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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.

New York State HIV Provider Directory York State HIV Provider Directory The purpose of this directory is to provide information to patients living with HIV on where they can

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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.

PRIMARY FACILITY INFORMATION

Albany Medical Center Division of HIV Medicine47 New Scotland Avenue Mail Code 158Albany, NY 12208Phone: (518)262-4043Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Albany Medical Center Division of HIV Medicine47 New Scotland Ave MC 158Albany, NY 12208Phone: (518)262-4043Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Albany Medical Center Division of HIV Medicine47 New Scotland Ave MC 158Albany, NY 12208Phone: (518)262-4043Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue Bronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Center for Positive Living Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases ABIM - 10/28/20142. Internal Medicine ABIM - 10/17/2011

PRIMARY FACILITY INFORMATION

CPL/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue 3rd FloorBronx, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org

ADDITIONAL FACILITY INFORMATION

Department of Medicine Faculty Practice-Montefiore Medical Center3400 Bainbridge Avenue 2nd Floor - Desk BBronx, NY 10467Phone: (866)633-8255Fax: (718)405-0610Website: www.montefiore.org

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 06/01/20102. Internal Medicine - 09/01/1990

POPULATION SERVED: ADULT

COUNTY: ALBANY

CYNTHIA MILLER

ROBERT JELLINGER

SHELLEY GILROY

COUNTY: BRONX

ALICE MYERSON

ANJALI SHARMA

BARRY ZINGMAN

NYS HIV PROVIDER DIRECTORY

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PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue 3rd floorBronx, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org/mymontefiore

ADDITIONAL FACILITY INFORMATION

The Oval Center3230 Bainbridge Avenue Bronx, NY 10467Phone: (718)882-5482Fax: (718)882-5725Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. Adult Nurse Practitioner - 03/30/2015

PRIMARY FACILITY INFORMATION

Montefiore Medical Center3230 Bainbridge Ave Suite 4Bronx, NY 10467Phone: (718)882-5482Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Medicine - 12/02/2009

PRIMARY FACILITY INFORMATION

montefiore1055 east tremont ave bronx, NY 10460Phone: (718)842-8040Fax: (718)842-9364Website: montefiore

CREDENTIALS

DEGREES

• NP

CERTIFICATIONS

1. family health - 08/20/2013

PRIMARY FACILITY INFORMATION

Montefiore Medical Center - Family Health Center1 Fordham Plaza 5th FloorBronx, NY 10458Phone: (718)933-2400Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Family Medicine - 07/27/2007

PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue Bronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. infectious diseases - 01/01/19882. internal medicine - 01/01/1987

PRIMARY FACILITY INFORMATION

CPL/ID Clinic - Montefiore Medical Center - The University Hospital for Albert Einstein College of Medicine3444 Kossuth Avenue New York City, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org

CREDENTIALS

• AAHIVS• AACRN

DEGREES

• NP

CERTIFICATIONS

1. Acute Care Nurse Practitioner - 02/25/2016

PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 05/09/20142. Infectious Diseases - 10/30/2007

CARYN WEISS

CONNIE PARK

EILEEN O'CONNOR

ELLEN TATTELMAN

GRACE Y MINAMOTO

HILDA ORTIZ-MORALES

JAMES C BRUST

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PRIMARY FACILITY INFORMATION

Jacobi Medical Center - Adult Comprehensive Service1400 Pelham Parkway South Bronx, NY 10461Phone: (718)918-3669Fax: (718)918-7686Website: http//jacobimed.org/

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. ABIM - 12/31/2015

PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic -Montefiore Medical Center111 East 210th St Bronx, NY 10467Phone: (718)920-8542Fax: (718)654-4394Website:

CREDENTIALS

DEGREES

• PA

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

CPL/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue 3rd Floor Bronx, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org

ADDITIONAL FACILITY INFORMATION

Montefiore Medical Center Medicine-Infectious Disease ClinicHutchinson Metro Center Tower II 1250 Waters Place 12th FloorBronx, NY 10461Phone: (866)633-8255Fax: (929)263-3958Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Disease - 11/12/20132. Internal Medicine - 08/07/2009

PRIMARY FACILITY INFORMATION

ID Clinic at Montefiore Medical Center344 Kossuth Ave 3rd floorBronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 08/15/20112. Infectious Diseases - 11/12/2013

PRIMARY FACILITY INFORMATION

CPL/ID Clinic3444 Kossuth Avenue Bronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

DEGREES

• PA

CERTIFICATIONS

1. National Certification of Physician Assitants - 07/01/2016

PRIMARY FACILITY INFORMATION

Comprehensive Family Care Center1621 Eastchest Road Bronx, NY 10461Phone: (718)405-8040Fax: (718)405-8060Website: http://www.montefiore.org/mmg-comprehensive-family-care-center

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 10/01/20152. Internal Medicine - 10/01/2013

PRIMARY FACILITY INFORMATION

Jacobi Medical Center1400 Pelham Parkway South Bronx, NY 10461Phone: (718)918-4333Fax: (718)918-7686Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 11/01/2006

JASON LEIDER

JULIE A SARLO

KERRY MURPHY

MAGDALENA SLOSAR-CHEAH

MARLENE TAYLOR

MATTHEW AKIYAMA

MELISSA WIENER

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PRIMARY FACILITY INFORMATION

st barnabas hospital4422 third ave Bronx, NY 10457Phone: (718)960-6205Fax: (718)960-3218Website: sbhny.org

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. infectious diseases - 04/15/20102. internal medicine - 09/02/1987

PRIMARY FACILITY INFORMATION

BRIGHT POINT HEALTH1543 INWOOD AVE Bronx, NY 10452Phone: (718)681-8700Fax: (718)294-4765Website: brightpointhealth.org

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 11/01/2011

PRIMARY FACILITY INFORMATION

Belvis545 E 142 st Bronx, NY 10454Phone: (718)579-1804Fax: (718)579-1845Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. ABIM AB Nephrology - 06/26/1986

