) 366‐4500

COMMUNITY HEALTH CENTER OF BUFFALO COMM HLTH CTR BUFFALO INC 462 GRIDER ST, Buffalo, NY 14215 (716) 898‐5906

COMMUNITY HLTH CTR (CHERRY VALLEY) COMMUNITY HEALTH CENTER 2 MAIN STREET, CHERRY VALLEY, NY 13320 (607) 264‐3036

COMMUNITY HLTH CTR OF RICHMOND, INC COMMUNITY HLTH CTR OF RICHMOND, INC 253 PORT RICHMOND AVENUE, STATEN ISLAND, NY 10302‐1701 (718) 876‐1732

COMMUNITY MEDICAL AND DENTAL CARE, INC COMMUNITY MED & DENTAL CARE I 22 MAIN STREET , MONSEY, NY 10952 (914) 352‐1400

COVENANT HOUSE ‐ UNDER 21 COVENANT HOUSE 460 WEST 41ST STREET, NEW YORK, NY 10036 (212) 354‐4323

DAMIAN FAMILY CARE CTR PROJECT SAMARITAN HLTH SVCS I 1401 UNIVERSITY AVE, BRONX, NY 10452 (718) 657‐1100

DR. MARTIN LUTHER KING JR HEALTH CTR MARTIN LUTHER KING HLTH CTR 1264 Franklin Ave, BRONX, NY 10456 (718) 466‐7249

EAST HARLEM COUNCIL FOR HUMAN SVC EAST HARLEM COUNCIL HUM SERV 2253 THIRD AVENUE, 3RD FLOOR, NEW YORK, NY 10035 (212) 289‐6650

EAST HILL FAMILY MEDICAL INC SUMMIT PEDIATRICS 144 GENESEE STREET, AUBURN, NY 13021 (315) 253‐6796

EZRAS CHOILIM HEALTH CENTER INC. EZRAS CHOILIM HLTH CTR INC 49 FOREST ROAD, MONROE , NY 10950 (914) 782‐3242

FAMILY HEALTH NETWORK OF CENTRAL NY FAMILY HLTH NETWRK CENTRAL NY 11 ALVENA AVE, CORTLAND, NY 13045 (607) 753‐3797

FINGER LAKES MIGRANT HEALTH CARE PROJECT FINGER LAKES MIGRANT HLTH 165 MAIN STREET, PO BOX 423, PENN YAN, NY 14527 (315) 531‐9102

GREATER HUDSON VALLEY FAMILY HEALTH GREATER HUDSON VALLEY FAM HLT, THE 3 WASHINGTON CENTER, NEWBURGH, NY 12550 (845) 563‐8000

GREENVILLE FAMILY HEALTH CTR GREENVILLE FAMILY HEALTH CARE 20 BRYANT'S COUNTRY SQUARE, ROUTE 32, GREENVILLE, NY 12083 (518) 966‐8786

HERITAGE HEALTH CARE HERITAGE HEALTH CARE 1727 AMSTERDAM AVENUE, NEW YORK, NY 10031 (212) 862‐0054

Hometown Health Centers SCHENECTADY FAMILY HEALTH SER 1044 STATE STREET, SCHENCTADY, NY 12307 (518) 370‐1441

HUDSON RIVER HEALTHCARE (PEEKSKILL) HUDSON RIVER HEALTHCARE INC 1037 MAIN STREET, PEEKSKILL, NY 10566 (914) 739‐8105

HUNTS POINT MULTI‐SERVICE CENTER HUNTS POINT MULTISRV CTR CORP 754 East 151st Street, BRONX, NY 10455 (718) 401‐5437

INSTITUTE FOR URBAN FAMILY HEALTH INSTITUTE FOR FAMILY HLTH SIDNEY HILLMAN HEALTH CENTER, 16 EAST 16TH STREET, NEW YORK, NY 10003 (212) 633‐0800

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FQHC Provider Listing (as of 04/03/2009)

Note: Not all locations at an FQHC provider are FQHC locations; hospital outpatient clinic providers that opted into APGs are noted with an * .

Mailing Name Entity Name Address Prov Telephone #

JOSEPH P ADDABBO FAMILY HLTH CENTER JOSEPH P ADDABBO FAMILY HLTH 6200 Beach Channel Drive, AVERNE, NY 11692 (718) 945‐7150

L'REFUAH REHABILITATION AND MEDICAL CENTER L'REFAUH MED & REHAB CTR.,INC 571 MCDONALD AVE., BROOKLYN, NY 11218 (718) 686‐7600

MICHAEL CALLEN‐AUDRE LORDE COMMUNITY HC MICHAEL CALLEN‐AUDRE LRDE CHC 356 WEST 18TH STREET, NEW YORK , NY 10011 (212) 271‐7250

