New York State HIV Provider Directory

New York State
HIV Provider Directory
The purpose of this directory is to provide information to patients living with HIV on where they can
access experienced HIV clinical care providers within New York State.
The following list of clinical providers have joined this voluntary directory, but other qualified providers
in NYS also provide HIV care. The NYSDOH AIDS Institute is continually seeking to identify clinicians
who are willing to be listed in this web-based public directory of experienced HIV care practitioners.
Participation in this directory is voluntary. It is compiled through provider self-identification, and
includes physicians, nurse practitioners, physician assistants, and certified nurse midwives with
experience in HIV care. Please note that this list in no way constitutes credentialing or certification in a
specialty. Inclusion in this list does not confer any endorsement by the New York State
Department of Health. We confirm that practitioners are licensed to practice in New York State.
Information for Clinical Providers:
If you are interested in being listed in this directory, please follow the steps outlined below to register
through our on-line registration system. You are able to withdraw your name from this directory at any
time.
To Register:
First you must log in to the NYSDOH Health Commerce System (HCS). Please note: due to
the NYS Internet System for Tracking Over-Prescribing Initiative (I-STOP), most prescribers
are required to have an individual Health Commerce System (HCS) account effective August
27, 2013. If you do not already have an account or need help accessing your HCS account,
please send an email to [email protected].
Step 1: Login to HCS.
Step 2: Click ‘My Content’ (located on top header) -> ‘All Applications’.
Step 3: Click letter ‘H’ and select ‘HIV/AIDS Provider Contact List’.
Step 4: Follow the instructions as provided on the screen.
Step 5: Email [email protected] with any questions or concerns.
NYS HIV PROVIDER DIRECTORY
Page 1 of 26
NYS HIV PROVIDER DIRECTORY
POPULATION SERVED: ADULT
COUNTY: ALBANY
CYNTHIA MILLER
CREDENTIALS
PRIMARY FACILITY INFORMATION
Albany Medical Center Division of HIV Medicine
47 New Scotland Avenue Mail Code 158
Albany, NY 12208
Phone: (518)262-4043
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
ROBERT JELLINGER
CREDENTIALS
PRIMARY FACILITY INFORMATION
Albany Medical Center Division of HIV Medicine
47 New Scotland Ave MC 158
Albany, NY 12208
Phone: (518)262-4043
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
SHELLEY GILROY
CREDENTIALS
PRIMARY FACILITY INFORMATION
Albany Medical Center Division of HIV Medicine
47 New Scotland Ave MC 158
Albany, NY 12208
Phone: (518)262-4043
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
COUNTY: BRONX
ALICE MYERSON
CREDENTIALS
PRIMARY FACILITY INFORMATION
Center for Positive Living/ID Clinic -Montefiore
Medical Center
3444 Kossuth Avenue
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
ANJALI SHARMA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Center for Positive Living Montefiore Medical
Center
3444 Kossuth Ave
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases ABIM - 10/28/2014
2. Internal Medicine ABIM - 10/17/2011
BARRY ZINGMAN
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CPL/ID Clinic -Montefiore Medical Center
3444 Kossuth Avenue 3rd Floor
Bronx, NY 10467
Phone: (718)920-8542
Fax: (718)405-0610
Website: www.montefiore.org
Department of Medicine Faculty PracticeMontefiore Medical Center
3400 Bainbridge Avenue 2nd Floor - Desk B
Bronx, NY 10467
Phone: (866)633-8255
Fax: (718)405-0610
Website: www.montefiore.org
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 06/01/2010
2. Internal Medicine - 09/01/1990
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
8/10/2016
NYS HIV PROVIDER DIRECTORY
Page 2 of 26
CARYN WEISS
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
Center for Positive Living/ID Clinic -Montefiore
Medical Center
3444 Kossuth Avenue 3rd floor
Bronx, NY 10467
Phone: (718)920-8542
Fax: (718)405-0610
Website: www.montefiore.org/mymontefiore
The Oval Center
3230 Bainbridge Avenue
Bronx, NY 10467
Phone: (718)882-5482
Fax: (718)882-5725
Website:
CREDENTIALS
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. Adult Nurse Practitioner - 03/30/2015
CONNIE PARK
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore Medical Center
3230 Bainbridge Ave Suite 4
Bronx, NY 10467
Phone: (718)882-5482
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Medicine - 12/02/2009
EILEEN O'CONNOR
PRIMARY FACILITY INFORMATION
CREDENTIALS
montefiore
1055 east tremont ave
bronx, NY 10460
Phone: (718)842-8040
Fax: (718)842-9364
Website: montefiore
DEGREES
• NP
CERTIFICATIONS
1. family health - 08/20/2013
ELLEN TATTELMAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore Medical Center - Family Health Center
1 Fordham Plaza 5th Floor
Bronx, NY 10458
Phone: (718)933-2400
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Family Medicine - 07/27/2007
GRACE Y MINAMOTO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Center for Positive Living/ID Clinic -Montefiore
Medical Center
3444 Kossuth Avenue
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. infectious diseases - 01/01/1988
2. internal medicine - 01/01/1987
HILDA ORTIZ-MORALES
PRIMARY FACILITY INFORMATION
CREDENTIALS
CPL/ID Clinic - Montefiore Medical Center - The
University Hospital for Albert Einstein College of
Medicine
3444 Kossuth Avenue
New York City, NY 10467
Phone: (718)920-8542
Fax: (718)405-0610
Website: www.montefiore.org
• AAHIVS
• AACRN
DEGREES
• NP
CERTIFICATIONS
1. Acute Care Nurse Practitioner - 02/25/2016
JAMES C BRUST
PRIMARY FACILITY INFORMATION
CREDENTIALS
Center for Positive Living/ID Clinic -Montefiore
Medical Center
3444 Kossuth Ave
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 05/09/2014
2. Infectious Diseases - 10/30/2007
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
8/10/2016
NYS HIV PROVIDER DIRECTORY
Page 3 of 26
JASON LEIDER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Jacobi Medical Center - Adult Comprehensive
Service
1400 Pelham Parkway South
Bronx, NY 10461
Phone: (718)918-3669
Fax: (718)918-7686
Website: http//jacobimed.org/
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 12/31/2015
JULIE A SARLO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Center for Positive Living/ID Clinic -Montefiore
