Quality Health Plans of New York...

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Transcript of Quality Health Plans of New York...

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Quality Health Plans of New York (HMO)

Provider Directory

RICHMOND County

This directory provides a list of Quality Health Plans of New York’s network providers.

This directory is for RICHMOND county.

This directory is current as of 10/15/2015. Some network providers may have been added or

removed from our network after this directory was printed. We do not guarantee that each provider

is still accepting new members. To get the most up-to-date information about Quality Health Plans

of New York’s network providers in your area, you can visit

http://qhpny.com/provider-directories-16.html or call our Member Service Department at

877-233-7058, 7-days a week, 8:00 a.m. - 8:00 p.m. Eastern Standard Time (“EST” ) from October 1

to February 14, and Monday through Friday, 8:00 a.m. - 8:00 p.m. EST from February 15 to

September 30. TTY/TDD users should call 711.

Quality Health Plans of New York is an HMO plan with a Medicare contract. Enrollment in Quality

Health Plans of New York depends on contract renewal.

This information is available for free in other languages. Please contact our Member service number

at 1-877-233-7058 for additional information.

Esta información está disponible de forma gratuita en otros idiomas. Por favor, póngase en contacto

con nuestro número de Servicio al Miembro al 1-877-233-7058 para obtener información adicional.

This document may be available in an alternate format such as Braille, larger print or audio.

H2773_QHPNY0816_accepted

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Este directorio proporciona una lista de Quality Health Plans of New York’s proveedores de la red.

Este directorio es para el Condado de RICHMOND county.

Este directorio está actualizada a 10/15/2015. Algunos proveedores de la red pueden haber sido

añadidos o eliminados de nuestra red después de este directorio se imprimió. No garantizamos que

cada proveedor todavía está aceptando nuevos miembros. Para obtener la información más

actualizada sobre los proveedores de la red de Quality Health Plans of New York en su área, puede

visitar http://qhpny.com/provider-directories-16.html o llamar a nuestro Departamento de Servicio de

Miembros al 1-877-233-7058, los 7 días de la semana, de 8:00 a.m. - 8:00 p.m. hora del Este del 1 de

Octubre al 14 de Febrero y de Lunes a Viernes de 8:00 a.m. -8:00 p.m. hora del Este del 15 de

Febrero a Septiembre. Los usuarios de TTY/TDD deben llamar al 711.

Quality Health Plans of New York es un plan HMO con un contrato de Medicare. La inscripción en

Quality Health Plans of New York depende de la renovación del contrato.

Esta información está disponible gratis en otros idiomas. Por favor, póngase en contacto con

nuestro número de Servicio de Miembros al 1-877-233-7058 para obtener información adicional.

Este documento puede estar disponible en un formato alternativo como Braille, letra grande o

audio.

Quality Health Plans of New York (HMO)

Directorio de Proveedores

RICHMOND County

H2773_QHPNY0816S Accepted

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Section 1 - Introduction

This directory provides a list of Quality Health Plans of New York’s network providers. To get

detailed information about your health care coverage, please see your Evidence of Coverage.

You will have to choose one of our network providers who are listed in this directory to be your

Primary Care Provider (PCP). The term “PCP” will be used throughout this directory. Generally,

you must get your health care services from your PCP.

Your PCP is a Health Care Professional who meets state requirements and is trained to give you

basic medical care. You will get your routine or basic care from your PCP. He or she also may talk

with other doctors and health care providers about your care and refer you to them. Your PCP will

also coordinate the rest of the covered services you get as a plan member. For example, in order to

see a specialist, you usually need to get your PCP's approval first (this is called getting a "referral" to

a specialist).

The “network providers” listed in this directory have agreed to provide you with your healthcare

services. You may go to any of our network providers listed in this directory; however, some services

may require a referral. If you have been going to one network provider, you are not required to

continue to go to that same provider. In some cases, you may get covered services from non-network

providers.

If a non-network provider asks you to pay for covered services, ask the provider to bill Quality

Health Plans of New York first. If you receive a bill from a non-network provider, submit the bill to

us for payment at:

Quality Health Plans of New York

Attention: Claims Processing

P.O. Box 340397

Tampa, FL 33694-0397

We will pay the non-network provider for our share of the bill and will let you know what, if

anything, you must pay. If you have already paid for the covered services, submit the bill and proof

of payment to the address above and we will reimburse you for our share of the cost.

You must use plan providers except in emergency or urgent care situations or for out-of-area renal

dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare

nor Quality Health Plans of New York will be responsible for the costs.

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What is the service area for Quality Health Plans of New York?The county in our service area is RICHMOND County

How do you find Quality Health Plans of New York providers in your area?

In the front section of this directory, you'll find the PCPs who are part of the Quality Health Plans of

New York's network listed by country and city. The next section of this book lists the specialist in our

plans. The following sections list our network hospitals, skilled nursing facilities, mental health

providers, and other providers.

If you have questions about Quality Health Plans of New York or require assistance in selecting a

PCP, please call our Member Service Department at 877-233-7058, 7-days a week, 8:00 a.m. - 8:00

p.m. EST from October 1 to February 14, and Monday through Friday, 8:00 a.m. - 8:00 p.m. EST

from February 15 to September 30. TTY/TDD users should call 711.Or, visit http://qhpny.com/.

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Sección 1 - Introducción

Este directorio proporciona una lista de proveedores de la red de Quality Health Plans of New York.

Para obtener información detallada sobre su cobertura de salud, consulte su Evidencia de Cobertura.

Usted tendrá que elegir uno de nuestros proveedores de la red que se enumeran en este directorio

para que sea su Proveedor de Cuidado Primario (PCP). El término " PCP" se utiliza en este

directorio. Generalmente, usted debe obtener los servicios de atención médica de su PCP

Su PCP es un profesional de salud que cumple con los requisitos estatales y está capacitado para

brindarle atención médica básica. Usted recibirá su atención de rutina o básica de su PCP.

Él o ella también puede hablar con otros médicos y proveedores de atención médica acerca de su

cuidado y referirlo a ellos. Su PCP también coordinará el resto de los servicios cubiertos que recibe

como miembro del plan. Por ejemplo, para ver a un especialista, generalmente necesita obtener la

aprobación de su PCP (esto se llama obtener una "derivación" a un especialista).

Los " proveedores de la red " enumerados en este directorio han acordado proporcionarle sus

servicios de salud. Usted puede ir a cualquiera de nuestros proveedores de red enumerados en este

directorio; sin embargo, algunos servicios pueden requerir un referido. Si usted ha estado yendo a un

proveedor de la red, usted no está obligado a seguir yendo a ese mismo proveedor. En algunos casos,

puede obtener servicios cubiertos de proveedores fuera de la red.

Si un proveedor fuera de la red le pide que pague por los servicios cubiertos, solicitar al proveedor

que factura Quality Health Plans of New York primero. Si usted recibe una factura de un proveedor

fuera de la red, enviar la factura para el pago a:

Quality Health Plans of New York

Attention: Claims Processing

P.O. Box 340397

Tampa, FL 33694-0397

Pagaremos el proveedor fuera de la red por nuestra parte de la factura y le dejaremos saber lo que, en

todo caso, usted debe pagar. Si ya ha pagado por los servicios cubiertos, presentar la factura y el

comprobante de pago a la dirección de arriba y le reembolsaremos nuestra parte del costo.

Usted debe usar los proveedores del plan, excepto en situaciones de emergencia o de atención

urgencia o diálisis renal fuera del área u otros servicios. Si usted obtiene atención de rutina de

proveedores fuera de la red, ni Medicare ni Quality Health Plans of York será responsable de los

costos.

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¿Cuál es el área de servicio de Quality Health Plans of New York?El condado en nuestra área de servicio es RICHMOND County

¿Cómo encuentras proveedores de Quality Health Plans of New York en su área?

En la primera sección de este directorio, usted encontrará los médicos de cabecera que son parte de la

Quality Health Plans of New York's red en la lista por país y ciudad. La siguiente sección de este

libro enumera el especialista en nuestros planes. Las siguientes secciones enumeran nuestros

hospitales de la red, centros de enfermería especializada, proveedores de salud mental, y otros

proveedores.

Si usted tiene preguntas acerca de Quality Health Plans of New York o requiere asistencia en la

selección de un PCP, por favor llame a nuestro Departamento de Servicio de Miembros al

877-233-7058, los 7 días de la semana, de 8:00 a.m.- 8:00 p.m. hora del Este del 1 de Octubre al 14

de Febrero y de Lunes a Vienes, de 8:00 a.m. -8:00 p.m. hora del Este del 15 de Febrero al 30 de

Septiembre. Los usuarios de TTY/TDD deben llamar al 711, o visitar http://qhpny.com/.

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Primary Care Physicians / Médicos de Atención Primaria (PCP)

RICHMOND County - Primary Care Physicians 65 PCPs

FAMILY PRACTICE

STATEN ISLAND

FAMILY PRACTICE

CHENG, HUAXU MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: CHINESE

PCP0383Provider ID:

FAMILY PRACTICE

HUSSAINI, SYED MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: English

PCP0384Provider ID:

FAMILY PRACTICE

JOY, PRINCE MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: English

PCP0385Provider ID:

FAMILY PRACTICE

MAKAROVSKAYA, MARINA

MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: RUSSIAN

PCP0386Provider ID:

FAMILY PRACTICE

OKUN, JONATHAN MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: SPANISH

PCP0387Provider ID:

FAMILY PRACTICE

PAIKIN, MIKHAIL DO *

288 SAND LN

STATEN ISLAND, NY 10305

Phone: (718)556-3377Fax: (718)556-6388 Languages: RUSSIAN AND

URANIAN

PCP0588Provider ID:

INTERNAL MEDICINE

STATEN ISLAND

INTERNAL MEDICINE

ALMAKAEV, ILIAS MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: RUSSIAN

PCP0378Provider ID:

INTERNAL MEDICINE

ALMAKAEV, ILIAS MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PCP0390Provider ID:

INTERNAL MEDICINE

BANERJI, DEBA MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: HINDI, BENGALI

PCP0379Provider ID:

INTERNAL MEDICINE

BARAKAT, JEAN PIERRE G MD

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: SPANISH, ITALIAN

AND

PCP0648Provider ID:

INTERNAL MEDICINE

BARAKAT, JEAN PIERRE G MD

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)967-6600Fax: (718)967-6002 Languages: SPANISH, ITALIAN

AND

PCP0650Provider ID:

INTERNAL MEDICINE

BERGMAN, AKIVA MD

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)967-6600Fax: (718)967-6002 Languages: English

PCP0626Provider ID:

INTERNAL MEDICINE

BERGMAN, AKIVA MD

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PCP0343Provider ID:

INTERNAL MEDICINE

BERMAN, BRUCE MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PCP0388Provider ID:

INTERNAL MEDICINE

BORGES, NICOLE MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: TAGALOG

PCP0391Provider ID:

7

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Primary Care Physicians / Médicos de Atención Primaria (PCP)

RICHMOND County - Primary Care Physicians 65 PCPs

INTERNAL MEDICINE

BRUM, SETH MD

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PCP0344Provider ID:

INTERNAL MEDICINE

BRUM, SETH MD

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)967-6600Fax: (718)967-6002 Languages: English

PCP0627Provider ID:

INTERNAL MEDICINE

BUNAG, MARIA MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: FILIPINO

PCP0381Provider ID:

INTERNAL MEDICINE

CASTELLANOS, MARIO MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: Languages: English

PCP3633Provider ID:

INTERNAL MEDICINE

CHOU, SUO MAW MD

11 RALPH PL STE 317B

STATEN ISLAND, NY 10304

Phone: (718)447-4023Fax: (718)273-2025 Languages: CHINESE

PCP0655Provider ID:

INTERNAL MEDICINE

ELMENIAWY FARAG, GIHAN M

MD

5091 AMBOY ROAD

STATEN ISLAND, NY 10312

Phone: (718)948-6621Fax: (718)948-1787 Languages: ARABICA, SPANISH

PCP0734Provider ID:

INTERNAL MEDICINE

ELSOURY, AHMED A MD

4247 RICHMOND AVE

STATEN ISLAND, NY 10312

Phone: (718)605-4000Fax: (718)605-4040 Languages: English

PCP3508Provider ID:

INTERNAL MEDICINE

EMMER, LOUIS M MD

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PCP0349Provider ID:

INTERNAL MEDICINE

GALVIN, MARY B MD

1102 VICTORY BLVD

STATEN ISLAND, NY 10301

Phone: (718)447-5072Fax: (718)447-5178 Languages: SPANISH AND

FRENCH

PCP0660Provider ID:

INTERNAL MEDICINE

GOVINDARAJ, CHITOOR S MD

2071 CLOVE RD.

STATEN ISLAND, NY 10304

Phone: (718)981-8880Fax: (718)981-8891 Languages: HINDI

PCP0406Provider ID:

INTERNAL MEDICINE

HEDERMAN, JOSEPH F MD

347 EDISON STREET

STATEN ISLAND, NY 10306

Phone: (718)351-1136Fax: (718)667-9711 Languages: ENGLISH

PCP0401Provider ID:

INTERNAL MEDICINE

KAPLINSKY, DIANA DO

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: ENGLISH, RUSSIAN,

UK

PCP0382Provider ID:

INTERNAL MEDICINE

KHALID, IMRAN MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-5920 Languages: English

PCP3634Provider ID:

INTERNAL MEDICINE

KHALID, IMRAN MD

500 Seaview Ave

Staten Island, NY 10305

Phone: 718-226-6494Fax: 718-226-5920 Languages: English

PCP3640Provider ID:

INTERNAL MEDICINE

KHALID, IMRAN MD

375 Seguine Ave

Staten Island, NY 10309

Phone: 718-226-6387Fax: 718-226-3995 Languages: English

PCP3639Provider ID:

8

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Primary Care Physicians / Médicos de Atención Primaria (PCP)

RICHMOND County - Primary Care Physicians 65 PCPs

INTERNAL MEDICINE

KOPSTICK, ELIYAHU S DO

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)967-6600Fax: (718)967-6002 Languages: English

PCP0630Provider ID:

INTERNAL MEDICINE

KOPSTICK, ELIYAHU S DO

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PCP0398Provider ID:

INTERNAL MEDICINE

KRISHNAN, SHARILA MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: HINDI, TAMIL,

MALYAL

PCP0393Provider ID:

INTERNAL MEDICINE

LEVITZ, LEONARD I MD

321 EDISON ST

STATEN ISLAND, NY 10306

Phone: (718)980-2525Fax: (718)980-7064 Languages: RUSSIAN

PCP0899Provider ID:

INTERNAL MEDICINE

LOGHMANIEH, NINA J DO

256C MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PCP3635Provider ID:

INTERNAL MEDICINE

LOZAH, MAMDOUH MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PCP0389Provider ID:

INTERNAL MEDICINE

MAROUN, RABIH G MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PCP3636Provider ID:

INTERNAL MEDICINE

MAROUN, RABIH G MD

475 Seaview Ave

Staten Island, NY 10305

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PCP3641Provider ID:

INTERNAL MEDICINE

MCCARTHY, JOHN D DO

1776 RICHMOND RD STE 5

STATEN ISLAND, NY 10306

Phone: (718)668-9300Fax: (718)668-1834 Languages: English

PCP0649Provider ID:

INTERNAL MEDICINE

MOLINA, RICHARD B MD

2271 CLOVE RD

STATEN ISLAND, NY 10305

Phone: (718)748-9282Fax: (718)748-5350 Languages: TAGALOG

PCP0850Provider ID:

INTERNAL MEDICINE

POLEPALLI, SRIKANT S MD

475 Seaview Ave

Staten Island, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PCP3642Provider ID:

INTERNAL MEDICINE

POLEPALLI, SRIKANT S MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PCP3637Provider ID:

INTERNAL MEDICINE

RIPOLL, LUCINDA L MD

501 SEAVIEW AVENUE SUITE

201

STATEN ISLAND, NY 10305

Phone: (718)683-3955Fax: (718)683-3744 Languages: SPANISH, ENGLISH

PCP0400Provider ID:

INTERNAL MEDICINE

RIPOLL, LUCINDA L MD

347 EDISON STREET

STATEN ISLAND, NY 10306

Phone: (718)351-1136Fax: (718)667-9711 Languages: SPANISH, ENGLISH

PCP0520Provider ID:

INTERNAL MEDICINE

RIPOLL, LUCINDA L MD

191 BRADLEY AVE

STATEN ISLAND, NY 10314

Phone: (718)698-8800Fax: (718)667-9711 Languages: SPANISH

PCP0521Provider ID:

9

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Primary Care Physicians / Médicos de Atención Primaria (PCP)

RICHMOND County - Primary Care Physicians 65 PCPs

INTERNAL MEDICINE

ROMASHOVA, VERONIKA MD

55 MIDLAND AVE

STATEN ISLAND, NY 10306

Phone: (718)667-7778Fax: (718)667-3705 Languages: RUSSIAN UKRANIAN

POL

PCP0563Provider ID:

INTERNAL MEDICINE

SALEEM, MOHAMED F MD

1975 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: (718)668-9640Fax: (718)668-9642 Languages: TAMIL, SINHALESE

PCP0462Provider ID:

INTERNAL MEDICINE

SKRZYPIEC, WOJCIECH A MD

235 DONGAN HILLS AVE STE 2E

STATEN ISLAND, NY 10305

Phone: (718)667-7756Fax: (718)667-7757 Languages: POLISH RUSSIAN

UKRAN

PCP0651Provider ID:

INTERNAL MEDICINE

Spyropoulos, Alex C MD

256-C Mason Avenue

Staten Island, NY 10304

Phone: (718)226-6400Fax: (718)226-6434 Languages: English

PCP3363Provider ID:

INTERNAL MEDICINE

TAN, REYNALDO G MD

800 CASTLETON AVE

STATEN ISLAND, NY 10310

Phone: (718)442-3953Fax: (718)442-3954 Languages: MANDARIN,

CANTONESE,

PCP0767Provider ID:

INTERNAL MEDICINE

TANCHU, NOREEN H MD

347 EDISON STREET

STATEN ISLAND, NY 10306

Phone: (718)351-1136Fax: (718)667-9711 Languages: CHINESE,

FORKANESE,

PCP0340Provider ID:

INTERNAL MEDICINE

TANCHU, NOREEN H MD

25 FANNING STREET (CLOVE

LAKES NURSING HOME)

STATEN ISLAND, NY 10314

Phone: (718)289-7900Fax: (718)876-5969 Languages: CHINESE,

FORKANESE,

PCP0688Provider ID:

INTERNAL MEDICINE

TANCHU, NOREEN H MD

191 BRADLEY AVE (GOLDEN

GATE NURSING HOME)

STATEN ISLAND, NY 10314

Phone: (718)698-8800Fax: (718)876-5969 Languages: CHINESE,

FORKANESE,

PCP0689Provider ID:

INTERNAL MEDICINE

TIRADO, MIGUEL A MD

305 SEGUINE AVE STE 1

STATEN ISLAND, NY 10309

Phone: (718)967-8300Fax: (718)967-8335 Languages: SPANISH ITALIAN

ALBA

PCP0658Provider ID:

INTERNAL MEDICINE

WETZ, ROBERT V MD

375 Seguine Ave

Staten Island, ny 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PCP3643Provider ID:

INTERNAL MEDICINE

WETZ, ROBERT V MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PCP3638Provider ID:

INTERNAL MEDICINE

WORTMAN, SHYE S MD

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PCP0428Provider ID:

INTERNAL MEDICINE

WORTMAN, SHYE MD

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)967-6600Fax: (718)967-6002 Languages: English

PCP0628Provider ID:

INTERNAL MEDICINE

YAZDANI, AMIR MD

GOLDEN GATE NURSING HOME

191 BRADLEY AVE

STATEN ISLAND, NY 10314

Phone: (718)698-8800Fax: (718)876-5969 Languages: ENGLISH, HINDI

PCP0730Provider ID:

10

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Primary Care Physicians / Médicos de Atención Primaria (PCP)

RICHMOND County - Primary Care Physicians 65 PCPs

INTERNAL MEDICINE

YAZDANI, AMIR MD

347 EDISON STREET

STATEN ISLAND, NY 10306

Phone: (718)351-1136Fax: (718)667-9711 Languages: ENGLISH, HINDI

PCP0342Provider ID:

INTERNAL MEDICINE

ZAFARANLOO, JOHN K MD

235 DONGAN HILLS AVE STE 2A

STATEN ISLAND, NY 10305

Phone: (718)351-7650Fax: (718)351-7615 Languages: English

PCP0471Provider ID:

Pediatrics

Staten Island

Pediatrics

Quraishi, Shahed A MD

584 Forest Avenue

Staten Island, NY 10310

Phone: (718)567-3251Fax: (718)226-1039 Languages: English

PCP2545Provider ID:

Pediatrics

Quraishi, Shahed A MD

440 Seaview Avenue

STATEN ISLAND, NY 10305

Phone: (718)226-6791Fax: (718)226-6500 Languages: English

PCP2542Provider ID:

Pediatrics

Quraishi, Shahed A MD

475 Seaview Avenue

Staten Island, NY 10305

Phone: (718)226-9000Fax: (718)226-8255 Languages: English

PCP2543Provider ID:

Pediatrics

Quraishi, Shahed A MD

501 Seaview Avenue

Staten Island, NY 10305

Phone: (718)226-9600Fax: (718)226-7891 Languages: English

PCP2544Provider ID:

11

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

ADDICTION PSYCHIATRY

STATEN ISLAND

ADDICTION PSYCHIATRY

CUMMINGS, HUGH B MD

392 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6279Fax: 718-226-8144 Languages: English

PRO13266Provider ID:

ADOLESCENT MEDICINE

STATEN ISLAND

ADOLESCENT MEDICINE

LEE, APRIL MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6262Fax: 718-226-6531 Languages: English

PRO13346Provider ID:

ADOLESCENT MEDICINE

LEE, APRIL MD

57 BAY STREET

STATEN ISLAND, NY 10301

Phone: 718-226-6700Fax: 718-226-6701 Languages: English

PRO13587Provider ID:

ADOLESCENT MEDICINE

MCCABE, EDWARD DO

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6262Fax: 718-226-6531 Languages: English

PRO13595Provider ID:

ADOLESCENT MEDICINE

MCCABE, EDWARD DO

57 BAY STREET

STATEN ISLAND, NY 10305

Phone: 718-226-6700Fax: 718-226-6701 Languages: English

PRO13359Provider ID:

ALLERGY & IMMUNOLOGY

STATEN ISLAND

ALLERGY & IMMUNOLOGY

FASTMAN, NORMAN S MD

2291 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: (718)351-3515Fax: (718)351-2407 Languages: DUTCH

PRO2495Provider ID:

ALLERGY & IMMUNOLOGY

GREELEY, GRANT H MD

1775 RICHMOND AVE

STATEN ISLAND, NY 10314

Phone: (718)370-7338Fax: (718)980-2884 Languages: SPANISH

PRO3330Provider ID:

BLOOD

BANKING/TRANSFUSION MED

STATEN ISLAND

BLOOD

BANKING/TRANSFUSION MED

ROZENBERG, MARINA MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13395Provider ID:

BODY IMAGING

STATEN ISLAND

BODY IMAGING

KOUTRAS, IAKOVOS C MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13585Provider ID:

BODY IMAGING

KOUTRAS, IAKOVOS C MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13584Provider ID:

BODY IMAGING

KOUTRAS, IAKOVOS C MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13344Provider ID:

BODY IMAGING

MCPHERSON, HENRY A MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13362Provider ID:

BODY IMAGING

MCPHERSON, HENRY A MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13600Provider ID:

12

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

BODY IMAGING

MCPHERSON, HENRY A MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13599Provider ID:

BODY IMAGING

SARKANY, DAVID S MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13397Provider ID:

BODY IMAGING

SARKANY, DAVID S MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13635Provider ID:

BODY IMAGING

SARKANY, DAVID S MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13634Provider ID:

BODY IMAGING

YARMISH, GAIL MD

256B MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13679Provider ID:

BODY IMAGING

YARMISH, GAIL MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13678Provider ID:

BODY IMAGING

YARMISH, GAIL MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13448Provider ID:

CARDIOLOGY

STATEN ISLAND

CARDIOLOGY

COSTANTINO, THOMAS MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-6050 Languages: English

PRO13511Provider ID:

CARDIOLOGY

COSTANTINO, THOMAS MD

501 SEAVIEW AVE, SUITE 200

STATEN ISLAND, NY 10305

Phone: 718-663-6490Fax: 718-663-6490 Languages: English

PRO13264Provider ID:

CARDIOLOGY

GHAVAMI, FOAD MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13296Provider ID:

CARDIOLOGY

GHAVAMI, FOAD MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1677Provider ID:

CARDIOLOGY

GHAVAMI, FOAD MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13538Provider ID:

CARDIOLOGY

GHAVAMI, FOAD MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13537Provider ID:

CARDIOLOGY

GREENBERG, NEIL W MD

501 SEAVIEW AVE STE 300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7090 Languages: SPANISH, ITALIAN,

PO

PRO2148Provider ID:

CARDIOLOGY

KOWALSKI, MARCIN MD

501 SEAVIEW AVENUE SUITE

300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7083 Languages: POLISH, SPANISH

PRO2083Provider ID:

13

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

CARDIOLOGY

LAFFERTY, JAMES C MD

501 SEAVIEW AVENUE SUITE

300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7083 Languages: English

PRO2078Provider ID:

CARDIOLOGY

LEFKOVIC, LEONARD MD

375 SEGUINE AVENUE 1ST FL

STATEN ISLAND, NY 10306

Phone: (718)351-1136Fax: (718)667-9711 Languages: English

PRO2081Provider ID:

CARDIOLOGY

LEFKOVIC, LEONARD MD

501 SEAVIEW AVENUE

STATEN ISLAND, NY 10305

Phone: (718)683-3955Fax: (718)683-3744 Languages: English

PRO2254Provider ID:

CARDIOLOGY

LEFKOVIC, LEONARD MD

347 EDISON STREET

STATEN ISLAND, NY 10306

Phone: (718)351-1136Fax: (718)226-2858 Languages: English

PRO2255Provider ID:

CARDIOLOGY

LEFKOVIC, LEONARD MD

191 BRADLEY AVENUE

(GOLDEN GATE NURSING

HOME)

STATEN ISLAND, NY 10314

Phone: (718)698-8800Fax: (718)667-9711 Languages: English

PRO3200Provider ID:

CARDIOLOGY

MALPESO, JENNIFER M MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-1458Fax: Languages: English

PRO13354Provider ID:

CARDIOLOGY

MCCORD, DONALD A MD

501 SEAVIEW AVENUE SUITE

300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7083 Languages: English

PRO2153Provider ID:

CARDIOLOGY

O'BYRNE, TIMOTHY MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1678Provider ID:

CARDIOLOGY

OLKOVSKY, YEFIM MD

501 SEAVIEW AVENUE SUITE

300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7090 Languages: SPANISH, POLISH,