MIDDLETOWN COMMUNITY HEALTH CENTER MIDDLETOWN COMM HEALTH CENTER 21 ORCHARD ST., MIDDLETOWN, NY 10940 (845) 343‐7614

MORRIS HEIGHTS HEALTH CENTER MORRIS HEIGHTS HEALTH CENTER 85 WEST BURNSIDE AVENUE, BRONX, NY 10453 (212) 716‐4400

MOUNT VERNON NEIGHBORHOOD HEALTH CTR MT VERNON NEIGHBORHOOD HC INC 107 WEST FOURTH STREET, MOUNT VERNON, NY 10550 (914) 699‐7200

NORTHERN OSWEGO CO HLTH SERV NORTHERN OSWEGO CNTY HLTH SVC 61 DELANO STREET, PULASKI, NY 13142 (315) 298‐6569

NORTHWEST BUFFALO COMMUNITY HEALTH CTR NORTHWEST BUFFALO COMM H C 155 LAWN AVENUE, Buffalo, NY 14207 (716) 875‐2904

OAK ORCHARD COMMUNITY HLTH CTR OAK ORCHARD COMMUNITY HEALTH CTR 300 WEST AVENUE, BROCKPORT, NY 14420 (585) 637‐3905

ODA PRIMARY CARE HEALTH CENTER ODA PRIMARY HLTH CARE CTR,INC 14 16 HEYWARD STREET, BROOKLYN, NY 11211 (718) 852‐0716

OPEN DOOR FAMILY MED CTR (OSSINING) OPEN DOOR FAMILY MEDICAL CENTER INC 165 MAIN STREET, OSSINING, NY 10562 (914) 941‐1263

Project Renewal Inc. PROJECT RENEWAL 200 Varick St., NEW YORK, NY 10014 (212) 620‐0340

PROMESA INC P R O M E S A 1776 CLAY AVE, BRONX, NY 10457 (212) 299‐1100

REFUAH HEALTH CENTER REFUAH HEALTH CENTER INC 728 NORTH MAIN STREET, SPRING VALLEY, NY 10977 (914) 354‐9300

RUSHVILLE HEALTH CENTER INC RUSHVILLE HEALTH CENTER INC 2 RUBIN DRIVE, RUSHVILLE, NY 14544 (716) 554‐6824

RYAN/CHELSEA ‐CLINTON COMM HEALTH CTR RYAN/CHELSEA CLINTON COMM H C 645 TENTH AVE, NEW YORK, NY 10036 (212) 265‐4500

SETTLEMENT HEALTH & MEDICAL SERVICE SETTLEMENT HEALTH 212 EAST 106TH ST, NEW YORK, NY 10029 (212) 360‐2600

SMITH HOUSE HEALTH CARE CENTER SMITH HOUSE HEALTH CARE CTR 39 FARRELL ROAD, WILLSBORO, NY 12996 (518) 963‐4275

SOUNDVIEW HEALTH CENTER SOUNDVIEW HEALTH CENTER 731 WHITE PLAINS ROAD, BRONX, NY 10473 (212) 589‐8324

SYRACUSE COMMUNITY HLTH CTR SYRACUSE COMM HEALTH CTR INC 819 SOUTH SALINA STREET, SYRACUSE, NY 13202 (315) 476‐7921

THE FLOATING HOSPITAL@AUBURN FAMILY ASSESSMENT CENTER FLOATING HOSPITAL PO Box 8397, LONG ISLAND CITY, NY 11101‐8397 (718) 784‐2200

TRI COUNTY FAMILY MEDICINE TRI‐COUNTY FAMILY MEDICINE 10869 ROUTE 36 SOUTH, DANSVILLE, NY 14603 (716) 335‐6041

UCP OF THE NORTH COUNTRY UCPA OF THE NORTH COUNTRY 4 Commerce Lane, Canton, NY 13617‐3739 (315) 379‐9667

UNION COMMUNITY HEALTH CTR UNION COMM HEALTH CTR INC 260 EAST 188TH STREET, BRONX, NY 10458 (718) 960‐3838

URBAN HEALTH PLAN , INC URBAN HEALTH PLAN INC 1065 SOUTHERN BOULEVARD, BRONX, NY 10459 (718) 991‐4833

WARRENSBURGH HEALTH CENTER WARRENSBURG HEALTH CENTER 3767 MAIN STREET, WARRENSBURGH, NY 12885 (518) 623‐2094

WESTSIDE HEALTH SERVICES INC/WOODWARD HLTH CTR WESTSIDE HLTH SVCS/WOODWARD 480 GENESEE STREET, ROCHESTER, NY 14611 (716) 436‐3040

WHITNEY M YOUNG JR HLTH CTR INC WHITNEY M YOUNG HEALTH CENTER 920 Lark Drive, ALBANY, NY 12207 (518) 465‐4771

WILLIAM F RYAN COMMUNITY HLTH CTR WILLIAM F RYAN COMM HLTH CTR MID‐WESTSIDE HEIGHBORHOOD COUNCIL, 110 WEST 97TH STREET, NEW YORK, NY 10025 (212) 678‐5777

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