Medical Center
111 East 210th St
Bronx, NY 10467
Phone: (718)920-8542
Fax: (718)654-4394
Website:
DEGREES
• PA
CERTIFICATIONS
KERRY MURPHY
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
CPL/ID Clinic -Montefiore Medical Center
3444 Kossuth Avenue 3rd Floor
Bronx, NY 10467
Phone: (718)920-8542
Fax: (718)405-0610
Website: www.montefiore.org
Montefiore Medical Center Medicine-Infectious
Disease Clinic
Hutchinson Metro Center Tower II 1250 Waters
Place 12th Floor
Bronx, NY 10461
Phone: (866)633-8255
Fax: (929)263-3958
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Disease - 11/12/2013
2. Internal Medicine - 08/07/2009
MAGDALENA SLOSAR-CHEAH
PRIMARY FACILITY INFORMATION
CREDENTIALS
ID Clinic at Montefiore Medical Center
344 Kossuth Ave 3rd floor
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/15/2011
2. Infectious Diseases - 11/12/2013
MARLENE TAYLOR
PRIMARY FACILITY INFORMATION
CREDENTIALS
CPL/ID Clinic
3444 Kossuth Avenue
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
DEGREES
• PA
CERTIFICATIONS
1. National Certification of Physician Assitants 07/01/2016
MATTHEW AKIYAMA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Comprehensive Family Care Center
1621 Eastchest Road
Bronx, NY 10461
Phone: (718)405-8040
Fax: (718)405-8060
Website: http://www.montefiore.org/mmgcomprehensive-family-care-center
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/01/2015
2. Internal Medicine - 10/01/2013
MELISSA WIENER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Jacobi Medical Center
1400 Pelham Parkway South
Bronx, NY 10461
Phone: (718)918-4333
Fax: (718)918-7686
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 11/01/2006
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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NYS HIV PROVIDER DIRECTORY
Page 4 of 26
MICHELLE DAHDOUH
PRIMARY FACILITY INFORMATION
CREDENTIALS
st barnabas hospital
4422 third ave
Bronx, NY 10457
Phone: (718)960-6205
Fax: (718)960-3218
Website: sbhny.org
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. infectious diseases - 04/15/2010
2. internal medicine - 09/02/1987
NANCY CHEZ
PRIMARY FACILITY INFORMATION
CREDENTIALS
BRIGHT POINT HEALTH
1543 INWOOD AVE
Bronx, NY 10452
Phone: (718)681-8700
Fax: (718)294-4765
Website: brightpointhealth.org
DEGREES
• AAHIVS
• NP
CERTIFICATIONS
1. ANCC - 11/01/2011
NEREIDA FERRAN-HANSARD
PRIMARY FACILITY INFORMATION
CREDENTIALS
Belvis
545 E 142 st
Bronx, NY 10454
Phone: (718)579-1804
Fax: (718)579-1845
Website:
DEGREES
• HIVMA
• MD
CERTIFICATIONS
1. ABIM AB Nephrology - 06/26/1986
PAUL CHAMBLISS
PRIMARY FACILITY INFORMATION
CREDENTIALS
Acacia Clay Avenue Clinic
1776 Clay Avenue
Bronx, NY 10457
Phone: (718)299-1100
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 01/01/2011
PAUL F RISKA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Center for Positive Living/ID Clinic -Montefiore
Medical Center
3444 Kossuth Ave
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
RABEA KHEDIMI
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore Medical Center
3444 Kossuth Avenue Bronx
New York, NY 10467
Phone: (718)920-8542
Fax: (718)405-0610
Website: http//www.montefiore.org/
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 08/19/2013
2. American Board of Infectious Diseases - 11/04/2015
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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NYS HIV PROVIDER DIRECTORY
Page 5 of 26
RAQUEL MENCHACA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore Medical Center
3444 Kossuth Ave
Bronx, NY 10467
Phone: (718)920-8571
Fax: (718)515-3509
Website:
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 07/01/2011
ROBERT M GROSSBERG
PRIMARY FACILITY INFORMATION
CREDENTIALS
Center for Positive Living/ID Clinic -Montefiore
Medical Center
111 E 210th St
Bronx, NY 10467
Phone: (718)920-5276
Fax: (718)405-0610
Website: www.montefiore.org
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 07/01/2013
2. Internal Medicine - 07/01/2011
RODNEY WRIGHT
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
Comprehensive Family Care Center
1621 Eastchester Road
Bronx, NY 10461
Phone: (718)405-8040
Fax: (718)405-8044
Website: http://www.montefiore.org/mmgcomprehensive-family-care-center
Bronx Lebanon Comprehensive Care Center
1650 Selwyn Avenue 9th Floor
Bronx, NY 10457
Phone: (718)960-2010
Fax:
Website:
Montefiore Center for Positive Living
3444 Kossuth Avenue 3rd Floor
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
http//www.montefiore.org/hivaidscontact
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Obstetrics Gynecology - 12/31/2014
2. Maternal-Fetal Medicine - 12/31/2014
SACHIN JAIN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore Medical Center
3444 Kossuth Ave
Bronx, NY 10467
Phone: (718)920-8801
Fax:
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/10/2011
2. Infectious Disease - 10/28/2014
SARA BACK
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Central Bronx Hospital Special Care Clinic
NCB 3424 Kossuth Ave third floor
Bronx, NY 10467
Phone: (718)519-3631
Fax: (718)519-2034
Website:
DEGREES
• AAHIVS
• NP
CERTIFICATIONS
1. AANC - 03/10/2014
SHUCHIN SHUKLA
PRIMARY FACILITY INFORMATION
CREDENTIALS
South Bronx Health Center
871 Prospect Ave
Bronx, NY 10459
Phone: (718)991-0605
Fax: (718)991-2931
Website: http://216.255.101.237/commpedssbhc-cchr/
DEGREES
• MD
CERTIFICATIONS
1. ABFM - 07/17/2012
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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Page 6 of 26
URIEL FELSEN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Center for Positive Living/ID Clinic
3444 Kossuth Ave 3rd fl
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/01/2012
2. Internal Medicine - 08/01/2009
COUNTY: BROOME
SCOTT ROSMAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
UHS Binghamton Primary Care
33 Mitchell Avenue
Binghamton, NY 13903
Phone: (607)762-3281
Fax: (607)762-3295
Website: www.uhs.net
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. AANP FNP - 07/01/2011
COUNTY: CHEMUNG
HEMAN FOWLER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Arnot Health-HIV Primary Care Clinic
Madison Avenue
Elmira, NY 14901
Phone: (607)795-8161
Fax: (607)795-8115
Website:
DEGREES
• AAHIVS
• NP
CERTIFICATIONS
COUNTY: DUTCHESS
CHRISTINE KERR
PRIMARY FACILITY INFORMATION
CREDENTIALS
Hudson River HealthCare