PRIMARY FACILITY INFORMATION

Acacia Clay Avenue Clinic1776 Clay Avenue Bronx, NY 10457Phone: (718)299-1100Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 01/01/2011

PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Montefiore Medical Center3444 Kossuth Avenue BronxNew York, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: http//www.montefiore.org/

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - 08/19/20132. American Board of Infectious Diseases - 11/04/2015

MICHELLE DAHDOUH

NANCY CHEZ

NEREIDA FERRAN-HANSARD

PAUL CHAMBLISS

PAUL F RISKA

RABEA KHEDIMI

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PRIMARY FACILITY INFORMATION

Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8571Fax: (718)515-3509Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 07/01/2011

PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic -Montefiore Medical Center111 E 210th St Bronx, NY 10467Phone: (718)920-5276Fax: (718)405-0610Website: www.montefiore.org

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 07/01/20132. Internal Medicine - 07/01/2011

PRIMARY FACILITY INFORMATION

Comprehensive Family Care Center1621 Eastchester Road Bronx, NY 10461Phone: (718)405-8040Fax: (718)405-8044Website: http://www.montefiore.org/mmg-comprehensive-family-care-center

ADDITIONAL FACILITY INFORMATION

Bronx Lebanon Comprehensive Care Center1650 Selwyn Avenue 9th FloorBronx, NY 10457Phone: (718)960-2010Fax: Website:

ADDITIONAL FACILITY INFORMATION

Montefiore Center for Positive Living3444 Kossuth Avenue 3rd FloorBronx, NY 10467Phone: (718)920-8542Fax: Website: http//www.montefiore.org/hivaidscontact

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Obstetrics Gynecology - 12/31/20142. Maternal-Fetal Medicine - 12/31/2014

PRIMARY FACILITY INFORMATION

Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8801Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 08/10/20112. Infectious Disease - 10/28/2014

PRIMARY FACILITY INFORMATION

North Central Bronx Hospital Special Care ClinicNCB 3424 Kossuth Ave third floorBronx, NY 10467Phone: (718)519-3631Fax: (718)519-2034Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. AANC - 03/10/2014

PRIMARY FACILITY INFORMATION

South Bronx Health Center871 Prospect Ave Bronx, NY 10459Phone: (718)991-0605Fax: (718)991-2931Website: http://216.255.101.237/commpeds-sbhc-cchr/

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABFM - 07/17/2012

RAQUEL MENCHACA

ROBERT M GROSSBERG

RODNEY WRIGHT

SACHIN JAIN

SARA BACK

SHUCHIN SHUKLA

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PRIMARY FACILITY INFORMATION

Center for Positive Living/ID Clinic3444 Kossuth Ave 3rd flBronx, NY 10467Phone: (718)920-8542Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 10/01/20122. Internal Medicine - 08/01/2009

PRIMARY FACILITY INFORMATION

UHS Binghamton Primary Care33 Mitchell Avenue Binghamton, NY 13903Phone: (607)762-3281Fax: (607)762-3295Website: www.uhs.net

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. AANP FNP - 07/01/2011

PRIMARY FACILITY INFORMATION

Arnot Health-HIV Primary Care ClinicMadison Avenue Elmira, NY 14901Phone: (607)795-8161Fax: (607)795-8115Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Hudson River HealthCare6 Henry Street Beacon, NY 12508Phone: (845)831-0400Fax: Website: www.hrhcare.org

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Disease - 10/06/20082. Internal Medicine - 10/06/2006

PRIMARY FACILITY INFORMATION

Hudson River Health Care Incorporated1 Webster Avenue Suite 202Poughkeepsie, NY 12601Phone: (845)790-7990Fax: (845)452-3469Website: www.hrhcare.org

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 09/30/2006

PRIMARY FACILITY INFORMATION

Buffalo General Medical Center-Liver/Subspecialty Clinic100 High Street Buffalo, NY 14203Phone: (716)859-2175Fax: (716)859-3859Website: [email protected]

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Gastroenterology - 12/31/2008

URIEL FELSEN

COUNTY: BROOME

SCOTT ROSMAN

COUNTY: CHEMUNG

HEMAN FOWLER

COUNTY: DUTCHESS

CHRISTINE KERR

KELLY RAMSEY

COUNTY: ERIE

ANDREW TALAL

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PRIMARY FACILITY INFORMATION

University at Buffalo100 High St 617FBuffalo, NY 14203Phone: (716)898-2202Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - 08/01/2007

PRIMARY FACILITY INFORMATION

ECMC462 Grider Street Buffalo, NY 14215Phone: (716)898-4119Fax: (716)898-3187Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Samaritan Medical Center1575 Washington street Watertown, NY 13601Phone: (315)786-7300Fax: (315)786-7306Website: samaritanhealth.com

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. infectious disease - 03/17/2007

PRIMARY FACILITY INFORMATION

AIDS Healthcare Foundation Brooklyn Health Care Center475 Atlantic Avenue Second FloorBrooklyn, NY 11217Phone: (718)369-4850Fax: (718)369-4851Website: aidshelathcare.org

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Internal medicine - 03/18/19762. Infectious Diseases - 03/02/1978

PRIMARY FACILITY INFORMATION

Maimonides Medical Center4802 101th Avenue Brooklyn, NY 11219Phone: (718)283-5912Fax: (718)283-8813Website: www.maimonidesmed.org

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 09/15/20122. Internal Medicine - 09/15/1988

PRIMARY FACILITY INFORMATION

SUNY Downstate Medical Center470 Clarkson Ave Suite J Brooklyn, NY 11203Phone: (718)270-2471Fax: (718)270-4244Website: www.starprogram.nyc

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM Internal Medicine - 08/13/20082. ABIM Infectious Diseases - 10/06/2010

ANTHONY MARTINEZ

NEAL RZEPKOWSKI

COUNTY: JEFFERSON

MARYLENE DUAH

COUNTY: KINGS

ALAN JOSEPH STEIN

EDWARD CHAPNICK

ELLIOT DEHAAN

Page 7 of 26NYS HIV PROVIDER DIRECTORY

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PRIMARY FACILITY INFORMATION