ITA

PRO2073Provider ID:

CARDIOLOGY

RAHMAN, ZAHIR H MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1679Provider ID:

CARDIOLOGY

SAAD BEKHEIT, SOAD G MD

501 SEAVIEW AVE SUITE 300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7083 Languages: FRENCH, ARABIC

PRO2095Provider ID:

CARDIOLOGY

SCHWARTZ, CHARLES A MD

501 SEAVIEW AVE STE 300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7090 Languages: English

PRO2079Provider ID:

CARDIOLOGY

SNYDER, STAVROS T MD

501 SEAVIEW AVENUE SUITE

201

STATEN ISLAND, NY 10305

Phone: (718)683-3955Fax: (718)683-3744 Languages: English

PRO2088Provider ID:

CARDIOLOGY

SNYDER, STAVROS T MD

347 EDISON STREET

STATEN ISLAND, NY 10306

Phone: (718)351-1136Fax: (718)667-9711 Languages: English

PRO2207Provider ID:

CARDIOLOGY

SNYDER, STAVROS T MD

375 SEGUINE AVE 1ST FL

STATEN ISLAND, NY 10309

Phone: (718)351-1136Fax: (718)667-9711 Languages: English

PRO2208Provider ID:

14

*Not Accepting New Patients **Does Not Accept Medicaid

| Page

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

CARDIOLOGY

SNYDER, STAVROS T MD

GOLDEN GATE NURSING HOME

191 BRADLEY AVE

STATEN ISLAND, NY 10314

Phone: (718)698-8800Fax: (718)667-9711 Languages: English

PRO2209Provider ID:

CARDIOLOGY

STROBECK, JOHN E MD

1776 RICHMOND RD STE B

STATEN ISLAND, NY 10306

Phone: (718)980-5888Fax: (718)351-0162 Languages: ITALIAN, SPANISH

PRO2230Provider ID:

CARDIOLOGY

TAMBURRINO, FRANK V MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1680Provider ID:

CARDIOLOGY

VAZZANA, THOMAS J MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1681Provider ID:

CARDIOLOGY

WARCHOL, ANDREW J MD

501 SEAVIEW AVENUE SUITE

300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7083 Languages: English

PRO2141Provider ID:

CARDIOLOGY

WHARTON, RONALD H MD

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PRO2069Provider ID:

CARDIOLOGY

WHARTON, RONALD H MD

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)967-6600Fax: (718)967-6002 Languages: English

PRO2416Provider ID:

CARDIOLOGY

ZGHEIB, MOHAMMAD H MD

501 SEAVIEW AVENUE SUITE

300

STATEN ISLAND, NY 10305

Phone: (718)663-7000Fax: (718)663-7083 Languages: English

PRO2866Provider ID:

CARDIOVASCULAR DISEASE

STATEN ISLAND

CARDIOVASCULAR DISEASE

MALPESO, JAMES V MD

501 SEAVIEW AVE, SUITE 200

STATEN ISLAND, NY 10305

Phone: 718-663-6400Fax: 718-663-6490 Languages: English

PRO13353Provider ID:

CARDIOVASCULAR DISEASE

MCCORD, DONALD ANTHONY

MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13360Provider ID:

CARDIOVASCULAR DISEASE

MCCORD, DONALD ANTHONY

MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13597Provider ID:

CARDIOVASCULAR DISEASE

MCCORD, DONALD ANTHONY

MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13596Provider ID:

Chiropractic

Staten Island

Chiropractic

Albert, Steven DC

271 Kelly Boulevard

Staten Island, NY 10314

Phone: (718)698-5600Fax: (718)698-5668 Languages: English

PRO2687Provider ID:

Chiropractic

Bracco, Philip DC

2 Ellwood Avenue

Staten Island, NY 10314

Phone: (718)494-9390Fax: (718)494-0097 Languages: English

PRO2632Provider ID:

Chiropractic

Cerullo, Denise DC

1342 Victory Boulevard

Staten Island, NY 10301

Phone: (718)720-4030Fax: (615)468-5683 Languages: English

PRO2707Provider ID:

15

*Not Accepting New Patients **Does Not Accept Medicaid

| Page

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

Chiropractic

Costa, Stephen DC

2460 Victory Boulevard

Staten Island, NY 10314

Phone: (718)981-3575Fax: (718)981-3574 Languages: English

PRO2723Provider ID:

Chiropractic

DeMartinis, Michael DC

1926 Victory Boulevard

Staten Island, NY 10314

Phone: (718)390-8449Fax: (718)390-8439 Languages: English

PRO2646Provider ID:

Chiropractic

Desposito, Antonio DC

290 Seguine Avenue

Staten Island, NY 10309

Phone: (718)356-9469Fax: (718)356-8139 Languages: English

PRO2680Provider ID:

Chiropractic

Dugo, Jack DC

4351 Hylan Boulevard

Staten Island, NY 10312

Phone: (718)984-0024Fax: (718)984-4036 Languages: English

PRO2736Provider ID:

Chiropractic

Dunn Jr., William DC

2210 Richmond Road

Staten Island, NY 10306

Phone: (718)987-0166Fax: (718)987-0186 Languages: English

PRO2721Provider ID:

Chiropractic

Fitzpatrick, Anne DC

2156 Victory Boulevard

Staten Island, NY 10314

Phone: (718)983-7701Fax: (718)983-7009 Languages: English

PRO2720Provider ID:

Chiropractic

Gullo, Nicole DC

3770 Richmond Avenue

Staten Island, NY 10312

Phone: (718)605-4093Fax: (718)605-4104 Languages: English

PRO2733Provider ID:

Chiropractic

Introna, Mario DC

3705 Richmond Avenue

Staten Island, NY 10312

Phone: (718)356-5560Fax: (718)356-0723 Languages: English

PRO2730Provider ID:

Chiropractic

Jacob, Jeryl Lynne DC

21 Second Street

Staten Island, NY 10306

Phone: (718)987-0735Fax: (718)979-4669 Languages: English

PRO2719Provider ID:

Chiropractic

Mendola, Steven DC

3999 Richmond Avenue

Staten Island, NY 10312

Phone: (718)356-8890Fax: (718)356-8247 Languages: English

PRO2665Provider ID:

Chiropractic

OConnor, Christopher DC

1274 Richmond Avenue

Staten Island, NY 10314

Phone: (718)370-0074Fax: (718)948-1065 Languages: English

PRO2676Provider ID:

Chiropractic

Petosa, Robert DC

11 Ralph Place

Staten Island, NY 10304

Phone: (718)815-3033Fax: (718)815-3191 Languages: English

PRO2704Provider ID:

Chiropractic

Snyder, Craig DC

468 South Gannon Avenue

Staten Island, NY 10314

Phone: (718)477-9797Fax: (718)477-5739 Languages: English

PRO2737Provider ID:

Chiropractic

Valinoti, Robert A DC

3010 Amboy Road

Staten Island, NY 10306

Phone: (718)667-4141Fax: (718)667-4158 Languages: English

PRO2648Provider ID:

Chiropractic

Verrilli, Anthony DC

3077 Hylan Boulevard

Staten Island, NY 10306

Phone: (718)987-2408Fax: (718)987-9240 Languages: English

PRO2669Provider ID:

CRITICAL CARE MEDICINE

STATEN ISLAND

16

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

CRITICAL CARE MEDICINE

AHMED, SANAM MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13474Provider ID:

CRITICAL CARE MEDICINE

AHMED, SANAM MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13222Provider ID:

CRITICAL CARE MEDICINE

BONVINO, STEVEN MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13244Provider ID:

CRITICAL CARE MEDICINE

BONVINO, STEVEN MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13495Provider ID:

CRITICAL CARE MEDICINE

EL-HAJJ, ANDRE P MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13525Provider ID:

CRITICAL CARE MEDICINE

EL-HAJJ, ANDRE P MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13284Provider ID:

CRITICAL CARE MEDICINE

KILSTEIN, STUART M MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13336Provider ID:

CRITICAL CARE MEDICINE

KILSTEIN, STUART M MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13578Provider ID:

CRITICAL CARE MEDICINE

RAHMAN, MOHAMED K MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: Fax: Languages: English

PRO13387Provider ID:

CRITICAL CARE MEDICINE

RAHMAN, MOHAMED K MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13626Provider ID:

CRITICAL CARE MEDICINE

SAYED, HOSAM MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-1673Fax: 718-226-8834 Languages: English

PRO13637Provider ID:

CRITICAL CARE MEDICINE

SAYED, HOSAM MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-1673Fax: 718-226-8834 Languages: English

PRO13402Provider ID:

CYTOPATHOLOGY

STATEN ISLAND

CYTOPATHOLOGY

PABICON, VISITACION MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-4124Fax: Languages: English

PRO13376Provider ID:

CYTOPATHOLOGY

TONG, GUO-XIA MD

1 EDGEWATER STREET

STATEN ISLAND, NY 10305

Phone: 718-226-4130Fax: 718-226-4185 Languages: English

PRO13429Provider ID:

CYTOPATHOLOGY

VILLANUEVA, JOCELYN D MD

1 EDGEWATER STREET

STATEN ISLAND, ny 10305

Phone: 718-226-4130Fax: 718-226-4185 Languages: English

PRO13439Provider ID:

DERMATOLOGY

17

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

STATEN ISLAND

DERMATOLOGY

BUCHEN, DANIEL MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: SPANISH

PRO1682Provider ID:

DERMATOLOGY

JACKSON, KEITH R MD

11 RALPH PL STE 209

STATEN ISLAND, NY 10304

Phone: (718)727-1331Fax: (718)727-2159 Languages: English

PRO2510Provider ID:

DEVELOPMENTAL/BEHAVIORA

L PEDS

STATEN ISLAND

DEVELOPMENTAL/BEHAVIORA

L PEDS

CLEMENTE, SAIDI MD

2460 HYLAN BLVD

STATEN ISLAND, ny 10306

Phone: 718-226-5619Fax: 718-226-5620 Languages: English

PRO13509Provider ID:

DEVELOPMENTAL/BEHAVIORA

L PEDS

CLEMENTE, SAIDI MD

242 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6494Fax: Languages: English

PRO13260Provider ID:

DIAGNOSTIC RADIOLOGY

STATEN ISLAND

DIAGNOSTIC RADIOLOGY

KLEIN, DANIEL L MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: Fax: Languages: English

PRO13340Provider ID:

DIAGNOSTIC RADIOLOGY

KLEIN, DANIEL L MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13581Provider ID:

DIAGNOSTIC RADIOLOGY

KLEIN, DANIEL L MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13580Provider ID:

DIAGNOSTIC RADIOLOGY

KOSHY, JUNE MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13583Provider ID:

DIAGNOSTIC RADIOLOGY

KOSHY, JUNE MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: Fax: Languages: English

PRO13582Provider ID:

DIAGNOSTIC RADIOLOGY

KOSHY, JUNE MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13343Provider ID:

FAMILY MEDICINE

STATEN ISLAND

FAMILY MEDICINE

TAUQEER, AYESHA MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-1440Fax: Languages: English

PRO13427Provider ID:

GASTROENTEROLOGY

STATEN ISLAND

GASTROENTEROLOGY

ABDELSAYED, GEORGE G MD

4106 HYLAN BLVD

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-5920 Languages: English

PRO13473Provider ID:

GASTROENTEROLOGY

ABDELSAYED, GEORGE G MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-5920 Languages: English

PRO13217Provider ID:

18

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

GASTROENTEROLOGY

ANDRAWES, SHERIF A MBCHB

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9506Fax: Languages: English

PRO13228Provider ID:

GASTROENTEROLOGY

ANDRAWES, SHERIF A MBCHB

4106 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: 718-226-7852Fax: Languages: English

PRO13480Provider ID:

GASTROENTEROLOGY

ANDRAWES, SHERIF A MBCHB

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-1458Fax: Languages: English

PRO13479Provider ID:

GASTROENTEROLOGY

CHAN, WALLEN C MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: CANTONESE,

CHINESE

PRO1685Provider ID:

GASTROENTEROLOGY

DEEB, LILIANE S MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13272Provider ID:

GASTROENTEROLOGY

DEEB, LILIANE S MD

4106 HYLAN BLVD

STATEN ISLAND, NY 10308

Phone: Fax: Languages: English

PRO13517Provider ID:

GASTROENTEROLOGY

DEEB, LILIANE S MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13516Provider ID:

GASTROENTEROLOGY

KLAHR, MARTIN MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-6531 Languages: English

PRO13339Provider ID:

GASTROENTEROLOGY

LIU, HSIEN K MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: MANDARIN,

KOREAN, CH

PRO1686Provider ID:

GASTROENTEROLOGY

MULROONEY, STEPHEN M MD

4106 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: (718)226-6921Fax: (718)226-9371 Languages: English

PRO13366Provider ID:

GASTROENTEROLOGY

MULROONEY, STEPHEN M MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-5920 Languages: English

PRO13604Provider ID:

GASTROENTEROLOGY

PATEL, SUNIL H MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1687Provider ID:

GASTROENTEROLOGY

PATEL, JITENDRA MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: HINDI, GUJARATI

PRO1689Provider ID:

GASTROENTEROLOGY

ROBERTS, JOSEPH W MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1688Provider ID:

GERIATRIC MEDICINE

STATEN ISLAND

GERIATRIC MEDICINE

CHITRE, NITIN P MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: (718)668-6900Fax: (718)980-6460 Languages: English

PRO13259Provider ID:

19

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

GERIATRIC MEDICINE

SEMINARA, DONNA P MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-4374Fax: 718-226-2715 Languages: English