6 Henry Street
Beacon, NY 12508
Phone: (845)831-0400
Fax:
Website: www.hrhcare.org
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Disease - 10/06/2008
2. Internal Medicine - 10/06/2006
KELLY RAMSEY
PRIMARY FACILITY INFORMATION
CREDENTIALS
Hudson River Health Care Incorporated
1 Webster Avenue Suite 202
Poughkeepsie, NY 12601
Phone: (845)790-7990
Fax: (845)452-3469
Website: www.hrhcare.org
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 09/30/2006
COUNTY: ERIE
ANDREW TALAL
PRIMARY FACILITY INFORMATION
CREDENTIALS
Buffalo General Medical CenterLiver/Subspecialty Clinic
100 High Street
Buffalo, NY 14203
Phone: (716)859-2175
Fax: (716)859-3859
Website: [email protected]
DEGREES
• MD
CERTIFICATIONS
1. Gastroenterology - 12/31/2008
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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ANTHONY MARTINEZ
PRIMARY FACILITY INFORMATION
CREDENTIALS
University at Buffalo
100 High St 617F
Buffalo, NY 14203
Phone: (716)898-2202
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 08/01/2007
NEAL RZEPKOWSKI
PRIMARY FACILITY INFORMATION
CREDENTIALS
ECMC
462 Grider Street
Buffalo, NY 14215
Phone: (716)898-4119
Fax: (716)898-3187
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
COUNTY: JEFFERSON
MARYLENE DUAH
PRIMARY FACILITY INFORMATION
CREDENTIALS
Samaritan Medical Center
1575 Washington street
Watertown, NY 13601
Phone: (315)786-7300
Fax: (315)786-7306
Website: samaritanhealth.com
DEGREES
• HIVMA
• MD
CERTIFICATIONS
1. infectious disease - 03/17/2007
COUNTY: KINGS
ALAN JOSEPH STEIN
PRIMARY FACILITY INFORMATION
CREDENTIALS
AIDS Healthcare Foundation Brooklyn Health Care
Center
475 Atlantic Avenue Second Floor
Brooklyn, NY 11217
Phone: (718)369-4850
Fax: (718)369-4851
Website: aidshelathcare.org
DEGREES
• MD
CERTIFICATIONS
1. Internal medicine - 03/18/1976
2. Infectious Diseases - 03/02/1978
EDWARD CHAPNICK
PRIMARY FACILITY INFORMATION
CREDENTIALS
Maimonides Medical Center
4802 101th Avenue
Brooklyn, NY 11219
Phone: (718)283-5912
Fax: (718)283-8813
Website: www.maimonidesmed.org
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 09/15/2012
2. Internal Medicine - 09/15/1988
ELLIOT DEHAAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
SUNY Downstate Medical Center
470 Clarkson Ave Suite J
Brooklyn, NY 11203
Phone: (718)270-2471
Fax: (718)270-4244
Website: www.starprogram.nyc
DEGREES
• MD
CERTIFICATIONS
1. ABIM Internal Medicine - 08/13/2008
2. ABIM Infectious Diseases - 10/06/2010
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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GABRIEL REBICK
PRIMARY FACILITY INFORMATION
CREDENTIALS
SUNY Downstate Medical Center STAR Clinic
450 Clarkson Ave MSC-1240
Brooklyn, NY 11203
Phone: (718)270-3745
Fax: (718)270-4244
Website: http://www.starprogram.nyc/
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 10/01/2012
2. Infectious Diseases - 11/01/2013
JONATHAN ZELLAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Brightpoint Health
803 Sterling Place
Brooklyn, NY 11216
Phone: (855)681-8700
Fax:
Website: https//brightpointhealth.org/
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 12/31/2012
2. Infectious Diseases - 12/31/2005
JYOTI GUPTA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Wyckoff Heights Medical Center
1610 Dekalb avenue
Brooklyn, NY 11237
Phone: (718)240-5395
Fax: (718)907-4956
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 12/30/2013
KATHLEEN BERNOCK
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
Bedford Stuyvesant Family Health Center
1456 Fulton St
Brooklyn, NY 11216
Phone: (718)636-4500
Fax: (347)296-8310
Website: www.bsfhc.org
Broadway Family Health Center
1238 Broadway
Brooklyn, NY 11221
Phone: (718)443-2428
Fax:
Website:
DEGREES
• AACRN
• NP
CERTIFICATIONS
1. FNP-BC - 06/01/2015
KENNETH MERCER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Kenneth A Mercer MD MPH
302 Broadway
Brooklyn, NY 11211
Phone: (718)384-0010
Fax: (718)599-4632
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABIM-Geriatric Medicine - 07/01/2015
2. ABIM-Internal Medicine - 07/01/2015
LEONARD BERKOWITZ
PRIMARY FACILITY INFORMATION
CREDENTIALS
The Brooklyn Hospital Center
121 DeKalb Ave
Brooklyn, NY 11201
Phone: (718)250-6141
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 01/02/1984
2. Internal Medicine - 01/01/1980
NICOLLE OVERSTREET
PRIMARY FACILITY INFORMATION
CREDENTIALS
MedCare LLC
468 Lafayette Ave
Brooklyn, NY 11205
Phone: (718)399-6234
Fax: (718)399-3516
Website:
DEGREES
• AAHIVS
• DO
CERTIFICATIONS
1. Family Practice - 05/21/2013
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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OLGA BADEM
PRIMARY FACILITY INFORMATION
CREDENTIALS
Wyckoff Hospital
1610 Dekalb Ave
Brooklyn, NY 11237
Phone: (718)963-7671
Fax: (718)907-4956
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. ABIM Internal Medicine - 12/31/2011
2. ABIM Infectious Diseases - 12/31/2014
RIAZ AHMAD
PRIMARY FACILITY INFORMATION
CREDENTIALS
dlc comprehensive medical pllc
979 fulton st
BROOKLYN, NY 11238
Phone: (718)857-1200
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. abim - 12/31/2015
SAMUEL UTER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Pierre toussaint family Health/ Kingsbrook Jewish
medical
1110 eastern Parkway
Brooklyn, NY 11213
Phone: (718)735-1900
Fax: (719)735-4531
Website: kingsbrookjewish.org
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 11/25/2009
VIJAYPAL ARYA
ADDITIONAL FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
Gastroenterology/Hepatology Clinic
374 Stockholm Street
Brooklyn, NY 11237
Phone: (718)963-7618
Fax:
Website: www.wyckoffhospital.org
Vijaypal Arya
220A St Nicholas Ave
Brooklyn, NY 11237
Phone: (718)326-0400
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Gastroenterology - 12/20/2015
COUNTY: MONROE
COLLEEN PALERMO
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
Rochester Regional Unity Infectious Disease
89 Genesee street
Rochester, NY 14610
Phone: (585)368-3506
Fax:
Website:
Rochester Regional Unity Infectious Disease
1555 Long Pond road
Rochester, NY 14621
Phone: (585)368-3506
Fax:
Website:
DEGREES
• NP
CERTIFICATIONS
1. AANP- FNP - 07/09/2014
KEVIN FISCELLA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Anthony Jordan Health Center
480 Genesee St
Rochester, NY 14611
Phone: (585)436-3040
Fax: (585)328-3812
Website: http//jordanhealth.org/
DEGREES