SUNY Downstate Medical Center STAR Clinic450 Clarkson Ave MSC-1240Brooklyn, NY 11203Phone: (718)270-3745Fax: (718)270-4244Website: http://www.starprogram.nyc/

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 10/01/20122. Infectious Diseases - 11/01/2013

PRIMARY FACILITY INFORMATION

Brightpoint Health803 Sterling Place Brooklyn, NY 11216Phone: (855)681-8700Fax: Website: https//brightpointhealth.org/

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - 12/31/20122. Infectious Diseases - 12/31/2005

PRIMARY FACILITY INFORMATION

Wyckoff Heights Medical Center1610 Dekalb avenue Brooklyn, NY 11237Phone: (718)240-5395Fax: (718)907-4956Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM - 12/30/2013

PRIMARY FACILITY INFORMATION

Bedford Stuyvesant Family Health Center1456 Fulton St Brooklyn, NY 11216Phone: (718)636-4500Fax: (347)296-8310Website: www.bsfhc.org

ADDITIONAL FACILITY INFORMATION

Broadway Family Health Center1238 Broadway Brooklyn, NY 11221Phone: (718)443-2428Fax: Website:

CREDENTIALS

• AACRN

DEGREES

• NP

CERTIFICATIONS

1. FNP-BC - 06/01/2015

PRIMARY FACILITY INFORMATION

Kenneth A Mercer MD MPH302 Broadway Brooklyn, NY 11211Phone: (718)384-0010Fax: (718)599-4632Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM-Geriatric Medicine - 07/01/20152. ABIM-Internal Medicine - 07/01/2015

PRIMARY FACILITY INFORMATION

The Brooklyn Hospital Center121 DeKalb Ave Brooklyn, NY 11201Phone: (718)250-6141Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 01/02/19842. Internal Medicine - 01/01/1980

PRIMARY FACILITY INFORMATION

MedCare LLC468 Lafayette Ave Brooklyn, NY 11205Phone: (718)399-6234Fax: (718)399-3516Website:

CREDENTIALS

• AAHIVS

DEGREES

• DO

CERTIFICATIONS

1. Family Practice - 05/21/2013

GABRIEL REBICK

JONATHAN ZELLAN

JYOTI GUPTA

KATHLEEN BERNOCK

KENNETH MERCER

LEONARD BERKOWITZ

NICOLLE OVERSTREET

Page 8 of 26NYS HIV PROVIDER DIRECTORY

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PRIMARY FACILITY INFORMATION

Wyckoff Hospital1610 Dekalb Ave Brooklyn, NY 11237Phone: (718)963-7671Fax: (718)907-4956Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. ABIM Internal Medicine - 12/31/20112. ABIM Infectious Diseases - 12/31/2014

PRIMARY FACILITY INFORMATION

dlc comprehensive medical pllc979 fulton st BROOKLYN, NY 11238Phone: (718)857-1200Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. abim - 12/31/2015

PRIMARY FACILITY INFORMATION

Pierre toussaint family Health/ Kingsbrook Jewish medical1110 eastern Parkway Brooklyn, NY 11213Phone: (718)735-1900Fax: (719)735-4531Website: kingsbrookjewish.org

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - 11/25/2009

ADDITIONAL FACILITY INFORMATION

Gastroenterology/Hepatology Clinic374 Stockholm Street Brooklyn, NY 11237Phone: (718)963-7618Fax: Website: www.wyckoffhospital.org

ADDITIONAL FACILITY INFORMATION

Vijaypal Arya220A St Nicholas Ave Brooklyn, NY 11237Phone: (718)326-0400Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Gastroenterology - 12/20/2015

PRIMARY FACILITY INFORMATION

Rochester Regional Unity Infectious Disease89 Genesee street Rochester, NY 14610Phone: (585)368-3506Fax: Website:

ADDITIONAL FACILITY INFORMATION

Rochester Regional Unity Infectious Disease1555 Long Pond road Rochester, NY 14621Phone: (585)368-3506Fax: Website:

CREDENTIALS

DEGREES

• NP

CERTIFICATIONS

1. AANP- FNP - 07/09/2014

PRIMARY FACILITY INFORMATION

Anthony Jordan Health Center480 Genesee St Rochester, NY 14611Phone: (585)436-3040Fax: (585)328-3812Website: http//jordanhealth.org/

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Family Medicine - 04/09/2013

PRIMARY FACILITY INFORMATION

Anthony L Jordan Health Center82 Holland St Rochester, NY 14605Phone: (585)423-2879Fax: (585)423-2869Website:

CREDENTIALS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 01/01/2015

OLGA BADEM

RIAZ AHMAD

SAMUEL UTER

VIJAYPAL ARYA

COUNTY: MONROE

COLLEEN PALERMO

KEVIN FISCELLA

MARY ANGERAME

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PRIMARY FACILITY INFORMATION

Trillium Health259 Monroe Ave Rochester, NY 14607Phone: (585)545-7200Fax: Website: www.trilliumhealth.org

CREDENTIALS

DEGREES

• DO

CERTIFICATIONS

1. Infectious Diseases - 12/01/2006

PRIMARY FACILITY INFORMATION

University of Rochester Medical Center/Strong Memorial Hospital601 Elmwood Avenu Box 689Rochester, NY 14642Phone: (585)275-0526Fax: (585)273-1055Website:

CREDENTIALS

DEGREES

• PA

CERTIFICATIONS

1. NCCPA - 06/27/2015

PRIMARY FACILITY INFORMATION

Northwell Health Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Ste 101Great Neck, NY 11021Phone: (516)622-5070Fax: (516)622-5060Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv

ADDITIONAL FACILITY INFORMATION

Northwell Health Long Island Jewish Medical Center and Cohen Children's Medical Center of New York270-05 76th Avenue New Hyde Park, NY 11040Phone: (718)484-2005Fax: Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv

CREDENTIALS

• AAHIVS

DEGREES

• DO

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

North Shore LIJ Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Suite 101Great Neck, NY 11021Phone: (516)622-5070Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• PA