PRO13645Provider ID:

GERIATRIC MEDICINE

SEMINARA, DONNA P MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-4374Fax: 718-226-2715 Languages: English

PRO13408Provider ID:

GERIATRIC MEDICINE

SZERSZEN, ANITA B DO

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: Languages: English

PRO13423Provider ID:

GERIATRIC MEDICINE

SZERSZEN, ANITA B DO

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6494Fax: Languages: English

PRO13662Provider ID:

GERIATRIC PSYCHIATRY

STATEN ISLAND

GERIATRIC PSYCHIATRY

SWEENEY, EILEEN MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6921Fax: Languages: English

PRO13660Provider ID:

GERIATRIC PSYCHIATRY

SWEENEY, EILEEN MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6921Fax: Languages: English

PRO13659Provider ID:

GERIATRIC PSYCHIATRY

SWEENEY, EILEEN MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6921Fax: Languages: English

PRO13658Provider ID:

GERIATRIC PSYCHIATRY

SWEENEY, EILEEN MD

450 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8910Fax: Languages: English

PRO13421Provider ID:

GYNECOLOGY ONCOLOGY

STATEN ISLAND

GYNECOLOGY ONCOLOGY

BANSAL, NISHA MD

440 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-1933Fax: Languages: English

PRO13489Provider ID:

GYNECOLOGY ONCOLOGY

BANSAL, NISHA MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6654Fax: Languages: English

PRO13236Provider ID:

GYNECOLOGY ONCOLOGY

MAIMAN, MITCHELL MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: Languages: English

PRO13350Provider ID:

HEMATOLOGY

STATEN ISLAND

HEMATOLOGY

DAI, QUN MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13267Provider ID:

HEMATOLOGY

DHAR, MEEKOO MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13275Provider ID:

HEMATOLOGY

FORTE, FRANK MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13292Provider ID:

HEMATOLOGY

GUARINI, LUDOVICO MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13308Provider ID:

20

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

HEMATOLOGY

GUPTA, SHILPI MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13310Provider ID:

HEMATOLOGY

TERJANIAN, TERENIG MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13428Provider ID:

HEMATOLOGY/ONCOLOGY

STATEN ISLAND

HEMATOLOGY/ONCOLOGY

FUTURI, SOLAIMAN MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13294Provider ID:

HOSPITAL MEDICINE

STATEN ISLAND

HOSPITAL MEDICINE

ABDALLAH, TAREK MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-2266844 Languages: English

PRO13216Provider ID:

HOSPITAL MEDICINE

ABDALLAH, TAREK MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-2266844 Languages: English

PRO13472Provider ID:

HOSPITAL MEDICINE

AHMED, SARA MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13475Provider ID:

HOSPITAL MEDICINE

AHMED, SARA MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13223Provider ID:

HOSPITAL MEDICINE

DIAB, WASSIM MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13276Provider ID:

HOSPITAL MEDICINE

DIAB, WASSIM MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13519Provider ID:

HOSPITAL MEDICINE

FERDAUS, AKASH N MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13533Provider ID:

HOSPITAL MEDICINE

FERDAUS, AKASH N MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13290Provider ID:

HOSPITAL MEDICINE

GLATMAN, ALEX MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13302Provider ID:

HOSPITAL MEDICINE

GLATMAN, ALEX MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13545Provider ID:

HOSPITAL MEDICINE

GOTTESMAN, AARON L MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13546Provider ID:

21

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

HOSPITAL MEDICINE

GOTTESMAN, AARON L MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13305Provider ID:

HOSPITAL MEDICINE

HARASIUK, KATARZYNA DO

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13314Provider ID:

HOSPITAL MEDICINE

HARASIUK, KATARZYNA DO

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13554Provider ID:

HOSPITAL MEDICINE

HIDALGO, CLARIS MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13557Provider ID:

HOSPITAL MEDICINE

HIDALGO, CLARIS MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13318Provider ID:

HOSPITAL MEDICINE

KHAN, ZAKA MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13335Provider ID:

HOSPITAL MEDICINE

KHAN, ZAKA MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13577Provider ID:

HOSPITAL MEDICINE

MARKMAN, EVELINA MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6902Fax: Languages: English

PRO13355Provider ID:

HOSPITAL MEDICINE

MARUF, MOHAMMAD G MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6901Fax: 718-226-6844 Languages: English

PRO13356Provider ID:

HOSPITAL MEDICINE

MARUF, MOHAMMAD G MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6901Fax: 718-226-6844 Languages: English

PRO13592Provider ID:

HOSPITAL MEDICINE

MASOOD, RAJA ASIF MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13593Provider ID:

HOSPITAL MEDICINE

MASOOD, RAJA ASIF MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13357Provider ID:

HOSPITAL MEDICINE

SHIRANI, TAHIR MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13412Provider ID:

HOSPITAL MEDICINE

SHIRANI, TAHIR MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13651Provider ID:

HOSPITAL MEDICINE

SIDDIQUI, AYESHA S MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-262-6844 Languages: English

PRO13652Provider ID:

22

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

HOSPITAL MEDICINE

SIDDIQUI, AYESHA S MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13413Provider ID:

HOSPITAL MEDICINE

TYAGI, PRIYA MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6902Fax: Languages: English

PRO13432Provider ID:

HOSPITAL MEDICINE

TYAGI, PRIYA MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6902Fax: Languages: English

PRO13665Provider ID:

HOSPITAL MEDICINE

VATANDOUST, GITA MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13668Provider ID:

HOSPITAL MEDICINE

VATANDOUST, GITA MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13436Provider ID:

HOSPITAL MEDICINE

VOLOVICH, SVETLANA MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13440Provider ID:

HOSPITAL MEDICINE

VOLOVICH, SVETLANA MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13669Provider ID:

HOSPITAL MEDICINE

YOTSUYA, MATTHEW MINORU

MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13680Provider ID:

HOSPITAL MEDICINE

YOTSUYA, MATTHEW MINORU

MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13449Provider ID:

INFECTIOUS DISEASE

STATEN ISLAND

INFECTIOUS DISEASE

ADEDEJI, ADEDAYO A MD

1408 RICHMOND ROAD

STATEN ISLAND, NY 10304

Phone: (718)979-5646Fax: (718)979-5650 Languages: SPANISH

PRO2172Provider ID:

INFECTIOUS DISEASE

GLASER, JORDAN B MD

1408 RICHMOND RD

STATEN ISLAND, NY 10304

Phone: (718)979-5646Fax: (718)797-5650 Languages: SPANISH

PRO2174Provider ID:

INFECTIOUS DISEASE

GLASER, JORDAN B MD

150 B RICHMOND TERRACE

STATEN ISLAND, NY 10301

Phone: (718)876-7716Fax: (718)876-7761 Languages: SPANISH

PRO3321Provider ID:

INFECTIOUS DISEASE

KHALIL, AMBREEN MD

1408 RICHMOND ROAD

STATEN ISLAND, NY 10304

Phone: (718)979-5646Fax: (718)979-5650 Languages: English

PRO2872Provider ID:

INFECTIOUS DISEASE

MOBARAKAI, NEVILLE K MD

1408 RICHMOND ROAD

STATEN ISLAND, NY 10304

Phone: (718)979-5646Fax: (718)979-5650 Languages: English

PRO2166Provider ID:

INFECTIOUS DISEASE

TOLIA, JILL K MD

1408 RICHMOND ROAD

STATEN ISLAND, NY 10304

Phone: (718)979-5646Fax: (718)979-5650 Languages: English

PRO2175Provider ID:

23

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

INFECTIOUS DISEASE

TOLIA, JILL K MD

166 PORT RICHMOND AVENUE

STATEN ISLAND, NY 10302

Phone: (718)442-7220Fax: (718)979-5650 Languages: English

PRO3105Provider ID:

INTERNAL MEDICINE

STATEN ISLAND

INTERNAL MEDICINE

BOGIN, MARC B MD

501 SEAVIEW AVE, SUITE 200

STATEN ISLAND, ny 10305

Phone: 718-663-6400Fax: 718-663-6490 Languages: English

PRO13243Provider ID:

INTERNAL MEDICINE

HASSAN, SAMER MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13316Provider ID:

INTERNAL MEDICINE

HASSAN, SAMER MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-6902Fax: 718-226-6844 Languages: English

PRO13555Provider ID:

INTERNAL MEDICINE (HOME

VISITS)

STATEN ISLAND

INTERNAL MEDICINE (HOME

VISITS)

PARAB, SANGITA MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-1440Fax: Languages: English

PRO13465Provider ID:

INTERVENTIONAL

CARDIOLOGY

STATEN ISLAND

INTERVENTIONAL

CARDIOLOGY

KANDOV, RUBEN MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13570Provider ID:

INTERVENTIONAL

CARDIOLOGY

KANDOV, RUBEN MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13569Provider ID:

INTERVENTIONAL

CARDIOLOGY

KLIGER, CHAD A MD

501 SEAVIEW AVENUE, STE 202

STATEN ISLAND, NY 10305

Phone: (718)226-6210Fax: (718)226-1563 Languages: Spanish

PRO11123Provider ID:

INTERVENTIONAL

CARDIOLOGY

ROYZMAN, ROMAN MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13633Provider ID:

INTERVENTIONAL

CARDIOLOGY

ROYZMAN, ROMAN MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13632Provider ID:

INTERVENTIONAL

CARDIOLOGY

SNYDER, STAVROS T MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13657Provider ID:

INTERVENTIONAL

CARDIOLOGY

SNYDER, STAVROS T MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13656Provider ID:

INTERVENTIONAL

CARDIOLOGY

SNYDER, STAVROS T MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13418Provider ID:

24

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

INTERVENTIONAL

CARDIOLOGY

VAZZANA, THOMAS J MD

501 SEAVIEW AVE, SUITE 200

STATEN ISLAND, ny 10305

Phone: 718-663-6400Fax: 718-663-6490 Languages: English

PRO13437Provider ID:

MATERNAL/FETAL MEDICINE

STATEN ISLAND

MATERNAL/FETAL MEDICINE

DUCEY, JAMES J MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9850Fax: 718-226-8528 Languages: English

PRO13522Provider ID:

MATERNAL/FETAL MEDICINE

DUCEY, JAMES J MD

440 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8662Fax: 718-226-8528 Languages: English

PRO13281Provider ID:

MEDICAL ONCOLOGY

STATEN ISLAND

MEDICAL ONCOLOGY

ATALLAH, JEAN PAUL MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6040 Languages: English

PRO13232Provider ID:

MEDICAL ONCOLOGY

FRISCIA, PHILIP L MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13293Provider ID:

MEDICAL ONCOLOGY

ODAIMI, MARCEL MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13373Provider ID:

MUSCULOSKELETAL

RADIOLOGY

STATEN ISLAND

MUSCULOSKELETAL

RADIOLOGY

HANNA, SHIRLEY MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13313Provider ID:

MUSCULOSKELETAL

RADIOLOGY

HANNA, SHIRLEY MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13553Provider ID:

MUSCULOSKELETAL

RADIOLOGY

HANNA, SHIRLEY MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13552Provider ID:

MUSCULOSKELETAL

RADIOLOGY

JBARA, MARLENA MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: (718)226-6575Fax: (718)226-8198 Languages: English

PRO13566Provider ID:

MUSCULOSKELETAL

RADIOLOGY

JBARA, MARLENA MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: (718)226-6575Fax: (718)226-8198 Languages: English

PRO13565Provider ID:

MUSCULOSKELETAL

RADIOLOGY

JBARA, MARLENA MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-6575Fax: (718)226-8198 Languages: English

PRO13325Provider ID:

MUSCULOSKELETAL

RADIOLOGY

LIN, CHERYL H MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13347Provider ID:

25

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

MUSCULOSKELETAL

RADIOLOGY

LIN, CHERYL H MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13589Provider ID:

MUSCULOSKELETAL

RADIOLOGY

LIN, CHERYL H MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13588Provider ID:

NEONATAL/PERINATAL

MEDICINE

STATEN ISLAND

NEONATAL/PERINATAL

MEDICINE

ABULAIMOUN, BDAIR M MBBS

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9360Fax: (718)226-1128 Languages: English

PRO13219Provider ID:

NEONATAL/PERINATAL

MEDICINE

BLAU, JONATHAN A MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13241Provider ID:

NEONATAL/PERINATAL

MEDICINE

COOMARALINGAM, SIVAROOPI

R MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13261Provider ID:

NEONATAL/PERINATAL

MEDICINE

ROTH, PHILIP MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13392Provider ID:

NEONATAL/PERINATAL

MEDICINE

SAHDEV, SHASHI KUMAR MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13396Provider ID:

NEONATAL/PERINATAL

MEDICINE

SARTINA, ECATERINA MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: Fax: Languages: English

PRO13398Provider ID:

NEONATAL/PERINATAL

MEDICINE

TADROS, JOHN J MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13424Provider ID:

NEPHROLOGY

STATEN ISLAND

NEPHROLOGY

BLUSH, JOEL MD

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)967-6600Fax: (718)967-6002 Languages: English

PRO2415Provider ID:

NEPHROLOGY

BLUSH, JOEL MD

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PRO2150Provider ID:

NEPHROLOGY

EBRAHIMI, FARHANG F MD

1550 RICHMOND AVE STE 205

STATEN ISLAND, NY 10314

Phone: (718)982-7800Fax: (718)876-5969 Languages: English

PRO12507Provider ID:

NEPHROLOGY

EBRAHIMI, FARHANG F MD

355 BARD AVE

STATEN ISLAND, NY 10310

Phone: (718)818-2429Fax: (718)876-5969 Languages: English

PRO12508Provider ID:

26

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

NEPHROLOGY

EBRAHIMI, FARHANG F MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9000Fax: (718)876-5969 Languages: English

PRO12509Provider ID:

NEPHROLOGY

EBRAHIMI, FARHANG F MD

800 CASTLETON AVE

STATEN ISLAND, NY 10310

Phone: (718)816-6455Fax: Languages: English

PRO12510Provider ID:

NEPHROLOGY

EL CHARABATY, ELIE J MD

25 FANNING ST

STATEN ISLAND, NY 10314

Phone: (718)289-7900Fax: (718)876-5969 Languages: ARABIC & FRENCH

PRO10318Provider ID:

NEPHROLOGY

EL CHARABATY, ELIE J MD

470 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: ARABIC & FRENCH

PRO2832Provider ID:

NEPHROLOGY

EL CHARABATY, ELIE J MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: (718)226-2000Fax: (718)876-5969 Languages: ARABIC & FRENCH

PRO2833Provider ID:

NEPHROLOGY

EL CHARABATY, ELIE J MD

45 LITTLE CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)987-5940Fax: (718)667-9708 Languages: ARABIC & FRENCH

PRO4287Provider ID:

NEPHROLOGY

EL CHARABATY, ELIE J MD

800 CASTLETON AVE

STATEN ISLAND, NY 10310

Phone: (718)816-6455Fax: (718)876-5969 Languages: ARABIC & FRENCH

PRO4411Provider ID:

NEPHROLOGY

EL CHARABATY, ELIE J MD

1550 RICHMOND AVE

STATEN ISLAND, NY 10314

Phone: (718)982-7800Fax: (718)876-5969 Languages: ARABIC & FRENCH

PRO4412Provider ID:

NEPHROLOGY

ELSAYEGH, SUZANNE E MD

25 FANNING ST

STATEN ISLAND, NY 10314

Phone: (718)289-7900Fax: (718)876-5969 Languages: FRENCH, ARABIC

PRO10317Provider ID:

NEPHROLOGY

ELSAYEGH, SUZANNE E MD

470 SEAVIEW AVENUE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: FRENCH, ARABIC

PRO2096Provider ID:

NEPHROLOGY

EPSTEIN, EDWARD M MD

470 SEAVIEW AVENUE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: English

PRO2154Provider ID:

NEPHROLOGY

EPSTEIN, EDWARD M MD

475 SEAVIEW AVENUE

STATEN ISLAND, NY 10305

Phone: (718)787-5940Fax: (718)667-9708 Languages: English

PRO2273Provider ID:

NEPHROLOGY

EPSTEIN, EDWARD M MD

375 SEGUINE AVENUE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: English

PRO2274Provider ID:

NEPHROLOGY

EPSTEIN, EDWARD M MD

25 FANNING STREET (CLOVE

LAKES NURSING HOME)

STATEN ISLAND, NY 10314

Phone: (718)289-7900Fax: (718)876-5969 Languages: English

PRO2275Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

470 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: ARABIC, FRENCH

PRO13811Provider ID:

27

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

NEPHROLOGY

GOBRAN, EMAD N MD

800 CASTLETON AVE

STATEN ISLAND, NY 10310

Phone: (718)816-6455Fax: (718)667-9708 Languages: ARABIC, FRENCH

PRO13812Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: (718)226-2000Fax: (718)876-5969 Languages: ARABIC, FRENCH

PRO13813Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

25 FANNING ST

STATEN ISLAND, NY 10314

Phone: (718)289-7900Fax: (718)667-9708 Languages: ARABIC, FRENCH

PRO13814Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

275 CASTLETON AVE

STATEN ISLAND, NY 10301

Phone: (718)447-7800Fax: (718)876-5969 Languages: ARABIC, FRENCH

PRO13815Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

88 OLD TOWN RD

STATEN ISLAND, NY 10304

Phone: (718)979-5000Fax: (718)876-5969 Languages: ARABIC, FRENCH

PRO13816Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

1550 RICHMOND AVE STE 205

STATEN ISLAND, NY 10314

Phone: (718)982-7800Fax: (718)667-9708 Languages: ARABIC, FRENCH

PRO13817Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9000Fax: (718)876-5969 Languages: ARABIC, FRENCH

PRO13818Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

355 BRAD AVE

STATEN ISLAND, NY 10310

Phone: (718)818-2429Fax: (718)876-5969 Languages: ARABIC, FRENCH

PRO13819Provider ID:

NEPHROLOGY

GOBRAN, EMAD N MD

140 MEISNER AVE

STATEN ISLAND, NY 10306

Phone: (718)979-1800Fax: (718)876-5969 Languages: ARABIC, FRENCH

PRO13820Provider ID:

NEPHROLOGY

GOLDMAN, MICHAEL ME MD

470 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: HEBREW, SPANISH,

YID

PRO2594Provider ID:

NEPHROLOGY

KIROYCHEVA, MILITZA MD

1550 RICHMOND AVE

STATEN ISLAND, NY 10314

Phone: (718)982-7800Fax: (718)876-5969 Languages: BULGARIAN

PRO12498Provider ID:

NEPHROLOGY

KIROYCHEVA, MILITZA MD

470 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: BULGARIAN

PRO12499Provider ID:

NEPHROLOGY

KIROYCHEVA, MILITZA MD

355 BARD AVE

STATEN ISLAND, NY 10310

Phone: (718)818-2429Fax: (718)876-5969 Languages: BULGARIAN

PRO12500Provider ID:

NEPHROLOGY

KIROYCHEVA, MILITZA MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9000Fax: (718)876-5969 Languages: BULGARIAN

PRO12501Provider ID:

NEPHROLOGY

KIROYCHEVA, MILITZA MD

800 CASTLETON AVE

STATEN ISLAND, NY 10310

Phone: (718)816-6455Fax: (718)876-5969 Languages: BULGARIAN

PRO12502Provider ID:

28

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

NEPHROLOGY

KLEINER, MORTON J MD

25 FANNING ST

STATEN ISLAND, NY 10314

Phone: (718)289-7900Fax: (718)876-6959 Languages: HEBREW, YIDDISH

PRO11856Provider ID:

NEPHROLOGY

KLEINER, MORTON J MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: (718)226-2000Fax: (718)667-9708 Languages: HEBREW, YIDDISH

PRO11858Provider ID:

NEPHROLOGY

KLEINER, MORTON J MD

470 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: HEBREW, YIDDISH

PRO4271Provider ID:

NEPHROLOGY

KLEINER, MORTON J MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9000Fax: (718)667-9708 Languages: HEBREW, YIDDISH

PRO4272Provider ID:

NEPHROLOGY

PALOMBINI, MATTHEW MD

1550 RICHMOND AVE

STATEN ISLAND, NY 10314

Phone: (718)982-7800Fax: (718)982-7722 Languages: English

PRO12511Provider ID:

NEPHROLOGY

PALOMBINI, MATTHEW MD

470 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: English

PRO12512Provider ID:

NEPHROLOGY

PALOMBINI, MATTHEW MD

355 BARD AVE

STATEN ISLAND, NY 10310

Phone: (718)818-2429Fax: (718)876-5969 Languages: English

PRO12513Provider ID:

NEPHROLOGY

PALOMBINI, MATTHEW MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9000Fax: (718)876-5969 Languages: English

PRO12514Provider ID:

NEPHROLOGY

PALOMBINI, MATTHEW MD

800 CASTLETON AVE

STATEN ISLAND, NY 10310

Phone: (718)816-6455Fax: (718)876-5969 Languages: English

PRO12515Provider ID:

NEPHROLOGY

PEPE, JOHN M MD

355 BARD AVE

STATEN ISLAND, NY 10310

Phone: (718)818-2429Fax: (718)876-5969 Languages: English

PRO12504Provider ID:

NEPHROLOGY

PEPE, JOHN M MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9000Fax: (718)876-5969 Languages: English

PRO12505Provider ID:

NEPHROLOGY

PEPE, JOHN M MD

800 CASTLETON AVE

STATEN ISLAND, NY 10310

Phone: (718)816-6455Fax: (718)876-5969 Languages: English

PRO12506Provider ID:

NEPHROLOGY

PEPE, JOHN M MD

1550 RICHMOND AVE

STATEN ISLAND, NY 10314

Phone: (718)982-7800Fax: (718)876-5969 Languages: English

PRO12503Provider ID:

NEPHROLOGY

SHTAYNBERG, NORBERT DO

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: (718)351-1136Fax: (718)667-9711 Languages: RUSSIAN,

UKRANIAN

PRO2596Provider ID:

NEPHROLOGY

SHTAYNBERG, NORBERT DO

25 FANNING ST

STATEN ISLAND, NY 10314

Phone: (718)876-6220Fax: (718)876-5969 Languages: RUSSIAN,

UKRANIAN

PRO2598Provider ID:

29

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

NEPHROLOGY

SHTAYNBERG, NORBERT DO

470 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)987-5940Fax: (718)667-9708 Languages: RUSSIAN,

UKRANIAN

PRO2595Provider ID:

NEUROLOGICAL SURGERY

STATEN ISLAND

NEUROLOGICAL SURGERY

CHANG, EDWIN M MD

355 BARD AVE

STATEN ISLAND, NY 10310

Phone: (718)980-9828Fax: (718)979-4291 Languages: English

PRO13507Provider ID:

NEUROLOGICAL SURGERY

CHANG, EDWIN M MD

1099 TARGEE STREET

STATEN ISLAND, NY 10304

Phone: (718)980-9828Fax: (718)979-4291 Languages: English

PRO13257Provider ID:

NEUROLOGY

STATEN ISLAND

NEUROLOGY

ALTSHULER, IDA K MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1696Provider ID:

NEUROLOGY

Demopoulos, Alexis M MD

475 Seaview Avenue

Staten Island, NY 10305

Phone: (718)226-9000Fax: (718)683-3765 Languages: English

PRO13093Provider ID:

NEUROLOGY

EL-SHERIF, YASIR MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13286Provider ID:

NEUROLOGY

EL-SHERIF, YASIR MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13529Provider ID:

NEUROLOGY

EL-SHERIF, YASIR MD

375 SEGUINE AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13528Provider ID:

NEUROLOGY

EL-SHERIF, YASIR MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13527Provider ID:

NEUROLOGY

GHIASIAN, VAHID MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-5920 Languages: English

PRO13540Provider ID:

NEUROLOGY

GHIASIAN, VAHID MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13539Provider ID:

NEUROLOGY

GHIASIAN, VAHID MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13297Provider ID:

NEUROLOGY

NAJJAR, SOUHEL MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13368Provider ID:

NEUROLOGY

NAJJAR, SOUHEL MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13606Provider ID:

30

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

NEUROLOGY

NAJJAR, SOUHEL MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13605Provider ID:

NEUROLOGY

YU, EDWARD H MD

242 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13683Provider ID:

NEUROLOGY

YU, EDWARD H MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13682Provider ID:

NEUROLOGY

YU, EDWARD H MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13681Provider ID:

NEUROLOGY

YU, EDWARD H MD

501 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13450Provider ID:

NEURORADIOLOGY

STATEN ISLAND

NEURORADIOLOGY

ARNUK, OMAR MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13486Provider ID:

NEURORADIOLOGY

ARNUK, OMAR MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13485Provider ID:

NEURORADIOLOGY

ARNUK, OMAR MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13231Provider ID:

NEURORADIOLOGY

HWANG, JANICE MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13322Provider ID:

NEURORADIOLOGY

HWANG, JANICE MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13561Provider ID:

NEURORADIOLOGY

HWANG, JANICE MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13560Provider ID:

NEURORADIOLOGY

RADEN, MARK MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13386Provider ID:

NEURORADIOLOGY

RADEN, MARK MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13625Provider ID:

NEURORADIOLOGY

RADEN, MARK MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13624Provider ID:

NEURORADIOLOGY

SERRAS, SPENCER MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13647Provider ID:

31

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

NEURORADIOLOGY

SERRAS, SPENCER MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13646Provider ID:

NEURORADIOLOGY

SERRAS, SPENCER MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13409Provider ID:

NEURORADIOLOGY

VOUTSINAS, LYNNE MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13441Provider ID:

NEURORADIOLOGY

VOUTSINAS, LYNNE MD

256 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13671Provider ID:

NEURORADIOLOGY

VOUTSINAS, LYNNE MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13670Provider ID:

NUCLEAR MEDICINE

STATEN ISLAND

NUCLEAR MEDICINE

BRENNER, ARNOLD DO

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13501Provider ID:

NUCLEAR MEDICINE

BRENNER, ARNOLD DO

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13500Provider ID:

NUCLEAR MEDICINE

BRENNER, ARNOLD DO

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13247Provider ID:

NUCLEAR MEDICINE

PATEL, DEVAYANI M MBBS

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13617Provider ID:

NUCLEAR MEDICINE

PATEL, DEVAYANI M MBBS

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13616Provider ID:

NUCLEAR MEDICINE

PATEL, DEVAYANI M MBBS

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13379Provider ID:

OBSTETRICS / GYNECOLOGY

STATEN ISLAND

OBSTETRICS / GYNECOLOGY

ABRAHAM, CYNTHIA MD

440 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8662Fax: (718)226-6791 Languages: English

PRO13218Provider ID:

OBSTETRICS / GYNECOLOGY

CORDARO, MARIO DO

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1698Provider ID:

OBSTETRICS / GYNECOLOGY

DAVIDOV, ADI MD

440 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6550Fax: Languages: English

PRO13270Provider ID:

OBSTETRICS / GYNECOLOGY

DAVIDOV, ADI MD

192 GUYON AVE

STATEN ISLAND, ny 10306

Phone: 718-226-6550Fax: Languages: English

PRO13514Provider ID:

32

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

OBSTETRICS / GYNECOLOGY

DAVIDOV, ADI MD

57 BAY STREET

STATEN ISLAND, ny 10301

Phone: 718-226-6700Fax: Languages: English

PRO13513Provider ID:

OBSTETRICS / GYNECOLOGY

DEANGELIS, SAMMY L MD

57 BAY STREET

STATEN ISLAND, NY 10301

Phone: 718-226-6700Fax: 718-226-6701 Languages: English

PRO13515Provider ID:

OBSTETRICS / GYNECOLOGY

DEANGELIS, SAMMY L MD

440 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6550Fax: 718-226-6791 Languages: English

PRO13271Provider ID:

OBSTETRICS / GYNECOLOGY

DORI, EZRA MD

2258 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: 718-226-3204Fax: Languages: English

PRO13278Provider ID:

OBSTETRICS / GYNECOLOGY

DORI, IRIS E MD

440 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13279Provider ID:

OBSTETRICS / GYNECOLOGY

GORELIK, LEONID MD

2258 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: 718-226-3204Fax: 718-436-1563 Languages: English

PRO13304Provider ID:

OBSTETRICS / GYNECOLOGY

HERWAY, CATHERINE M MD

440 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8662Fax: Languages: English

PRO13317Provider ID:

OBSTETRICS / GYNECOLOGY

HERWAY, CATHERINE M MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8662Fax: Languages: English

PRO13556Provider ID:

OBSTETRICS / GYNECOLOGY

KLINGER, ROBERT MD

2285 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: 718-226-3204Fax: 718-436-1563 Languages: English

PRO13341Provider ID:

OBSTETRICS / GYNECOLOGY

LAPORTA, CHRISTOPHER MD

78 CROMWELL AVE

STATEN ISLAND, NY 10304

Phone: 718-981-5900Fax: Languages: English

PRO13345Provider ID:

OBSTETRICS / GYNECOLOGY

LAPORTA, CHRISTOPHER MD

57 BAY STREET

STATEN ISLAND, NY 10301

Phone: 718-981-5900Fax: Languages: English

PRO13586Provider ID:

OBSTETRICS / GYNECOLOGY

LAUDICINO, ROBERT J MD

4131 RICHMOND AVE

STATEN ISLAND, NY 10312

Phone: (718)317-9204Fax: (718)317-9207 Languages: English

PRO2543Provider ID:

OBSTETRICS / GYNECOLOGY

MORETTI, SONYA NP

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1697Provider ID:

OBSTETRICS / GYNECOLOGY

POLISENO, MARINO DO

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: ENGLISH, ITALIAN

PRO1699Provider ID:

OBSTETRICS / GYNECOLOGY

SCHIRRIPA, MICHAEL A MD

4855 HYLAN BLVD

STATEN ISLAND, ny 10301

Phone: 718-966-7333Fax: Languages: English

PRO13405Provider ID:

33

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

OBSTETRICS / GYNECOLOGY

WORTMAN, KENNETH N MD

440 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6550Fax: 718-226-6791 Languages: English

PRO13446Provider ID:

OBSTETRICS / GYNECOLOGY

WORTMAN, KENNETH N MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6550Fax: 718-226-6791 Languages: English

PRO13677Provider ID:

ONCOLOGIST

STATEN ISLAND

ONCOLOGIST

DAI, QUN MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1694Provider ID:

ONCOLOGIST

DHAR, MEEKOO MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1690Provider ID:

ONCOLOGIST

DILAWARI, ASMA MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1691Provider ID:

ONCOLOGIST

FRISCIA, PHILIP MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1692Provider ID:

ONCOLOGIST

ODAIMI, MARCEL MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1695Provider ID:

ONCOLOGIST

VESONIARAKI, MARY S MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1693Provider ID:

OPHTHALMOLOGIST

STATEN ISLAND

OPHTHALMOLOGIST

CARO, ROBERT MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: ITALIAN, SPANISH

PRO1700Provider ID:

OPHTHALMOLOGIST

DERESPINIS, PATRICK A MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: Languages: English

PRO13274Provider ID:

OPHTHALMOLOGIST

EDGHILL, B, BENJEIL MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: ENGLISH, SPANISH

PRO1701Provider ID:

OPHTHALMOLOGIST

GIOVINAZZO, VINCENT J MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: Fax: Languages: English

PRO13300Provider ID:

OPHTHALMOLOGIST

GIOVINAZZO, VINCENT J MD

242 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6494Fax: Languages: English

PRO13543Provider ID:

OPHTHALMOLOGIST

NEJAT, MICHAEL MD

242 MASON AVE

STATEN ISLAND, ny 10305

Phone: Fax: Languages: English

PRO13369Provider ID:

OPHTHALMOLOGIST

NGUYEN, LOAN MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: English

PRO1702Provider ID:

34

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

OPHTHALMOLOGIST

PEARLSTEIN, CARYN MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: Languages: English

PRO13381Provider ID:

OPTOMETRIST

STATEN ISLAND

OPTOMETRIST

ASHINOFF, STEPHEN H OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3654Provider ID:

OPTOMETRIST

ASHINOFF, STEPHEN H OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3655Provider ID:

OPTOMETRIST

DONNOLO, FELICIA OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: (516)992-8266 Languages: SPANISH

PRO3623Provider ID:

OPTOMETRIST

DONNOLO, FELICIA OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: SPANISH

PRO3638Provider ID:

OPTOMETRIST

GAILING, DAVID OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3596Provider ID:

OPTOMETRIST

GAILING, DAVID OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3597Provider ID:

OPTOMETRIST

LASKER, NAHIDA A OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3728Provider ID:

OPTOMETRIST

LASKER, NAHIDA A OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3729Provider ID:

OPTOMETRIST

LIEBMAN, BRAD G OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3546Provider ID:

OPTOMETRIST

LIEBMAN, BRAD G OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3547Provider ID:

OPTOMETRIST

LULOFF, STEPHEN OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3675Provider ID:

OPTOMETRIST

LULOFF, STEPHEN OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3676Provider ID:

OPTOMETRIST

MILLER, KAREN L OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3712Provider ID:

OPTOMETRIST

MILLER, KAREN L OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3713Provider ID:

35

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

OPTOMETRIST

NIGAM, VAISHALI OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3692Provider ID:

OPTOMETRIST

NIGAM, VAISHALI OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3693Provider ID:

OPTOMETRIST

NUS, DEANNA M OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: SPANISH

PRO3616Provider ID:

OPTOMETRIST

NUS, DEANNA M OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: SPANISH

PRO3617Provider ID:

OPTOMETRIST

ORKIN, BRUCE OD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (855)423-3700Fax: Languages: English

PRO3579Provider ID:

OPTOMETRIST

ORKIN, BRUCE OD

4771 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (855)423-3700Fax: Languages: English

PRO3580Provider ID:

OTOLARYNGOLOGY

STATEN ISLAND

OTOLARYNGOLOGY

AL MOUTRAN, HOMERE G MD

242 MASON AVENUE

STATEN ISLAND, NY 10305

Phone: (718)226-6832Fax: (718)226-6605 Languages: French

PRO11665Provider ID:

OTOLARYNGOLOGY

AL MOUTRAN, HOMERE G MD

475 SEAVIEW AVENUE

STATEN ISLAND, NY 10305

Phone: (718)226-9508Fax: (718)226-8365 Languages: French

PRO11666Provider ID:

OTOLARYNGOLOGY

CAREW, JOHN F MD

1460 VICTORY BLVD

STATEN ISLAND, NY 10301

Phone: 718-273-7059Fax: Languages: English

PRO13253Provider ID:

OTOLARYNGOLOGY

DODARO, JOHN MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1683Provider ID:

OTOLARYNGOLOGY

Hiltzik, David H MD

242 Mason Avenue

Staten Island, NY 10305

Phone: (718)226-6832Fax: (718)226-6605 Languages: English

PRO7035Provider ID:

OTOLARYNGOLOGY

Hiltzik, David H MD

475 Seaview Avenue

Staten Island, NY 10305

Phone: (718)226-9508Fax: (718)226-8365 Languages: English

PRO7036Provider ID:

OTOLARYNGOLOGY

Hiltzik, David H MD

1460 Victory Boulevard

Staten Island, NY 10301

Phone: (718)273-7059Fax: (718)442-7149 Languages: English

PRO7037Provider ID:

OTOLARYNGOLOGY

Hiltzik, David H MD

Staten Island, NY 10305

Phone: (718)226-1386Fax: (718)226-8349 Languages: English

PRO10566Provider ID:

OTOLARYNGOLOGY

HILTZIK, DAVID MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6110Fax: 718-226-8263 Languages: English

PRO13455Provider ID:

36

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

OTOLARYNGOLOGY

HILTZIK, DAVID MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6110Fax: 718-226-8263 Languages: English

PRO13687Provider ID:

OTOLARYNGOLOGY/FACIAL

PLASTIC SURGERY

STATEN ISLAND

OTOLARYNGOLOGY/FACIAL

PLASTIC SURGERY

COSTANTINO, PETER D MD

242 MASON AVENUE, MEDICAL

ARTS PAVILION

STATEN ISLAND, NY 10305

Phone: (718)226-6832Fax: (718)226-6605 Languages: English

PRO12797Provider ID:

OTOLARYNGOLOGY/FACIAL

PLASTIC SURGERY

COSTANTINO, PETER D MD

501 SEAVIEW AVENUE

STATEN ISLAND, NY 10305

Phone: (718)226-6110Fax: (718)226-6605 Languages: English

PRO12796Provider ID:

PAIN MANAGEMENT

STATEN ISLAND

PAIN MANAGEMENT

CHAPMAN, KENNETH B MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6494Fax: 718-226-3995 Languages: English

PRO13258Provider ID:

PATHOLOGY -

ANATOMIC/CLINICAL

STATEN ISLAND

PATHOLOGY -

ANATOMIC/CLINICAL

BROADWAY, KAMEELAH MD

1 EDGEWATER STREET

STATEN ISLAND, ny 10305

Phone: 718-226-4130Fax: Languages: English

PRO13248Provider ID:

PATHOLOGY -

ANATOMIC/CLINICAL

HUSSEIN, SHAFINEZ MD

1 EDGEWATER STREET

STATEN ISLAND, NY 10305

Phone: 718-226-4130Fax: 718-226-4185 Languages: English

PRO13321Provider ID:

PATHOLOGY -

ANATOMIC/CLINICAL

SIMPKINS, HENRY MD

1 EDGEWATER STREET

STATEN ISLAND, NY 10305

Phone: 718-226-4130Fax: 718-226-4185 Languages: English

PRO13414Provider ID:

PATHOLOGY - HEMATOLOGY

STATEN ISLAND

PATHOLOGY - HEMATOLOGY

HURFORD, MATTHEW T MD

1 EDGEWATER STREET

STATEN ISLAND, NY 10305

Phone: (718)226-6279Fax: (718)226-8144 Languages: English

PRO13320Provider ID:

PEDIATRIC EMERGENCY

MEDICINE

STATEN ISLAND

PEDIATRIC EMERGENCY

MEDICINE

ALTBERG, GAL MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9763Fax: Languages: English

PRO13225Provider ID:

PEDIATRIC EMERGENCY

MEDICINE

ALTBERG, GAL MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9763Fax: Languages: English

PRO13477Provider ID:

PEDIATRIC EMERGENCY

MEDICINE

FIERAMOSCA, BRIANA M DO

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9763Fax: Languages: English

PRO13534Provider ID:

PEDIATRIC EMERGENCY

MEDICINE

FIERAMOSCA, BRIANA M DO

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9763Fax: Languages: English

PRO13291Provider ID:

PEDIATRIC EMERGENCY

MEDICINE

GIUNTA, YVONNE P MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9763Fax: Languages: English

PRO13301Provider ID:

37

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

PEDIATRIC EMERGENCY

MEDICINE

GIUNTA, YVONNE P MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-9763Fax: Languages: English

PRO13544Provider ID:

PEDIATRIC ENDOCRINOLOGY

STATEN ISLAND

PEDIATRIC ENDOCRINOLOGY

SHEFFER-BABILA, SHARONE

MD

2460 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: 718-372-8402Fax: Languages: English

PRO13650Provider ID:

PEDIATRIC

GASTROENTEROLOGY

STATEN ISLAND

PEDIATRIC

GASTROENTEROLOGY

HAMPLE, CARLOTTA B MD

2460 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: (718)226-5619Fax: (718)226-5620 Languages: English

PRO13551Provider ID:

PEDIATRIC

HEMATOLOGY/ONCOLOGY

STATEN ISLAND

PEDIATRIC

HEMATOLOGY/ONCOLOGY

VAISELBUH, SARAH R MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6400Fax: 718-226-6404 Languages: English

PRO13433Provider ID:

PEDIATRIC INFECTIOUS

DISEASE

STATEN ISLAND

PEDIATRIC INFECTIOUS

DISEASE

SHARMA, DOLLY A MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13410Provider ID:

PEDIATRIC INFECTIOUS

DISEASE

SHARMA, DOLLY A MD

2460 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: 718-226-5619Fax: 718-226-5620 Languages: English

PRO13649Provider ID:

PEDIATRIC INFECTIOUS

DISEASE

SHARMA, DOLLY A MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13648Provider ID:

PEDIATRIC NEUROLOGY

STATEN ISLAND

PEDIATRIC NEUROLOGY

OKOLO, NWANNEKA A MD

2460 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: 718-226-5619Fax: 718-226-5620 Languages: English