• MD
CERTIFICATIONS
1. American Board of Family Medicine - 04/09/2013
MARY ANGERAME
PRIMARY FACILITY INFORMATION
CREDENTIALS
Anthony L Jordan Health Center
82 Holland St
Rochester, NY 14605
Phone: (585)423-2879
Fax: (585)423-2869
Website:
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 01/01/2015
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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NYS HIV PROVIDER DIRECTORY
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MICHAEL MANCENIDO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Trillium Health
259 Monroe Ave
Rochester, NY 14607
Phone: (585)545-7200
Fax:
Website: www.trilliumhealth.org
DEGREES
• DO
CERTIFICATIONS
1. Infectious Diseases - 12/01/2006
SUSAN HULSE
PRIMARY FACILITY INFORMATION
CREDENTIALS
University of Rochester Medical Center/Strong
Memorial Hospital
601 Elmwood Avenu Box 689
Rochester, NY 14642
Phone: (585)275-0526
Fax: (585)273-1055
Website:
DEGREES
• PA
CERTIFICATIONS
1. NCCPA - 06/27/2015
COUNTY: NASSAU
DAVID ROSENTHAL
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
Northwell Health Center for Young Adult
Northwell Health Long Island Jewish Medical
• AAHIVS
Adolescent and Pediatric HIV
Center and Cohen Children's Medical Center of
865 Northern Blvd Ste 101
New York
DEGREES
Great Neck, NY 11021
270-05 76th Avenue
Phone: (516)622-5070
New Hyde Park, NY 11040
• DO
Fax: (516)622-5060
Phone: (718)484-2005
CERTIFICATIONS
Website:
Fax:
https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
Website:
https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
ERIN SPECTOR
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Shore LIJ Center for Young Adult
Adolescent and Pediatric HIV
865 Northern Blvd Suite 101
Great Neck, NY 11021
Phone: (516)622-5070
Fax:
Website:
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
JOSEPH CERVIA
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Shore University Hospital - Center for AIDS
Research and Treatment
400 Community Drive
Manhasset, NY 11030
Phone: (516)562-4280
Fax:
Website:
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 01/01/2010
2. Pediatric Infectious Diseases - 01/01/2009
3. Internal Medicine - 01/01/1989
4. Pediatrics - 01/01/2013
JOSEPH MCGOWAN
PRIMARY FACILITY INFORMATION
North Shore University Hospital Center for AIDS
Research and Treatment
400 Community Drive
Manhasset, NY 11030
Phone: (516)562-4280
Fax:
Website:
CREDENTIALS
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. AAHIVM Specialist - 09/05/2013
2. American Board of Internal Medicine- Infectious
Diseases - 06/01/2012
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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NYS HIV PROVIDER DIRECTORY
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MIKAELA ANDERSON
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Shore University Hospital - Center for AIDS
Research and Treatment
400 Community Drive
Manhasset, NY 11030
Phone: (516)562-4280
Fax:
Website:
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
1. NCCPA - 06/18/2012
2. AAHIVS - 01/01/2016
COUNTY: NEW YORK
AARON PACK
PRIMARY FACILITY INFORMATION
CREDENTIALS
Lenox Hill Hospital Retroviral Disease Center
210 E 64th St 1st Floor
New York, NY 10065
Phone: (212)434-4251
Fax: (212)434-2287
Website: http//www.lenoxhillhospital.org/rdc
DEGREES
• NP
CERTIFICATIONS
1. Acute Care Nurse Practitioner - 10/09/2011
ALEXANDER MCMEEKING
PRIMARY FACILITY INFORMATION
CREDENTIALS
chelsy village medical
155 west 19 street 4th floor
New York, NY 10016
Phone: (212)929-2629
Fax: (212)929-4971
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. american wound care association - 03/19/2015
BARBARA ZELLER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Brightpoint Health
71 West 23rd Street - 8th Floor
New York, NY 10010
Phone: (718)681-8700
Fax: (212)206-2506
Website: www.brightpointhealth
DEGREES
• AAHIVS
• MD
CERTIFICATIONS
1. NYS Hepatitis C certification - 11/03/2015
CAROLINE CARNEVALE
PRIMARY FACILITY INFORMATION
CREDENTIALS
New York Presbyterian Hospital - Project Stay
622 West 168th Street VC4
New York, NY 10032
Phone: (212)305-5000
Fax: (212)305-7400
Website: nyp.org
DEGREES
• AAHIVS
• NP
CERTIFICATIONS
1. ANCC - 06/16/2014
2. AAHIVS - 12/31/2014
CELINE GOUNDER
PRIMARY FACILITY INFORMATION
Mount Sinai Roosevelt Hospital
1000 Tenth Avenue Suite T2
NEW YORK, NY 10019
Phone: (212)523-6500
Fax: (212)523-7182
Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/24/2007
2. Infectious Diseases - 10/05/2011
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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NYS HIV PROVIDER DIRECTORY
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DALILAH RESTREPO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Aids Healthcare Foundation
30 West 60th street Suite A-N
New York, NY 10023
Phone: (212)582-5006
Fax: (646)478-8829
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 11/04/2015
DANIEL FIERER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Jack Martin Fund Clinic at Mount Sinai Medical
Center
seventeen east one hundred second street 3rd
floor
New York, NY 10029
Phone: (212)241-7968
Fax:
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Diplomate American Board of Internal Medicine
September 1989 indefinite - 09/29/1989
2. Diplomate Infectious Diseases American Board of
Internal Medicine - 09/28/2007
DANIELLE MILANO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Boriken Neighborhood Health Center
2263 Third Avenue
New York, NY 10035
Phone: (212)289-6650
Fax: (212)360-6149
Website: Boriken.org
DEGREES
• AAHIVS
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 10/01/2011
DAVID ENGLISH
PRIMARY FACILITY INFORMATION
CREDENTIALS
family health center of harlem
1824 madison ave
new york, NY 10035
Phone: (212)423-4500
Fax: (646)770-8405
Website: institute.org
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. american board of family medicine - 07/01/2015
2. american academy of HIV medicine - 01/01/2016
DAVID PERLMAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
David Perlman
10 union square east suite 3f
New York, NY 10003
Phone: (212)844-8549
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious diseases - 02/09/1989
DAVID C FERRIS
PRIMARY FACILITY INFORMATION
Mount Sinai St Lukes Hospital
1111 Amsterdam Ave
New York, NY 10025
Phone: (212)523-6500
Fax:
Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/01/2014