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

North Shore University Hospital - Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website:

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 01/01/20102. Pediatric Infectious Diseases - 01/01/20093. Internal Medicine - 01/01/19894. Pediatrics - 01/01/2013

PRIMARY FACILITY INFORMATION

North Shore University Hospital Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website:

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. AAHIVM Specialist - 09/05/20132. American Board of Internal Medicine- Infectious Diseases - 06/01/2012

MICHAEL MANCENIDO

SUSAN HULSE

COUNTY: NASSAU

DAVID ROSENTHAL

ERIN SPECTOR

JOSEPH CERVIA

JOSEPH MCGOWAN

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PRIMARY FACILITY INFORMATION

North Shore University Hospital - Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• PA

CERTIFICATIONS

1. NCCPA - 06/18/20122. AAHIVS - 01/01/2016

PRIMARY FACILITY INFORMATION

Lenox Hill Hospital Retroviral Disease Center210 E 64th St 1st Floor New York, NY 10065Phone: (212)434-4251Fax: (212)434-2287Website: http//www.lenoxhillhospital.org/rdc

CREDENTIALS

DEGREES

• NP

CERTIFICATIONS

1. Acute Care Nurse Practitioner - 10/09/2011

PRIMARY FACILITY INFORMATION

chelsy village medical155 west 19 street 4th floorNew York, NY 10016Phone: (212)929-2629Fax: (212)929-4971Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. american wound care association - 03/19/2015

PRIMARY FACILITY INFORMATION

Brightpoint Health71 West 23rd Street - 8th Floor New York, NY 10010Phone: (718)681-8700Fax: (212)206-2506Website: www.brightpointhealth

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. NYS Hepatitis C certification - 11/03/2015

PRIMARY FACILITY INFORMATION

New York Presbyterian Hospital - Project Stay622 West 168th Street VC4New York, NY 10032Phone: (212)305-5000Fax: (212)305-7400Website: nyp.org

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 06/16/20142. AAHIVS - 12/31/2014

PRIMARY FACILITY INFORMATION

Mount Sinai Roosevelt Hospital1000 Tenth Avenue Suite T2NEW YORK, NY 10019Phone: (212)523-6500Fax: (212)523-7182Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 08/24/20072. Infectious Diseases - 10/05/2011

MIKAELA ANDERSON

COUNTY: NEW YORK

AARON PACK

ALEXANDER MCMEEKING

BARBARA ZELLER

CAROLINE CARNEVALE

CELINE GOUNDER

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PRIMARY FACILITY INFORMATION

Aids Healthcare Foundation30 West 60th street Suite A-N New York, NY 10023Phone: (212)582-5006Fax: (646)478-8829Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 11/04/2015

PRIMARY FACILITY INFORMATION

Jack Martin Fund Clinic at Mount Sinai Medical Centerseventeen east one hundred second street 3rd floorNew York, NY 10029Phone: (212)241-7968Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Diplomate American Board of Internal Medicine September 1989 indefinite - 09/29/19892. Diplomate Infectious Diseases American Board of Internal Medicine - 09/28/2007

PRIMARY FACILITY INFORMATION

Boriken Neighborhood Health Center2263 Third Avenue New York, NY 10035Phone: (212)289-6650Fax: (212)360-6149Website: Boriken.org

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - 10/01/2011

PRIMARY FACILITY INFORMATION

family health center of harlem1824 madison ave new york, NY 10035Phone: (212)423-4500Fax: (646)770-8405Website: institute.org

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. american board of family medicine - 07/01/20152. american academy of HIV medicine - 01/01/2016

PRIMARY FACILITY INFORMATION

David Perlman10 union square east suite 3f New York, NY 10003Phone: (212)844-8549Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious diseases - 02/09/1989

PRIMARY FACILITY INFORMATION

Mount Sinai St Lukes Hospital1111 Amsterdam Ave New York, NY 10025Phone: (212)523-6500Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 10/01/20142. Internal Medicine - 10/01/2011

DALILAH RESTREPO

DANIEL FIERER

DANIELLE MILANO

DAVID ENGLISH

DAVID PERLMAN

DAVID C FERRIS

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PRIMARY FACILITY INFORMATION

Mount Sinai Medical CenterDept Liver Diseases 5 East 98 Street 11th FloorNew York, NY 10029Phone: (212)241-7270Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 08/24/20092. Infectious Disease - 10/11/2012

PRIMARY FACILITY INFORMATION

Mount Sinai St Luke's and Mount Sinai Roosevelt1000 10th Avenue Suite 2TNew York, NY 10036Phone: (212)523-6500Fax: Website: http//www.mountsinaihealth.org/patientcare/infectiousdiseases

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. American Board of ObGyn - MOC - 11/28/2014

PRIMARY FACILITY INFORMATION

Mount Sinai1111 Amsterdam Avenue New York, NY 10025Phone: (212)523-6500Fax: (212)636-4896Website:

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 12/15/20142. Internal Medicine - 11/18/2013

PRIMARY FACILITY INFORMATION

Mount Sinai St Luke's Hospital/Ryan Network1111 Amsterdam Ave 110 West 97th StreetNew York, NY 10025Phone: (347)575-8587Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• PA

CERTIFICATIONS

1. NCCPA - 12/31/2015

PRIMARY FACILITY INFORMATION

APICHA400 Broadway New York, NY 10013Phone: (212)334-6029Fax: (212)334-7957Website: www.apicha.org

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. AAHIVM - 09/01/20132. ABIM Infectious Disease - 04/01/20143. ABIM Internal medicine - 04/01/2011

PRIMARY FACILITY INFORMATION

Settlement Health212 E 106th St New York, NY 10029Phone: (212)360-2600Fax: (212)360-2667Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. ABIM - 01/01/2010

DOST SARPEL

ERIC GANZ

GEORGINA OSORIO

GERALDINE JOSEPH

IAN TANG

JAIME LOPEZ-SANTINI

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PRIMARY FACILITY INFORMATION

