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 8/10/2016 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 8/10/2016 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 8/10/2016 NYS HIV PROVIDER DIRECTORY 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 7 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 8 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 9 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 10 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 11 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 12 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 13 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 14 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 15 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 16 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 17 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 18 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 19 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 20 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 21 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 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 22 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 23 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 24 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 25 of 26 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 8/10/2016 NYS HIV PROVIDER DIRECTORY Page 26 of 26 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
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