2. Internal Medicine - 10/01/2011
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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DOST SARPEL
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai Medical Center
Dept Liver Diseases 5 East 98 Street 11th Floor
New York, NY 10029
Phone: (212)241-7270
Fax:
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/24/2009
2. Infectious Disease - 10/11/2012
ERIC GANZ
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai St Luke's and Mount Sinai Roosevelt
1000 10th Avenue Suite 2T
New York, NY 10036
Phone: (212)523-6500
Fax:
Website:
http//www.mountsinaihealth.org/patientcare/infectiousdiseases
DEGREES
• MD
CERTIFICATIONS
1. American Board of ObGyn - MOC - 11/28/2014
GEORGINA OSORIO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai
1111 Amsterdam Avenue
New York, NY 10025
Phone: (212)523-6500
Fax: (212)636-4896
Website:
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 12/15/2014
2. Internal Medicine - 11/18/2013
GERALDINE JOSEPH
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai St Luke's Hospital/Ryan Network
1111 Amsterdam Ave 110 West 97th Street
New York, NY 10025
Phone: (347)575-8587
Fax:
Website:
DEGREES
• AAHIVS
• PA
CERTIFICATIONS
1. NCCPA - 12/31/2015
IAN TANG
PRIMARY FACILITY INFORMATION
CREDENTIALS
APICHA
400 Broadway
New York, NY 10013
Phone: (212)334-6029
Fax: (212)334-7957
Website: www.apicha.org
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. AAHIVM - 09/01/2013
2. ABIM Infectious Disease - 04/01/2014
3. ABIM Internal medicine - 04/01/2011
JAIME LOPEZ-SANTINI
PRIMARY FACILITY INFORMATION
Settlement Health
212 E 106th St
New York, NY 10029
Phone: (212)360-2600
Fax: (212)360-2667
Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 01/01/2010
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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JAMES SCHMIDTBERGER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Gouverneur Healthcare Services
227 Madison Street
New York, NY 10002
Phone: (212)238-8188
Fax: (212)238-3751
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 12/31/2007
JOSE FEFER
PRIMARY FACILITY INFORMATION
CREDENTIALS
MOunt SInai St Lukes Hospital
1111 Amsterdam Avenue
New York, NY 10025
Phone: (212)523-8050
Fax: (212)523-5677
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 05/20/2008
2. Internal Medicine - 05/16/2006
JUDITH A ABERG
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai
17 East 102nd St CAM 3
New York, NY 10022
Phone: (212)241-7968
Fax: (212)534-5240
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. ABIM Internal Medicine - 10/30/2014
2. ABIM Infectious Disease - 05/30/2006
KATHLEEN HANLEY
PRIMARY FACILITY INFORMATION
CREDENTIALS
Gouverneur Healthcare Services
227 Madison Street
New York, NY 10002
Phone: (212)238-8188
Fax: (212)238-7668
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 11/01/2012
KENNETH MERCER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Kenneth A Mercer MD MPH
422 2nd Avenue
New York, NY 10010
Phone: (212)684-6684
Fax: (212)684-6684
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABIM-Geriatric Medicine - 07/01/2015
2. ABIM-Internal Medicine - 07/01/2015
LADAN AHMADI
PRIMARY FACILITY INFORMATION
CREDENTIALS
Lenox Hill Hospital - Retroviral Disease Center
210 E 64th street
New York, NY 10065
Phone: (212)434-4251
Fax: (212)434-2287
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 02/06/2007
LAURA MAROLDO
PRIMARY FACILITY INFORMATION
CREDENTIALS
WEST MIDTOWN MEDICAL GROUP
311 WEST 35TH STREET
NEW YORK, NY 10001
Phone: (212)736-5900
Fax: (212)290-2724
Website:
WWW.WESTMIDTOWNMEDICALGROUP.NET
DEGREES
• PA
CERTIFICATIONS
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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LAWRENCE HITZEMAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
New York Cardiovascular Associates PLLC
275 7th Avenue 3rd Floor
New York, NY 10001
Phone: (646)660-9999
Fax: (646)778-3485
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 01/01/2011
LIVETTE JOHNSON
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai Comprehensive Health
275 Seventh Avenue 12th Floor 12th floor
New York, NY 10001
Phone: (212)604-1701
Fax: (212)604-1750
Website:
DEGREES
• MD
CERTIFICATIONS
1. ID - 12/01/2006
MARSHALL GLESBY
PRIMARY FACILITY INFORMATION
CREDENTIALS
New York Presbyterian Hospital - Weill Cornell
Medical Center
53 West 23rd Street 6th Floor
New York, NY 10010
Phone: (212)746-7200
Fax: (212)746-7166
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. ABIM--Infectious Diseases - 12/31/2014
2. ABIM--Internal Medicine - 09/30/2014
MATTHEW SCHERER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Columbia Presbyterian Medical Center Division of
Infectious Diseases
180 Fort Washington Avenue
New York, NY 10032
Phone: (212)305-3174
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/01/2011
2. Infectious Diseases - 10/01/2014
MICHEL NG
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai
275 7th Avenue 12th Floor
New York, NY 10011
Phone: (212)604-1701
Fax: (212)604-1750
Website:
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. Nurse Pracitioner - 12/31/2015
2. AAHIVS - 12/31/2015
MIKYUNG LEE
PRIMARY FACILITY INFORMATION
CREDENTIALS
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place Box 1090
New York, NY 10029
Phone: (212)241-6741
Fax: (212)534-3240
Website:
DEGREES
• HIVMA
• MD
CERTIFICATIONS
1. Infectious Disease - 10/24/2006
2. Internal Medicine - 10/22/2013
NOY ARIELA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Memorial Sloan-Kettering Cancer Center
1275 york avenue
New York, NY 10065
Phone: (212)639-7423
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABIM hematology oncology - 11/15/2007
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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ORIN DOUGLAS
PRIMARY FACILITY INFORMATION
CREDENTIALS
Institute of Advanced Medicine Spence Cox
Center Mount Sinai
230 West 17 th
New York, NY 10011
Phone: (212)523-9087
Fax: (212)523-9052
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Family Medicine - 12/31/2014
PHILIP GYURA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Harlem United
169 west 133rd street
New York, NY 10030
Phone: (718)844-7974
Fax:
Website: harlemunited.org
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 03/13/2014