Gouverneur Healthcare Services227 Madison Street New York, NY 10002Phone: (212)238-8188Fax: (212)238-3751Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 12/31/2007

PRIMARY FACILITY INFORMATION

MOunt SInai St Lukes Hospital1111 Amsterdam Avenue New York, NY 10025Phone: (212)523-8050Fax: (212)523-5677Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 05/20/20082. Internal Medicine - 05/16/2006

PRIMARY FACILITY INFORMATION

Mount Sinai17 East 102nd St CAM 3New York, NY 10022Phone: (212)241-7968Fax: (212)534-5240Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. ABIM Internal Medicine - 10/30/20142. ABIM Infectious Disease - 05/30/2006

PRIMARY FACILITY INFORMATION

Gouverneur Healthcare Services227 Madison Street New York, NY 10002Phone: (212)238-8188Fax: (212)238-7668Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM - 11/01/2012

PRIMARY FACILITY INFORMATION

Kenneth A Mercer MD MPH422 2nd Avenue New York, NY 10010Phone: (212)684-6684Fax: (212)684-6684Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM-Geriatric Medicine - 07/01/20152. ABIM-Internal Medicine - 07/01/2015

PRIMARY FACILITY INFORMATION

Lenox Hill Hospital - Retroviral Disease Center210 E 64th street New York, NY 10065Phone: (212)434-4251Fax: (212)434-2287Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - 02/06/2007

PRIMARY FACILITY INFORMATION

WEST MIDTOWN MEDICAL GROUP311 WEST 35TH STREET NEW YORK, NY 10001Phone: (212)736-5900Fax: (212)290-2724Website: WWW.WESTMIDTOWNMEDICALGROUP.NET

CREDENTIALS

DEGREES

• PA

CERTIFICATIONS

JAMES SCHMIDTBERGER

JOSE FEFER

JUDITH A ABERG

KATHLEEN HANLEY

KENNETH MERCER

LADAN AHMADI

LAURA MAROLDO

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PRIMARY FACILITY INFORMATION

New York Cardiovascular Associates PLLC275 7th Avenue 3rd FloorNew York, NY 10001Phone: (646)660-9999Fax: (646)778-3485Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 01/01/2011

PRIMARY FACILITY INFORMATION

Mount Sinai Comprehensive Health275 Seventh Avenue 12th Floor 12th floorNew York, NY 10001Phone: (212)604-1701Fax: (212)604-1750Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ID - 12/01/2006

PRIMARY FACILITY INFORMATION

New York Presbyterian Hospital - Weill Cornell Medical Center53 West 23rd Street 6th FloorNew York, NY 10010Phone: (212)746-7200Fax: (212)746-7166Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. ABIM--Infectious Diseases - 12/31/20142. ABIM--Internal Medicine - 09/30/2014

PRIMARY FACILITY INFORMATION

Columbia Presbyterian Medical Center Division of Infectious Diseases180 Fort Washington Avenue New York, NY 10032Phone: (212)305-3174Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 08/01/20112. Infectious Diseases - 10/01/2014

PRIMARY FACILITY INFORMATION

Mount Sinai275 7th Avenue 12th FloorNew York, NY 10011Phone: (212)604-1701Fax: (212)604-1750Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. Nurse Pracitioner - 12/31/20152. AAHIVS - 12/31/2015

PRIMARY FACILITY INFORMATION

Icahn School of Medicine at Mount SinaiOne Gustave L Levy Place Box 1090New York, NY 10029Phone: (212)241-6741Fax: (212)534-3240Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Disease - 10/24/20062. Internal Medicine - 10/22/2013

PRIMARY FACILITY INFORMATION

Memorial Sloan-Kettering Cancer Center1275 york avenue New York, NY 10065Phone: (212)639-7423Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM hematology oncology - 11/15/2007

LAWRENCE HITZEMAN

LIVETTE JOHNSON

MARSHALL GLESBY

MATTHEW SCHERER

MICHEL NG

MIKYUNG LEE

NOY ARIELA

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PRIMARY FACILITY INFORMATION

Institute of Advanced Medicine Spence Cox Center Mount Sinai230 West 17 th New York, NY 10011Phone: (212)523-9087Fax: (212)523-9052Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. Family Medicine - 12/31/2014

PRIMARY FACILITY INFORMATION

Harlem United169 west 133rd street New York, NY 10030Phone: (718)844-7974Fax: Website: harlemunited.org

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 03/13/2014

PRIMARY FACILITY INFORMATION

Icahn School of Medicine at Mount SinaiOne Gustave L Levy Place Box 1090New York, NY 10029Phone: (212)241-3150Fax: (212)824-8867Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 10/11/20122. Internal Medicine - 08/20/2009

PRIMARY FACILITY INFORMATION

Apicha Community Health Center400 Broadway New York, NY 10013Phone: (212)334-6029Fax: (212)334-7957Website: www.apicha.org

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. ABIM - 12/31/2014

PRIMARY FACILITY INFORMATION

New York Presbyterian Hospital - Weill Cornell Medical Center53 West 23rd Street 6th floorNew York, NY 10010Phone: (212)746-7200Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 09/13/19892. Infectious Diseases - 07/01/2012

PRIMARY FACILITY INFORMATION

New York Presbyterian Hospital Center for Special Studies525 E 68th Street Room F24New York, NY 10065Phone: (212)746-4180Fax: (212)746-8415Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. ABIM - 12/31/2011

ORIN DOUGLAS

PHILIP GYURA

RACHEL CHASAN

ROBERT MURAYAMA

ROY GULICK

SAMUEL T MERRICK

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PRIMARY FACILITY INFORMATION

Beth Israel Medical Center317 E 17th St 10 Union Square EastNew York, NY 10003Phone: (212)420-2392Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - Infectious Diseases - 11/20/2013

PRIMARY FACILITY INFORMATION

Astor Medical Group67 Irving Place 5th floorNew York, NY 10003Phone: (212)253-2968Fax: (212)253-2925Website: AstorMedical.com

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANA - 06/27/2016

PRIMARY FACILITY INFORMATION

Steven Radowitz MD PLLC139 West 82nd St New York, NY 10024Phone: (212)496-7200Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine - 01/01/2008

PRIMARY FACILITY INFORMATION

APICHA Community Health Center400 Broadway New York, NY 10013Phone: (212)334-6029Fax: Website:

CREDENTIALS

DEGREES

• NP

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

Jack Martin Clinic Icahn School of Medicine at Mount Sinai17 East 102nd St 3rd Floor New York, NY 10029Phone: (212)241-7968Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. American Board of Internal Medicine Infectious Diseases - 09/01/20132. American Board of Internal Medicine - 09/01/2011

PRIMARY FACILITY INFORMATION

Beth Israel Medical Center - Peter Kreueger Clinic317 East 17th Street New York, NY 10003Phone: (212)420-2620Fax: (212)420-2032Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 12/31/2006

SANJANA KOSHY

STACY KREISWIRTH

STEVEN RADOWITZ

SUSANNE RENDEIRO

TALIA SWARTZ

TESSA GOMEZ

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PRIMARY FACILITY INFORMATION

Bassett Medical Center1 Atwell Road Cooperstown, NY 13326Phone: (607)547-3110Fax: Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 10/01/2004

PRIMARY FACILITY INFORMATION

AHF-ACQC89-74 162nd Street 7th Fl. Jamaica, NY 11432Phone: (718)896-2500Fax: (718)275-2094Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 11/04/2015

PRIMARY FACILITY INFORMATION

New York Hospital Queens13847 Horace Harding Expressway Flushing, NY 11355Phone: (718)670-1115Fax: Website:

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Internal Medicine - 09/10/19862. Infectious Disease - 11/01/1988

PRIMARY FACILITY INFORMATION

Brightpointhealth105-04 sutphin blvd jamaica, NY 11435Phone: (718)299-5500Fax: (718)262-9450Website:

CREDENTIALS

• AAHIVS• AACRN• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Board of Internal medicine - 11/30/2008

PRIMARY FACILITY INFORMATION

Brightpoint Health10504 Sutphin Blvd Jamaica, NY 11432Phone: (718)725-5000Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. AAHIVMS - 12/01/2015

PRIMARY FACILITY INFORMATION

BrightPoint Health Organization105-04 Sutphin Blvd Jamaica, NY 11435Phone: (855)681-8700Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM Infectious Disease - 12/31/20092. ABIM Internal Medicine - 12/31/2013

COUNTY: OTSEGO

CHARLES HYMAN

COUNTY: QUEENS

DALILAH RESTREPO

DAVID RUBIN

JAMES HO

MICHAEL FANO

SONIA PUNJ

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PRIMARY FACILITY INFORMATION

Vijaypal Arya PC75-54 Metropolitan 2nd FloorMiddle Village, NY 11379Phone: (718)326-0400Fax: (718)326-0285Website: www.aryagastro.com

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Gastroenterology - 12/20/2015

PRIMARY FACILITY INFORMATION

David Rogers Center for HIV/AIDS Care335B Meeting House Lane Southampton, NY 11968Phone: (631)287-5990Fax: (631)287-5995Website:

CREDENTIALS

• AAHIVS

DEGREES

• PA

CERTIFICATIONS

1. National Commision on Certification of Physician Assistants - 03/03/2014

PRIMARY FACILITY INFORMATION

North Shore-LIJ Dolan Family Health Center284 Pulaski Road Greenlawn, NY 11740Phone: (631)425-5250Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABFM - 07/08/2014

PRIMARY FACILITY INFORMATION

Hudson River Healthcare23 N. Lakewood Drive Monticello, NY 12701Phone: (845)794-2010Fax: Website: www.hrhcare.org

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Disease - 10/06/20082. Internal Medicine - 10/06/2006

PRIMARY FACILITY INFORMATION

Hudson River Healthcare1037 Main Street Peekskill, NY 10566Phone: (914)734-8810Fax: Website: www.hrhcare.org

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Disease - 10/06/20082. Internal Medicine - 10/06/2006

PRIMARY FACILITY INFORMATION

St Johns Riverside Hosptial HOPE Center2 Park Ave Yonkers, NY 10703Phone: (914)964-7723Fax: (914)964-7321Website:

CREDENTIALS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 10/01/2015

VIJAYPAL ARYA

COUNTY: SUFFOLK

JENNIFER JOLY

NIKOLAY TELETEN

COUNTY: SULLIVAN

CHRISTINE KERR

COUNTY: WESTCHESTER

CHRISTINE KERR

EDWIN CABASSA

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PRIMARY FACILITY INFORMATION

Hudson Infectious Diseases Associates127 Woodside Ave suite 204Briarcliff Manor, NY 10510Phone: (914)762-2276Fax: Website:

ADDITIONAL FACILITY INFORMATION

Westchester Medical Center100 Woods Road BHC Room N230Valhalla, NY 10595Phone: (914)493-7700Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 10/23/2014

PRIMARY FACILITY INFORMATION

Saint John's Riverside Hospital2 Park Avenue 4 West Yonkers, NY 10703Phone: (914)964-7723Fax: (914)964-7321Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 04/01/2012

PRIMARY FACILITY INFORMATION

Montefiore New Rochelle16 Guion Place New Rochelle, NY 10801Phone: (914)365-4657Fax: (914)365-5142Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Disease - 09/10/20142. Internal Medicine - 09/10/2011

PRIMARY FACILITY INFORMATION

HOPE Center St Johns Riverside Hospital2 Park Avenue 4 WestYonkers, NY 10703Phone: (914)964-7723Fax: (914)964-7321Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 03/26/2012

PRIMARY FACILITY INFORMATION

Montefiore Medical Center Adolescent AIDS Program3514 Wayne Avenue Bronx, NY 10467Phone: (718)882-0023Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Family Medicine - 04/10/2013

PRIMARY FACILITY INFORMATION

Montefiore Medical Center - Family Health Center1 Fordham Plaza 5th FloorBronx, NY 10458Phone: (718)933-2400Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Family Medicine - 07/27/2007