RACHEL CHASAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place Box 1090
New York, NY 10029
Phone: (212)241-3150
Fax: (212)824-8867
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/11/2012
2. Internal Medicine - 08/20/2009
ROBERT MURAYAMA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Apicha Community Health Center
400 Broadway
New York, NY 10013
Phone: (212)334-6029
Fax: (212)334-7957
Website: www.apicha.org
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 12/31/2014
ROY GULICK
PRIMARY FACILITY INFORMATION
CREDENTIALS
New York Presbyterian Hospital - Weill Cornell
Medical Center
53 West 23rd Street 6th floor
New York, NY 10010
Phone: (212)746-7200
Fax:
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 09/13/1989
2. Infectious Diseases - 07/01/2012
SAMUEL T MERRICK
PRIMARY FACILITY INFORMATION
New York Presbyterian Hospital Center for
Special Studies
525 E 68th Street Room F24
New York, NY 10065
Phone: (212)746-4180
Fax: (212)746-8415
Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 12/31/2011
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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SANJANA KOSHY
PRIMARY FACILITY INFORMATION
CREDENTIALS
Beth Israel Medical Center
317 E 17th St 10 Union Square East
New York, NY 10003
Phone: (212)420-2392
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - Infectious
Diseases - 11/20/2013
STACY KREISWIRTH
PRIMARY FACILITY INFORMATION
CREDENTIALS
Astor Medical Group
67 Irving Place 5th floor
New York, NY 10003
Phone: (212)253-2968
Fax: (212)253-2925
Website: AstorMedical.com
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANA - 06/27/2016
STEVEN RADOWITZ
PRIMARY FACILITY INFORMATION
CREDENTIALS
Steven Radowitz MD PLLC
139 West 82nd St
New York, NY 10024
Phone: (212)496-7200
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 01/01/2008
SUSANNE RENDEIRO
PRIMARY FACILITY INFORMATION
CREDENTIALS
APICHA Community Health Center
400 Broadway
New York, NY 10013
Phone: (212)334-6029
Fax:
Website:
DEGREES
• NP
CERTIFICATIONS
TALIA SWARTZ
PRIMARY FACILITY INFORMATION
CREDENTIALS
Jack Martin Clinic Icahn School of Medicine at
Mount Sinai
17 East 102nd St 3rd Floor
New York, NY 10029
Phone: (212)241-7968
Fax:
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine Infectious
Diseases - 09/01/2013
2. American Board of Internal Medicine - 09/01/2011
TESSA GOMEZ
PRIMARY FACILITY INFORMATION
CREDENTIALS
Beth Israel Medical Center - Peter Kreueger Clinic
317 East 17th Street
New York, NY 10003
Phone: (212)420-2620
Fax: (212)420-2032
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 12/31/2006
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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COUNTY: OTSEGO
CHARLES HYMAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Bassett Medical Center
1 Atwell Road
Cooperstown, NY 13326
Phone: (607)547-3110
Fax:
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/01/2004
COUNTY: QUEENS
DALILAH RESTREPO
PRIMARY FACILITY INFORMATION
CREDENTIALS
AHF-ACQC
89-74 162nd Street 7th Fl.
Jamaica, NY 11432
Phone: (718)896-2500
Fax: (718)275-2094
Website:
DEGREES
• HIVMA
• MD
CERTIFICATIONS
1. Infectious Diseases - 11/04/2015
DAVID RUBIN
PRIMARY FACILITY INFORMATION
CREDENTIALS
New York Hospital Queens
13847 Horace Harding Expressway
Flushing, NY 11355
Phone: (718)670-1115
Fax:
Website:
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 09/10/1986
2. Infectious Disease - 11/01/1988
JAMES HO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Brightpointhealth
105-04 sutphin blvd
jamaica, NY 11435
Phone: (718)299-5500
Fax: (718)262-9450
Website:
• AAHIVS
• AACRN
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Board of Internal medicine - 11/30/2008
MICHAEL FANO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Brightpoint Health
10504 Sutphin Blvd
Jamaica, NY 11432
Phone: (718)725-5000
Fax:
Website:
DEGREES
• AAHIVS
• NP
CERTIFICATIONS
1. AAHIVMS - 12/01/2015
SONIA PUNJ
PRIMARY FACILITY INFORMATION
CREDENTIALS
BrightPoint Health Organization
105-04 Sutphin Blvd
Jamaica, NY 11435
Phone: (855)681-8700
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABIM Infectious Disease - 12/31/2009
2. ABIM Internal Medicine - 12/31/2013
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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VIJAYPAL ARYA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Vijaypal Arya PC
75-54 Metropolitan 2nd Floor
Middle Village, NY 11379
Phone: (718)326-0400
Fax: (718)326-0285
Website: www.aryagastro.com
DEGREES
• MD
CERTIFICATIONS
1. Gastroenterology - 12/20/2015
COUNTY: SUFFOLK
JENNIFER JOLY
PRIMARY FACILITY INFORMATION
CREDENTIALS
David Rogers Center for HIV/AIDS Care
335B Meeting House Lane
Southampton, NY 11968
Phone: (631)287-5990
Fax: (631)287-5995
Website:
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
1. National Commision on Certification of Physician
Assistants - 03/03/2014
NIKOLAY TELETEN
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Shore-LIJ Dolan Family Health Center
284 Pulaski Road
Greenlawn, NY 11740
Phone: (631)425-5250
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABFM - 07/08/2014
COUNTY: SULLIVAN
CHRISTINE KERR
PRIMARY FACILITY INFORMATION
CREDENTIALS
Hudson River Healthcare
23 N. Lakewood Drive
Monticello, NY 12701
Phone: (845)794-2010
Fax:
Website: www.hrhcare.org
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Disease - 10/06/2008
2. Internal Medicine - 10/06/2006
COUNTY: WESTCHESTER
CHRISTINE KERR
PRIMARY FACILITY INFORMATION
CREDENTIALS
Hudson River Healthcare
1037 Main Street
Peekskill, NY 10566
Phone: (914)734-8810
Fax:
Website: www.hrhcare.org
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Disease - 10/06/2008
2. Internal Medicine - 10/06/2006
EDWIN CABASSA
PRIMARY FACILITY INFORMATION
CREDENTIALS
St Johns Riverside Hosptial HOPE Center
2 Park Ave
Yonkers, NY 10703
Phone: (914)964-7723
Fax: (914)964-7321
Website:
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 10/01/2015
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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HARISH MOORJANI
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
Hudson Infectious Diseases Associates
127 Woodside Ave suite 204
Briarcliff Manor, NY 10510
Phone: (914)762-2276
Fax:
Website:
Westchester Medical Center
100 Woods Road BHC Room N230
Valhalla, NY 10595
Phone: (914)493-7700
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/23/2014