HARISH MOORJANI

HILLARY FEDER

JEFFREY LEDERMAN

MISTY L CHIU

POPULATION SERVED: ADOLESCENT

COUNTY: BRONX

ALISHA LIGGETT

ELLEN TATTELMAN

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PRIMARY FACILITY INFORMATION

st barnabas hospital4422 third ave Bronx, NY 10457Phone: (718)960-6205Fax: (718)960-3218Website: sbhny.org

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. infectious diseases - 04/15/20102. internal medicine - 09/02/1987

PRIMARY FACILITY INFORMATION

Comprehensive Family Care Center1621 Eastchester Road Bronx, NY 10461Phone: (718)405-8040Fax: (718)405-8044Website: http://www.montefiore.org/mmg-comprehensive-family-care-center

ADDITIONAL FACILITY INFORMATION

Bronx Lebanon Comprehensive Care Center1650 Selwyn Avenue 9th FloorBronx, NY 10457Phone: (718)960-2010Fax: Website:

ADDITIONAL FACILITY INFORMATION

Montefiore Center for Positive Living3444 Kossuth Avenue 3rd FloorBronx, NY 10467Phone: (718)920-8542Fax: Website: http//www.montefiore.org/hivaidscontact

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Obstetrics Gynecology - 12/31/20142. Maternal-Fetal Medicine - 12/31/2014

PRIMARY FACILITY INFORMATION

North Central Bronx Hospital Special Care ClinicNCB 3424 Kossuth Ave third floorBronx, NY 10467Phone: (718)519-3631Fax: (718)519-2034Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. AANC - 03/10/2014

PRIMARY FACILITY INFORMATION

Bronx-Lebanon Hospital - Center for Comprehensive Care1650 Sewyn Avenue Bronx, NY 10457Phone: (718)960-1010Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. Pediatric Infectious Diseases - 06/15/2010

PRIMARY FACILITY INFORMATION

ECMC462 Grider Street Buffalo, NY 14215Phone: (716)898-4119Fax: (716)898-3187Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

MICHELLE DAHDOUH

RODNEY WRIGHT

SARA BACK

STEFAN HAGMANN

COUNTY: ERIE

NEAL RZEPKOWSKI

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PRIMARY FACILITY INFORMATION

HEAT Program/SUNY Downstate Medical Center760 Parkside Avenue Room 308Brooklyn, NY 11226Phone: (718)467-4446Fax: (718)467-1718Website: www.heatprogram.org

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Pediatrics - 12/14/2015

PRIMARY FACILITY INFORMATION

Bedford Stuyvesant Family Health Center1456 Fulton St Brooklyn, NY 11216Phone: (718)636-4500Fax: (347)296-8310Website: www.bsfhc.org

ADDITIONAL FACILITY INFORMATION

Broadway Family Health Center1238 Broadway Brooklyn, NY 11221Phone: (718)443-2428Fax: Website:

CREDENTIALS

• AACRN

DEGREES

• NP

CERTIFICATIONS

1. FNP-BC - 06/01/2015

PRIMARY FACILITY INFORMATION

MedCare LLC468 Lafayette Ave Brooklyn, NY 11205Phone: (718)399-6234Fax: (718)399-3516Website:

CREDENTIALS

• AAHIVS

DEGREES

• DO

CERTIFICATIONS

1. Family Practice - 05/21/2013

PRIMARY FACILITY INFORMATION

Anthony Jordan Health Center480 Genesee St Rochester, NY 14611Phone: (585)436-3040Fax: (585)328-3812Website: http//jordanhealth.org/

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. American Board of Family Medicine - 04/09/2013

PRIMARY FACILITY INFORMATION

Northwell Health Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Ste 101Great Neck, NY 11021Phone: (516)622-5070Fax: (516)622-5060Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv

ADDITIONAL FACILITY INFORMATION

Northwell Health Long Island Jewish Medical Center and Cohen Children's Medical Center of New York270-05 76th Avenue New Hyde Park, NY 11040Phone: (718)484-2005Fax: Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv

CREDENTIALS

• AAHIVS

DEGREES

• DO

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

North Shore LIJ Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Suite 101Great Neck, NY 11021Phone: (516)622-5070Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• PA

CERTIFICATIONS

COUNTY: KINGS

JEFFREY M BIRNBAUM

KATHLEEN BERNOCK

NICOLLE OVERSTREET

COUNTY: MONROE

KEVIN FISCELLA

COUNTY: NASSAU

DAVID ROSENTHAL

ERIN SPECTOR

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PRIMARY FACILITY INFORMATION

North Shore University Hospital - Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website:

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 01/01/20102. Pediatric Infectious Diseases - 01/01/20093. Internal Medicine - 01/01/19894. Pediatrics - 01/01/2013

PRIMARY FACILITY INFORMATION

New York Presbyterian Hospital - Project Stay622 West 168th Street VC4New York, NY 10032Phone: (212)305-5000Fax: (212)305-7400Website: nyp.org

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 06/16/20142. AAHIVS - 12/31/2014

PRIMARY FACILITY INFORMATION

family health center of harlem1824 madison ave new york, NY 10035Phone: (212)423-4500Fax: (646)770-8405Website: institute.org

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. american board of family medicine - 07/01/20152. american academy of HIV medicine - 01/01/2016

PRIMARY FACILITY INFORMATION

Jack Martin Fund Clinic17 East 102nd Street Third FloorNew York, NY 10029Phone: (212)241-7968Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. pediatric infectious diseases - 10/09/2009

PRIMARY FACILITY INFORMATION

Mount Sinai Adolescent Health Center320 East 9th St Second FloorNew York City, NY 10128Phone: (212)423-3000Fax: (212)423-2920Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Pediatrics - 07/01/20082. Adolescent Medicine - 07/01/2009

PRIMARY FACILITY INFORMATION

Mount Sinai17 East 102nd St CAM 3New York, NY 10022Phone: (212)241-7968Fax: (212)534-5240Website:

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. ABIM Internal Medicine - 10/30/20142. ABIM Infectious Disease - 05/30/2006