HILLARY FEDER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Saint John's Riverside Hospital
2 Park Avenue 4 West
Yonkers, NY 10703
Phone: (914)964-7723
Fax: (914)964-7321
Website:
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 04/01/2012
JEFFREY LEDERMAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore New Rochelle
16 Guion Place
New Rochelle, NY 10801
Phone: (914)365-4657
Fax: (914)365-5142
Website:
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Disease - 09/10/2014
2. Internal Medicine - 09/10/2011
MISTY L CHIU
PRIMARY FACILITY INFORMATION
CREDENTIALS
HOPE Center St Johns Riverside Hospital
2 Park Avenue 4 West
Yonkers, NY 10703
Phone: (914)964-7723
Fax: (914)964-7321
Website:
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 03/26/2012
POPULATION SERVED: ADOLESCENT
COUNTY: BRONX
ALISHA LIGGETT
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore Medical Center Adolescent AIDS
Program
3514 Wayne Avenue
Bronx, NY 10467
Phone: (718)882-0023
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Family Medicine - 04/10/2013
ELLEN TATTELMAN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Montefiore Medical Center - Family Health Center
1 Fordham Plaza 5th Floor
Bronx, NY 10458
Phone: (718)933-2400
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Family Medicine - 07/27/2007
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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MICHELLE DAHDOUH
PRIMARY FACILITY INFORMATION
CREDENTIALS
st barnabas hospital
4422 third ave
Bronx, NY 10457
Phone: (718)960-6205
Fax: (718)960-3218
Website: sbhny.org
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. infectious diseases - 04/15/2010
2. internal medicine - 09/02/1987
RODNEY WRIGHT
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
Comprehensive Family Care Center
1621 Eastchester Road
Bronx, NY 10461
Phone: (718)405-8040
Fax: (718)405-8044
Website: http://www.montefiore.org/mmgcomprehensive-family-care-center
Bronx Lebanon Comprehensive Care Center
1650 Selwyn Avenue 9th Floor
Bronx, NY 10457
Phone: (718)960-2010
Fax:
Website:
Montefiore Center for Positive Living
3444 Kossuth Avenue 3rd Floor
Bronx, NY 10467
Phone: (718)920-8542
Fax:
Website:
http//www.montefiore.org/hivaidscontact
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Obstetrics Gynecology - 12/31/2014
2. Maternal-Fetal Medicine - 12/31/2014
SARA BACK
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Central Bronx Hospital Special Care Clinic
NCB 3424 Kossuth Ave third floor
Bronx, NY 10467
Phone: (718)519-3631
Fax: (718)519-2034
Website:
DEGREES
• AAHIVS
• NP
CERTIFICATIONS
1. AANC - 03/10/2014
STEFAN HAGMANN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Bronx-Lebanon Hospital - Center for
Comprehensive Care
1650 Sewyn Avenue
Bronx, NY 10457
Phone: (718)960-1010
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Pediatric Infectious Diseases - 06/15/2010
COUNTY: ERIE
NEAL RZEPKOWSKI
PRIMARY FACILITY INFORMATION
ECMC
462 Grider Street
Buffalo, NY 14215
Phone: (716)898-4119
Fax: (716)898-3187
Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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COUNTY: KINGS
JEFFREY M BIRNBAUM
PRIMARY FACILITY INFORMATION
CREDENTIALS
HEAT Program/SUNY Downstate Medical Center
760 Parkside Avenue Room 308
Brooklyn, NY 11226
Phone: (718)467-4446
Fax: (718)467-1718
Website: www.heatprogram.org
DEGREES
• MD
CERTIFICATIONS
1. Pediatrics - 12/14/2015
KATHLEEN BERNOCK
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
Bedford Stuyvesant Family Health Center
1456 Fulton St
Brooklyn, NY 11216
Phone: (718)636-4500
Fax: (347)296-8310
Website: www.bsfhc.org
Broadway Family Health Center
1238 Broadway
Brooklyn, NY 11221
Phone: (718)443-2428
Fax:
Website:
CREDENTIALS
• AACRN
DEGREES
• NP
CERTIFICATIONS
1. FNP-BC - 06/01/2015
NICOLLE OVERSTREET
PRIMARY FACILITY INFORMATION
CREDENTIALS
MedCare LLC
468 Lafayette Ave
Brooklyn, NY 11205
Phone: (718)399-6234
Fax: (718)399-3516
Website:
• AAHIVS
DEGREES
• DO
CERTIFICATIONS
1. Family Practice - 05/21/2013
COUNTY: MONROE
KEVIN FISCELLA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Anthony Jordan Health Center
480 Genesee St
Rochester, NY 14611
Phone: (585)436-3040
Fax: (585)328-3812
Website: http//jordanhealth.org/
DEGREES
• MD
CERTIFICATIONS
1. American Board of Family Medicine - 04/09/2013
COUNTY: NASSAU
DAVID ROSENTHAL
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
Northwell Health Center for Young Adult
Northwell Health Long Island Jewish Medical
• AAHIVS
Adolescent and Pediatric HIV
Center and Cohen Children's Medical Center of
865 Northern Blvd Ste 101
New York
DEGREES
Great Neck, NY 11021
270-05 76th Avenue
Phone: (516)622-5070
New Hyde Park, NY 11040
• DO
Fax: (516)622-5060
Phone: (718)484-2005
CERTIFICATIONS
Website:
Fax:
https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
Website:
https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
ERIN SPECTOR
PRIMARY FACILITY INFORMATION
North Shore LIJ Center for Young Adult
Adolescent and Pediatric HIV
865 Northern Blvd Suite 101
Great Neck, NY 11021
Phone: (516)622-5070
Fax:
Website:
CREDENTIALS
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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NYS HIV PROVIDER DIRECTORY
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JOSEPH CERVIA
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Shore University Hospital - Center for AIDS
Research and Treatment
400 Community Drive
Manhasset, NY 11030
Phone: (516)562-4280
Fax:
Website:
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 01/01/2010
2. Pediatric Infectious Diseases - 01/01/2009
3. Internal Medicine - 01/01/1989
4. Pediatrics - 01/01/2013
COUNTY: NEW YORK
CAROLINE CARNEVALE
PRIMARY FACILITY INFORMATION
CREDENTIALS
New York Presbyterian Hospital - Project Stay
622 West 168th Street VC4
New York, NY 10032
Phone: (212)305-5000
Fax: (212)305-7400
Website: nyp.org
DEGREES
• AAHIVS
• NP
CERTIFICATIONS
1. ANCC - 06/16/2014
2. AAHIVS - 12/31/2014
DAVID ENGLISH
PRIMARY FACILITY INFORMATION
CREDENTIALS
family health center of harlem
1824 madison ave
new york, NY 10035
Phone: (212)423-4500
Fax: (646)770-8405
Website: institute.org
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. american board of family medicine - 07/01/2015
2. american academy of HIV medicine - 01/01/2016
GAIL SHUST
PRIMARY FACILITY INFORMATION