JOSEPH CERVIA

COUNTY: NEW YORK

CAROLINE CARNEVALE

DAVID ENGLISH

GAIL SHUST

JOHN STEEVER

JUDITH A ABERG

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PRIMARY FACILITY INFORMATION

Memorial Sloan-Kettering Cancer Center1275 york avenue New York, NY 10065Phone: (212)639-7423Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABIM hematology oncology - 11/15/2007

PRIMARY FACILITY INFORMATION

Harlem United169 west 133rd street New York, NY 10030Phone: (718)844-7974Fax: Website: harlemunited.org

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. ANCC - 03/13/2014

PRIMARY FACILITY INFORMATION

Mount Sinai Hospital - Jack Martin Fund Clinic17 E 102nd Street 3rd FloorNew York, NY 10029Phone: (212)241-7968Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Pediatrics - 09/01/20142. Pediatric Infectioous Diseases - 09/01/2008

PRIMARY FACILITY INFORMATION

Brightpoint Health10504 Sutphin Blvd Jamaica, NY 11432Phone: (718)725-5000Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• NP

CERTIFICATIONS

1. AAHIVMS - 12/01/2015

PRIMARY FACILITY INFORMATION

North Shore-LIJ Dolan Family Health Center284 Pulaski Road Greenlawn, NY 11740Phone: (631)425-5250Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. ABFM - 07/08/2014

PRIMARY FACILITY INFORMATION

Westchester Medical Center AIDS Care Center100 Woods Road Valhalla, NY 10595Phone: (914)493-7700Fax: Website: www.westchestermedicalcenter.com

ADDITIONAL FACILITY INFORMATION

Children's and Women's Physicians of Westchester19 Bradhurst Ave Hawthorne, NY 10532Phone: (914)493-8333Fax: Website: www.cwpw.org

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Pediatric Infectious Diseases - 03/21/2014

NOY ARIELA

PHILIP GYURA

ROBERTO POSADA

COUNTY: QUEENS

MICHAEL FANO

COUNTY: SUFFOLK

NIKOLAY TELETEN

COUNTY: WESTCHESTER

NINA ARLIEVSKY

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PRIMARY FACILITY INFORMATION

Bronx-Lebanon Hospital - Center for Comprehensive Care1650 Sewyn Avenue Bronx, NY 10457Phone: (718)960-1010Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. Pediatric Infectious Diseases - 06/15/2010

PRIMARY FACILITY INFORMATION

HEAT Program/SUNY Downstate Medical Center760 Parkside Avenue Room 308Brooklyn, NY 11226Phone: (718)467-4446Fax: (718)467-1718Website: www.heatprogram.org

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Pediatrics - 12/14/2015

PRIMARY FACILITY INFORMATION

MedCare LLC468 Lafayette Ave Brooklyn, NY 11205Phone: (718)399-6234Fax: (718)399-3516Website:

CREDENTIALS

• AAHIVS

DEGREES

• DO

CERTIFICATIONS

1. Family Practice - 05/21/2013

PRIMARY FACILITY INFORMATION

Northwell Health Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Ste 101Great Neck, NY 11021Phone: (516)622-5070Fax: (516)622-5060Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv

ADDITIONAL FACILITY INFORMATION

Northwell Health Long Island Jewish Medical Center and Cohen Children's Medical Center of New York270-05 76th Avenue New Hyde Park, NY 11040Phone: (718)484-2005Fax: Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv

CREDENTIALS

• AAHIVS

DEGREES

• DO

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

North Shore LIJ Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Suite 101Great Neck, NY 11021Phone: (516)622-5070Fax: Website:

CREDENTIALS

• AAHIVS

DEGREES

• PA

CERTIFICATIONS

PRIMARY FACILITY INFORMATION

North Shore University Hospital - Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website:

CREDENTIALS

• AAHIVS• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Infectious Diseases - 01/01/20102. Pediatric Infectious Diseases - 01/01/20093. Internal Medicine - 01/01/19894. Pediatrics - 01/01/2013

POPULATION SERVED: PEDIACTRIC

COUNTY: BRONX

STEFAN HAGMANN

COUNTY: KINGS

JEFFREY M BIRNBAUM

NICOLLE OVERSTREET

COUNTY: NASSAU

DAVID ROSENTHAL

ERIN SPECTOR

JOSEPH CERVIA

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PRIMARY FACILITY INFORMATION

family health center of harlem1824 madison ave new york, NY 10035Phone: (212)423-4500Fax: (646)770-8405Website: institute.org

CREDENTIALS

• AAHIVS

DEGREES

• MD

CERTIFICATIONS

1. american board of family medicine - 07/01/20152. american academy of HIV medicine - 01/01/2016

PRIMARY FACILITY INFORMATION

Jack Martin Fund Clinic17 East 102nd Street Third FloorNew York, NY 10029Phone: (212)241-7968Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. pediatric infectious diseases - 10/09/2009

PRIMARY FACILITY INFORMATION

Mount Sinai Hospital - Jack Martin Fund Clinic17 E 102nd Street 3rd FloorNew York, NY 10029Phone: (212)241-7968Fax: Website:

CREDENTIALS

DEGREES

• MD

CERTIFICATIONS

1. Pediatrics - 09/01/20142. Pediatric Infectioous Diseases - 09/01/2008

PRIMARY FACILITY INFORMATION

Westchester Medical Center AIDS Care Center100 Woods Road Valhalla, NY 10595Phone: (914)493-7700Fax: Website: www.westchestermedicalcenter.com

ADDITIONAL FACILITY INFORMATION

Children's and Women's Physicians of Westchester19 Bradhurst Ave Hawthorne, NY 10532Phone: (914)493-8333Fax: Website: www.cwpw.org

CREDENTIALS

• HIVMA

DEGREES

• MD

CERTIFICATIONS

1. Pediatric Infectious Diseases - 03/21/2014

COUNTY: NEW YORK

DAVID ENGLISH

GAIL SHUST

ROBERTO POSADA

COUNTY: WESTCHESTER

NINA ARLIEVSKY

New York State Health Department - AIDS Institute

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