CREDENTIALS
Jack Martin Fund Clinic
17 East 102nd Street Third Floor
New York, NY 10029
Phone: (212)241-7968
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. pediatric infectious diseases - 10/09/2009
JOHN STEEVER
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai Adolescent Health Center
320 East 9th St Second Floor
New York City, NY 10128
Phone: (212)423-3000
Fax: (212)423-2920
Website:
DEGREES
• MD
CERTIFICATIONS
1. Pediatrics - 07/01/2008
2. Adolescent Medicine - 07/01/2009
JUDITH A ABERG
PRIMARY FACILITY INFORMATION
Mount Sinai
17 East 102nd St CAM 3
New York, NY 10022
Phone: (212)241-7968
Fax: (212)534-5240
Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. ABIM Internal Medicine - 10/30/2014
2. ABIM Infectious Disease - 05/30/2006
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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NOY ARIELA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Memorial Sloan-Kettering Cancer Center
1275 york avenue
New York, NY 10065
Phone: (212)639-7423
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABIM hematology oncology - 11/15/2007
PHILIP GYURA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Harlem United
169 west 133rd street
New York, NY 10030
Phone: (718)844-7974
Fax:
Website: harlemunited.org
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 03/13/2014
ROBERTO POSADA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai Hospital - Jack Martin Fund Clinic
17 E 102nd Street 3rd Floor
New York, NY 10029
Phone: (212)241-7968
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Pediatrics - 09/01/2014
2. Pediatric Infectioous Diseases - 09/01/2008
COUNTY: QUEENS
MICHAEL FANO
PRIMARY FACILITY INFORMATION
CREDENTIALS
Brightpoint Health
10504 Sutphin Blvd
Jamaica, NY 11432
Phone: (718)725-5000
Fax:
Website:
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. AAHIVMS - 12/01/2015
COUNTY: SUFFOLK
NIKOLAY TELETEN
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Shore-LIJ Dolan Family Health Center
284 Pulaski Road
Greenlawn, NY 11740
Phone: (631)425-5250
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. ABFM - 07/08/2014
COUNTY: WESTCHESTER
NINA ARLIEVSKY
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
Westchester Medical Center AIDS Care Center
100 Woods Road
Valhalla, NY 10595
Phone: (914)493-7700
Fax:
Website: www.westchestermedicalcenter.com
Children's and Women's Physicians of Westchester
• HIVMA
19 Bradhurst Ave
Hawthorne, NY 10532
DEGREES
Phone: (914)493-8333
Fax:
• MD
Website: www.cwpw.org
CERTIFICATIONS
CREDENTIALS
1. Pediatric Infectious Diseases - 03/21/2014
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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POPULATION SERVED: PEDIACTRIC
COUNTY: BRONX
STEFAN HAGMANN
PRIMARY FACILITY INFORMATION
CREDENTIALS
Bronx-Lebanon Hospital - Center for
Comprehensive Care
1650 Sewyn Avenue
Bronx, NY 10457
Phone: (718)960-1010
Fax:
Website:
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Pediatric Infectious Diseases - 06/15/2010
COUNTY: KINGS
JEFFREY M BIRNBAUM
PRIMARY FACILITY INFORMATION
CREDENTIALS
HEAT Program/SUNY Downstate Medical Center
760 Parkside Avenue Room 308
Brooklyn, NY 11226
Phone: (718)467-4446
Fax: (718)467-1718
Website: www.heatprogram.org
DEGREES
• MD
CERTIFICATIONS
1. Pediatrics - 12/14/2015
NICOLLE OVERSTREET
PRIMARY FACILITY INFORMATION
CREDENTIALS
MedCare LLC
468 Lafayette Ave
Brooklyn, NY 11205
Phone: (718)399-6234
Fax: (718)399-3516
Website:
DEGREES
• AAHIVS
• DO
CERTIFICATIONS
1. Family Practice - 05/21/2013
COUNTY: NASSAU
DAVID ROSENTHAL
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
CREDENTIALS
Northwell Health Center for Young Adult
Northwell Health Long Island Jewish Medical
• AAHIVS
Adolescent and Pediatric HIV
Center and Cohen Children's Medical Center of
865 Northern Blvd Ste 101
New York
DEGREES
Great Neck, NY 11021
270-05 76th Avenue
Phone: (516)622-5070
New Hyde Park, NY 11040
• DO
Fax: (516)622-5060
Phone: (718)484-2005
CERTIFICATIONS
Website:
Fax:
https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
Website:
https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
ERIN SPECTOR
PRIMARY FACILITY INFORMATION
CREDENTIALS
North Shore LIJ Center for Young Adult
Adolescent and Pediatric HIV
865 Northern Blvd Suite 101
Great Neck, NY 11021
Phone: (516)622-5070
Fax:
Website:
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
JOSEPH CERVIA
PRIMARY FACILITY INFORMATION
North Shore University Hospital - Center for AIDS
Research and Treatment
400 Community Drive
Manhasset, NY 11030
Phone: (516)562-4280
Fax:
Website:
CREDENTIALS
• AAHIVS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 01/01/2010
2. Pediatric Infectious Diseases - 01/01/2009
3. Internal Medicine - 01/01/1989
4. Pediatrics - 01/01/2013
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
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COUNTY: NEW YORK
DAVID ENGLISH
PRIMARY FACILITY INFORMATION
CREDENTIALS
family health center of harlem
1824 madison ave
new york, NY 10035
Phone: (212)423-4500
Fax: (646)770-8405
Website: institute.org
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. american board of family medicine - 07/01/2015
2. american academy of HIV medicine - 01/01/2016
GAIL SHUST
PRIMARY FACILITY INFORMATION
CREDENTIALS
Jack Martin Fund Clinic
17 East 102nd Street Third Floor
New York, NY 10029
Phone: (212)241-7968
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. pediatric infectious diseases - 10/09/2009
ROBERTO POSADA
PRIMARY FACILITY INFORMATION
CREDENTIALS
Mount Sinai Hospital - Jack Martin Fund Clinic
17 E 102nd Street 3rd Floor
New York, NY 10029
Phone: (212)241-7968
Fax:
Website:
DEGREES
• MD
CERTIFICATIONS
1. Pediatrics - 09/01/2014
2. Pediatric Infectioous Diseases - 09/01/2008
COUNTY: WESTCHESTER
NINA ARLIEVSKY
PRIMARY FACILITY INFORMATION
ADDITIONAL FACILITY INFORMATION
Westchester Medical Center AIDS Care Center
100 Woods Road
Valhalla, NY 10595
Phone: (914)493-7700
Fax:
Website: www.westchestermedicalcenter.com
Children's and Women's Physicians of Westchester
• HIVMA
19 Bradhurst Ave
Hawthorne, NY 10532
DEGREES
Phone: (914)493-8333
Fax:
• MD
Website: www.cwpw.org
CERTIFICATIONS
CREDENTIALS
1. Pediatric Infectious Diseases - 03/21/2014
New York State Health Department - AIDS Institute
https://commerce.health.state.ny.us/doh2/applinks/hivprovs/PopulationServedbyCounty.jsp
8/10/2016