PRO13612Provider ID:

PEDIATRIC NEUROLOGY

OKOLO, NWANNEKA A MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-683-3766Fax: 718-683-9765 Languages: English

PRO13374Provider ID:

PEDIATRIC PULMONOLOGY

STATEN ISLAND

PEDIATRIC PULMONOLOGY

CHAN, SIU-PUN MBBS

2460 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: 718-226-5619Fax: 718-226-5620 Languages: English

PRO13255Provider ID:

PEDIATRIC RADIOLOGY

STATEN ISLAND

PEDIATRIC RADIOLOGY

FARRUGGIA, SALVATORE MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13288Provider ID:

38

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

PEDIATRIC RADIOLOGY

FARRUGGIA, SALVATORE MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13532Provider ID:

PEDIATRIC RADIOLOGY

FARRUGGIA, SALVATORE MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13531Provider ID:

PEDIATRIC RADIOLOGY

NEUMAN, JEREMY T MD

256B MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13608Provider ID:

PEDIATRIC RADIOLOGY

NEUMAN, JEREMY T MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13607Provider ID:

PEDIATRIC RADIOLOGY

NEUMAN, JEREMY T MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13370Provider ID:

PEDIATRIC SURGERY

STATEN ISLAND

PEDIATRIC SURGERY

PRICE, MITCHELL MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13466Provider ID:

PEDIATRICS

STATEN ISLAND

PEDIATRICS

CHANG, CYNTHIA MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9360Fax: 718-226-1128 Languages: English

PRO13256Provider ID:

PEDIATRICS

EBERHARDT, KELLY MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-9128Fax: Languages: English

PRO13282Provider ID:

PEDIATRICS

EBERHARDT, KELLY MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1706Provider ID:

PEDIATRICS

EDGHILL, MARY ANN MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: ENGLISH, SPANISH,

TA

PRO1707Provider ID:

PEDIATRICS

GOLDENTHAL, JONATHAN MD

242 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6522Fax: 718-226-6531 Languages: English

PRO13303Provider ID:

PEDIATRICS

JAMES, PUSHPOM MD

2460 HYLAN BLVD

STATEN ISLAND, ny 10306

Phone: 718-226-5619Fax: 718-226-5620 Languages: English

PRO13323Provider ID:

PEDIATRICS

JAMES, PUSHPOM MD

242 MASON AVE

STATEN ISLAND, ny 10306

Phone: 718-226-5619Fax: 718-226-5620 Languages: English

PRO13563Provider ID:

PEDIATRICS

LEE, SOOK MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: KOREAN

PRO1708Provider ID:

PEDIATRICS

MATTHEW, GRACE MD

57 BAY STREET

STATEN ISLAND, NY 10301

Phone: 718-226-6700Fax: 718-226-6701 Languages: English

PRO13358Provider ID:

39

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

PEDIATRICS

MATTHEW, GRACE MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6700Fax: 718-226-6701 Languages: English

PRO13594Provider ID:

PEDIATRICS

SKOWRON, JACK MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: YIDDISH

PRO1709Provider ID:

PEDIATRICS

TRIPOLSKY, LYDIA MD

57 BAY STREET

STATEN ISLAND, NY 10301

Phone: 718-226-6700Fax: 718-226-6701 Languages: English

PRO13431Provider ID:

PHYSICAL MEDICINE

(PHYSIATRIST)

STATEN ISLAND

PHYSICAL MEDICINE

(PHYSIATRIST)

D'ANGELO, JACK MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1710Provider ID:

PHYSICAL MEDICINE

(PHYSIATRIST)

PEREZ, CHRISTOPER MD

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: English

PRO1711Provider ID:

PHYSICAL MEDICINE AND

REHABILIATION

STATEN ISLAND

PHYSICAL MEDICINE AND

REHABILIATION

MENSCH, JACK MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9463Fax: Languages: English

PRO13460Provider ID:

PHYSICAL MEDICINE AND

REHABILIATION

SATNICK, LON MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9463Fax: Languages: English

PRO13467Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

STATEN ISLAND

PHYSICIAL MEDICINE AND

REHABILIATION

MORGADO-VEGA, NECOLLE

DO

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8751Fax: Languages: English

PRO13461Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

NADLER, STEPHEN MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9463Fax: Languages: English

PRO13462Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

NUNEZ, MARGARITA DO

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9463Fax: Languages: English

PRO13463Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

NUNEZ, MARGARITA DO

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9463Fax: Languages: English

PRO13691Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

OLLER, HELEN MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9463Fax: Languages: English

PRO13464Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

SZELES, CHRISTOPHER MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9463Fax: Languages: English

PRO13695Provider ID:

40

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

PHYSICIAL MEDICINE AND

REHABILIATION

SZELES, CHRISTOPHER MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9463Fax: Languages: English

PRO13469Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

TAK, WOO SUK MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8751Fax: Languages: English

PRO13470Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

WEINBERG, JEFFREY MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9463Fax: Languages: English

PRO13471Provider ID:

PHYSICIAL MEDICINE AND

REHABILIATION

WEINBERG, JEFFREY MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9463Fax: Languages: English

PRO13696Provider ID:

PLASTIC SURGERY

STATEN ISLAND

PLASTIC SURGERY

COOPER, MICHAEL L MD

500 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6988Fax: Languages: English

PRO13263Provider ID:

PLASTIC SURGERY

DRAPER, LAWRENCE MD

1000 SOUTH AVE

STATEN ISLAND, NY 10314

Phone: 718-226-6780Fax: 718-226-6530 Languages: English

PRO13280Provider ID:

PLASTIC SURGERY

LONG, KIMLYN MD

500 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6988Fax: 718-226-6603 Languages: English

PRO13458Provider ID:

PODIATRY

STATEN ISLAND

PODIATRY

BURNIEWICZ, ANTHONY M

DPM

2305 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)761-6665Fax: (718)761-3074 Languages: English

PRO11918Provider ID:

PODIATRY

HABIB, HENRY DPM

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1712Provider ID:

PODIATRY

MERLINO, JOHN A DPM

2305 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)761-6665Fax: (718)761-3074 Languages: English

PRO11919Provider ID:

PODIATRY

MERLINO, PHYLLIS N DPM

2305 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)761-6665Fax: (718)761-3074 Languages: English

PRO11920Provider ID:

PODIATRY

PACE, JOHN DPM

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1713Provider ID:

PODIATRY

SOTTILE, JOHN T DPM

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: Fax: Languages: English

PRO13419Provider ID:

PODIATRY

SPINNER, FRANK DPM

4771 HYLAN BVLD

STATEN ISLAND, NY 10312

Phone: (718)948-8200Fax: (718)228-8141 Languages: English

PRO1714Provider ID:

41

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

PODIATRY

WEBER, JONATHAN DPM

2315 VICTORY BLVD

STATEN ISLAND, NY 10314

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PRO2406Provider ID:

PODIATRY

WEBER, JONATHAN DPM

4982 HYLAN BLVD

STATEN ISLAND, NY 10312

Phone: (718)477-6900Fax: (718)477-7862 Languages: English

PRO2414Provider ID:

PSYCHIATRY

STATEN ISLAND

PSYCHIATRY

ANCONA, LAURA C MD

450 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6553Fax: 718-226-8144 Languages: English

PRO13227Provider ID:

PSYCHIATRY

ANISKIN, DMITRY B MD

392 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6279Fax: 718-226-8144 Languages: English

PRO13229Provider ID:

PSYCHIATRY

ANISKIN, DMITRY B MD

777 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6279Fax: 718-226-8144 Languages: English

PRO13483Provider ID:

PSYCHIATRY

ANISKIN, DMITRY B MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6279Fax: 718-226-8144 Languages: English

PRO13482Provider ID:

PSYCHIATRY

ANISKIN, DMITRY B MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-2440Fax: 718-226-8144 Languages: English

PRO13481Provider ID:

PSYCHIATRY

BELYAYEVA, YELENA MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-2262440Fax: Languages: English

PRO13492Provider ID:

PSYCHIATRY

BELYAYEVA, YELENA MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6279Fax: Languages: English

PRO13491Provider ID:

PSYCHIATRY

BELYAYEVA, YELENA MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8924Fax: Languages: English

PRO13238Provider ID:

PSYCHIATRY

BESKINA, SVETLANA DO

38 WINTHROP PLACE

STATEN ISLAND, NY 10314

Phone: (718)727-7077Fax: (718)727-7673 Languages: RUSSIAN

PRO2755Provider ID:

PSYCHIATRY

BRAJKOVIC, DASEN MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-2440Fax: Languages: English

PRO13499Provider ID:

PSYCHIATRY

BRAJKOVIC, DASEN MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6279Fax: 718-226-8924 Languages: English

PRO13498Provider ID:

PSYCHIATRY

BRAJKOVIC, DASEN MD

392 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-2812Fax: Languages: English

PRO13497Provider ID:

PSYCHIATRY

BRAJKOVIC, DASEN MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-2440Fax: Languages: English

PRO13246Provider ID:

42

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

PSYCHIATRY

ELANGOVAN, NATARAJAN MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: (718)226-6494Fax: (718)226-5920 Languages: English

PRO13283Provider ID:

PSYCHIATRY

ELANGOVAN, NATARAJAN MD

777 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-8924Fax: (718)226-5920 Languages: English

PRO13524Provider ID:

PSYCHIATRY

ELANGOVAN, NATARAJAN MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6279Fax: 718-226-8144 Languages: English

PRO13523Provider ID:

PSYCHIATRY

JOFFE, RUSSELL T MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8924Fax: Languages: English

PRO13568Provider ID:

PSYCHIATRY

JOFFE, RUSSELL T MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: Fax: Languages: English

PRO13567Provider ID:

PSYCHIATRY

JOFFE, RUSSELL T MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13326Provider ID:

PSYCHIATRY

KATZ, OLGA MD

2907 AMBOY ROAD

STATEN ISLAND, NY 10306

Phone: (718)816-6760Fax: (718)667-3260 Languages: RUSSIAN

PRO2757Provider ID:

PSYCHIATRY

KATZ, OLGA MD

38 WINTHROP PLACE

STATEN ISLAND, NY 10314

Phone: (718)727-7077Fax: (718)727-7673 Languages: RUSSIAN

PRO2756Provider ID:

PSYCHIATRY

KETTERINGHAM, MICHAEL A

MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6279Fax: 718-226-8144 Languages: English

PRO13334Provider ID:

PSYCHIATRY

KIRANE, HARSHAL D MD

392 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-6279Fax: 718-226-8144 Languages: English

PRO13338Provider ID:

PSYCHIATRY

MELKUMYANTS, GYULNARA

MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-2440Fax: Languages: English

PRO13363Provider ID:

PSYCHIATRY

MELKUMYANTS, GYULNARA

MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8924Fax: Languages: English

PRO13602Provider ID:

PSYCHIATRY

MELKUMYANTS, GYULNARA

MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6279Fax: Languages: English

PRO13601Provider ID:

PSYCHIATRY

PARANAL, ROBERTO Z MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-2274Fax: Languages: English

PRO13615Provider ID:

PSYCHIATRY

PARANAL, ROBERTO Z MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-2274Fax: Languages: English

PRO13614Provider ID:

43

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

PSYCHIATRY

PARANAL, ROBERTO Z MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-2274Fax: Languages: English

PRO13613Provider ID:

PSYCHIATRY

PARANAL, ROBERTO Z MD

392 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-2274Fax: Languages: English

PRO13378Provider ID:

PSYCHIATRY

SCHWARTZ, MATTHEW MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8924Fax: Languages: English

PRO13407Provider ID:

PSYCHIATRY

SCHWARTZ, MATTHEW MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-8924Fax: Languages: English

PRO13644Provider ID:

PSYCHIATRY

SCHWARTZ, MATTHEW MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-8924Fax: Languages: English

PRO13643Provider ID:

PSYCHIATRY

STERN, ROBERT MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: Fax: Languages: English

PRO13694Provider ID:

PSYCHIATRY

STERN, ROBERT MD

392 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: Fax: Languages: English

PRO13693Provider ID:

PSYCHIATRY

STERN, ROBERT MD

777 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13692Provider ID:

PSYCHIATRY

STERN, ROBERT MD

450 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13468Provider ID:

PSYCHIATRY

SULLIVAN, TIMOTHY B MD

450 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9158Fax: 718-226-6964 Languages: English

PRO13420Provider ID:

PSYCHIATRY

WALTER, ROBERT J MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6279Fax: Languages: English

PRO13443Provider ID:

PSYCHIATRY

WALTER, ROBERT J MD

777 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-8924Fax: Languages: English

PRO13675Provider ID:

PSYCHIATRY

WALTER, ROBERT J MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-2440Fax: Languages: English

PRO13674Provider ID:

PSYCHIATRY

ZIMMERMAN, JONATHAN D MD

392 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-2675Fax: 718-226-2658 Languages: English

PRO13453Provider ID:

PULMONARY DISEASE

STATEN ISLAND

PULMONARY DISEASE

AHMED, NAEEM MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1715Provider ID:

44

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

PULMONARY DISEASE

ELSAYEGH, DANY MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13285Provider ID:

PULMONARY DISEASE

ELSAYEGH, DANY MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9488Fax: 718-226-8132 Languages: English

PRO13526Provider ID:

PULMONARY DISEASE

GOTTLIEB, PETER M MD

2905 HYLAN BLVD

STATEN ISLAND, NY 10306

Phone: (718)351-1212Fax: (718)351-4114 Languages: HINDI,

SPANISH,URDU

PRO2514Provider ID:

PULMONARY DISEASE

GOTTLIEB, PETER M MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: SPANISH

PRO1716Provider ID:

PULMONARY DISEASE

OLAJITAN, ADEBAMBO D MD

800 MANOR RD STE 3

STATEN ISLAND, NY 10314

Phone: (347)562-2753Fax: (347)289-5100 Languages: YORUBA

PRO2489Provider ID:

PULMONARY DISEASE

SASSO, LOUIS A MD

242 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6494Fax: Languages: English

PRO13399Provider ID:

RADIATION MEDICINE

STATEN ISLAND

RADIATION MEDICINE

VIGNERI, PHILLIP J DO

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-8591Fax: Languages: English

PRO13438Provider ID:

RADIOLOGY

STATEN ISLAND

RADIOLOGY

BUKHMAN, RITA S MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13504Provider ID:

RADIOLOGY

BUKHMAN, RITA S MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13250Provider ID:

RADIOLOGY

DIPOCE, JAMES MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13277Provider ID:

RADIOLOGY

DIPOCE, JAMES MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13521Provider ID:

RADIOLOGY

DIPOCE, JAMES MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13520Provider ID:

RADIOLOGY

GOYAL, NIKHIL MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13548Provider ID:

RADIOLOGY

GOYAL, NIKHIL MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13547Provider ID:

45

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

RADIOLOGY

GOYAL, NIKHIL MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13306Provider ID:

RADIOLOGY

HIRSCHORN, DAVID MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13319Provider ID:

RADIOLOGY

HIRSCHORN, DAVID MD

256B MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13559Provider ID:

RADIOLOGY

HIRSCHORN, DAVID MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13558Provider ID:

RADIOLOGY

LOWRY, JOSEPH W MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13348Provider ID:

RADIOLOGY

PATEL, NEESHA S MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: Languages: English

PRO13380Provider ID:

RADIOLOGY

PATEL, NEESHA S MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: Languages: English

PRO13619Provider ID:

RADIOLOGY

PATEL, NEESHA S MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: Languages: English

PRO13618Provider ID:

RADIOLOGY

RAIA, CAROLYN MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13628Provider ID:

RADIOLOGY

RAIA, CAROLYN MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13627Provider ID:

RADIOLOGY

RAIA, CAROLYN MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13388Provider ID:

RADIOLOGY

TRENKMANN, ERIC E MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13430Provider ID:

RADIOLOGY

TRENKMANN, ERIC E MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13664Provider ID:

RADIOLOGY

TRENKMANN, ERIC E MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13663Provider ID:

RADIOLOGY

WALLED, DOUGLAS G MD

256 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-8198 Languages: English

PRO13673Provider ID:

46

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

RADIOLOGY

WALLED, DOUGLAS G MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: 718-226-9175Fax: 718-8198 Languages: English

PRO13672Provider ID:

RADIOLOGY

WALLED, DOUGLAS G MD

475 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-9175Fax: 718-8198 Languages: English

PRO13442Provider ID:

SURGERY - CARDIOVASCULAR

& THORACIC

STATEN ISLAND

SURGERY - CARDIOVASCULAR

& THORACIC

BREVETTI, GREGORY R MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1726Provider ID:

SURGERY - CARDIOVASCULAR

& THORACIC

GENOVESI, MARK H MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1727Provider ID:

SURGERY - GENERAL

STATEN ISLAND

SURGERY - GENERAL

AFTHINOS, JOHN N MD

256 MASON AVE

STATEN ISLAND, ny 10305

Phone: (718)226-9158Fax: (718)226-6964 Languages: English

PRO13220Provider ID:

SURGERY - GENERAL

AGRAWAL, KISHORE S MD

4287 RICHMOND AVE

STATEN ISLAND, NY 10312

Phone: 718-948-1273Fax: 718-984-6932 Languages: English

PRO13221Provider ID:

SURGERY - GENERAL

BLOOM, SCOTT W MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6398Fax: Languages: English

PRO13242Provider ID:

SURGERY - GENERAL

CASTELLANO, MICHAEL R MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9500Fax: Languages: English

PRO13254Provider ID:

SURGERY - GENERAL

COOMER, CYNARA L MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6398Fax: Languages: English

PRO13262Provider ID:

SURGERY - GENERAL

Coppa, Gene F MD

256 Mason Avenue

Staten Island, NY 10305

Phone: (718)226-1595Fax: (718)226-1259 Languages: English

PRO5809Provider ID:

SURGERY - GENERAL

Coppa, Gene F MD

1460 Victory Boulevard

Staten Island, NY 10301

Phone: (718)273-7059Fax: (718)442-7149 Languages: English

PRO5810Provider ID:

SURGERY - GENERAL

COPPA, GENE F MD

1460 VICTORY BOULEVARD,

SUITE D

STATEN ISLAND, NY 10301

Phone: (718)273-7059Fax: (718)442-7149 Languages: English

PRO10857Provider ID:

SURGERY - GENERAL

COPPA, GENE F MD

256 MASON AVENUE, BUILDING

B 2ND FLOOR

STATEN ISLAND, NY 10305

Phone: (718)226-1595Fax: (718)226-1259 Languages: English

PRO10861Provider ID:

SURGERY - GENERAL

D'ANNA, JOHN A MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-2950Fax: 718-226-1295 Languages: English

PRO13268Provider ID:

47

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

SURGERY - GENERAL

GIBBS, KAREN E MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-1300Fax: 718-226-1259 Languages: English

PRO13298Provider ID:

SURGERY - GENERAL

JUNG, LANCE MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: KOREAN

PRO1724Provider ID:

SURGERY - GENERAL

McMullen, Heather F MD

475 Seaview Avenue

Staten Island, NY 10305

Phone: (516)496-2752Fax: (516)496-2763 Languages: English

PRO13156Provider ID:

SURGERY - GENERAL

PAHUJA, MURLIDHAR MD

4287 RICHMOND AVE

STATEN ISLAND, NY 10312

Phone: 718-967-6230Fax: 718-984-6932 Languages: English

PRO13377Provider ID:

SURGERY - GENERAL

TAMMARO, YOLANDA R MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6398Fax: Languages: English

PRO13426Provider ID:

SURGERY - GENERAL

VULPE, CORNELIU MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: SPANISH, FRENCH,

ROM

PRO1725Provider ID:

SURGERY - GENERAL &

THORACIC

STATEN ISLAND

SURGERY - GENERAL &

THORACIC

HARRIS, LOREN MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1728Provider ID:

SURGERY - ORTHOPAEDIC

STATEN ISLAND

SURGERY - ORTHOPAEDIC

BHUPATHI, CHINAGANDHAM

MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1703Provider ID:

SURGERY - ORTHOPAEDIC

JAYARAM, NADUBEETHI MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1704Provider ID:

SURGERY - ORTHOPAEDIC

URS, KRISHNE MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1705Provider ID:

SURGERY - VASCULAR

STATEN ISLAND

SURGERY - VASCULAR

ROTELLA, VITTORIO E MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: ITALIAN, FRENCH

PRO1729Provider ID:

SURGERY OF THE HAND

STATEN ISLAND

SURGERY OF THE HAND

CULLIFORD, ALFRED T MD

1000 SOUTH AVE

STATEN ISLAND, NY 10314

Phone: 718-226-6780Fax: 718-226-6530 Languages: English

PRO13265Provider ID:

SURGICAL CRITICAL CARE

STATEN ISLAND

SURGICAL CRITICAL CARE

ATANASSOV, KRASSIMIR D MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6260Fax: 718-226-1247 Languages: English

PRO13233Provider ID:

48

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

Richmond County - SPECIALIST 575 Specialists

SURGICAL CRITICAL CARE

FASANYA, CHARLES T MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13289Provider ID:

SURGICAL CRITICAL CARE

KALINA, MICHAEL DO

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6220Fax: Languages: English

PRO13327Provider ID:

SURGICAL ONCOLOGY

STATEN ISLAND

SURGICAL ONCOLOGY

PICON, ANTONIO I MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6398Fax: 718-226-1295 Languages: English

PRO13382Provider ID:

SURGICAL PATHOLOGY

STATEN ISLAND

SURGICAL PATHOLOGY

GUARINO, ROBERT A MD

1 EDGEWATER STREET

STATEN ISLAND, NY 10305

Phone: 718-226-4130Fax: 718-226-4185 Languages: English

PRO13309Provider ID:

SURGICAL PATHOLOGY

KONG, FANYI MD

1 EDGEWATER STREET

STATEN ISLAND, NY 10305

Phone: 718-336-4130Fax: 718-226-4185 Languages: English

PRO13342Provider ID:

SURGICAL PATHOLOGY

MODY, KOKILA M MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-4128Fax: 718-226-1957 Languages: English

PRO13364Provider ID:

SURGICAL PATHOLOGY

OPITZ, LYNNE M MD

1 EDGEWATER STREET

STATEN ISLAND, NY 10305

Phone: 718-226-4130Fax: 718-226-4185 Languages: English

PRO13375Provider ID:

SURGICAL PATHOLOGY

WRZOLEK, MONIKA A MD

1 EDGEWATER STREET

STATEN ISLAND, ny 10305

Phone: 718-226-4130Fax: 718-226-4185 Languages: English

PRO13447Provider ID:

THORACIC AND CARDIAC

SURGERY

STATEN ISLAND

THORACIC AND CARDIAC

SURGERY

MCGINN, JOSEPH T MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6210Fax: 718-226-1563 Languages: English

PRO13598Provider ID:

THORACIC AND CARDIAC

SURGERY

MCGINN, JOSEPH T MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6210Fax: 718-226-1563 Languages: English

PRO13361Provider ID:

THORACIC AND CARDIAC

SURGERY

NABAGIEZ, JOHN P MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6210Fax: 718-226-1563 Languages: English

PRO13367Provider ID:

THORACIC AND CARDIAC

SURGERY

ROSELL, FRANK M MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6210Fax: 718-226-1563 Languages: English

PRO13391Provider ID:

THORACIC AND CARDIAC

SURGERY

WOHLER, ALEXANDER M MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6210Fax: 718-226-1563 Languages: English

PRO13445Provider ID:

UROGYNECOLOGY

STATEN ISLAND

49

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

UROGYNECOLOGY

KIM, LAURA S MD

900 SOUTH AVE

STATEN ISLAND, ny 10314

Phone: 718-226-2533Fax: Languages: English

PRO13579Provider ID:

UROGYNECOLOGY

KIM, LAURA S MD

440 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-8642Fax: Languages: English

PRO13337Provider ID:

UROLOGY

STATEN ISLAND

UROLOGY

BASILLOTE, JAY B MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: TAGALOG

PRO1730Provider ID:

UROLOGY

KARANIKOLAS, NICHOLAS T

MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13330Provider ID:

UROLOGY

KARANIKOLAS, NICHOLAS T

MD

900 SOUTH AVE

STATEN ISLAND, NY 10314

Phone: Fax: Languages: English

PRO13573Provider ID:

UROLOGY

KARANIKOLAS, NICHOLAS T

MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13572Provider ID:

UROLOGY

KATLOWITZ, NACHUM M MD

900 SOUTH AVE

STATEN ISLAND, NY 10314

Phone: 718-226-6461Fax: Languages: English

PRO13574Provider ID:

UROLOGY

KATLOWITZ, NACHUM M MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6461Fax: Languages: English

PRO13331Provider ID:

UROLOGY

KHANNA, HIMANSH MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: HINDI

PRO1731Provider ID:

UROLOGY

LAMONICA, JOANNE MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: English

PRO1732Provider ID:

UROLOGY

MAGGIO, RICHARD MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: SPANISH, ITALIAN

PRO1733Provider ID:

UROLOGY

MOSS, VANCE JOSHAUN J MD

242 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6461Fax: 718-226-1299 Languages: English

PRO13365Provider ID:

UROLOGY

MOSS, VANCE JOSHAUN J MD

900 SOUTH AVE

STATEN ISLAND, NY 10314

Phone: 718-226-6461Fax: 718-226-1299 Languages: English

PRO13603Provider ID:

UROLOGY

MOTTA, JOSEPH MD

1050 CLOVE RD

STATEN ISLAND, NY 10301

Phone: (718)816-6440Fax: (718)228-8141 Languages: ITALIAN

PRO1734Provider ID:

UROLOGY

SAVINO, MICHAEL A MD

375 SEGUINE AVE

STATEN ISLAND, ny 10309

Phone: Fax: Languages: English

PRO13401Provider ID:

VASCULAR SURGERY

STATEN ISLAND

50

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

VASCULAR SURGERY

DEITCH, JONATHAN MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6398Fax: Languages: English

PRO13518Provider ID:

VASCULAR SURGERY

DEITCH, JONATHAN MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6398Fax: Languages: English

PRO13273Provider ID:

VASCULAR SURGERY

SCHOR, JONATHAN A MD

256 MASON AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13406Provider ID:

VASCULAR SURGERY

SCHOR, JONATHAN A MD

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: Fax: Languages: English

PRO13642Provider ID:

VASCULAR SURGERY

SINGH, KULDEEP MD

501 SEAVIEW AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6398Fax: 718-226-1295 Languages: English

PRO13653Provider ID:

VASCULAR SURGERY

SINGH, KULDEEP MD

256 MASON AVE

STATEN ISLAND, ny 10305

Phone: 718-226-6800Fax: 718-226-1295 Languages: English

PRO13415Provider ID:

VASCULAR SURGERY

ZIA, SAQIB MBBS

501 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-6800Fax: 718-226-1295 Languages: English

PRO13452Provider ID:

VASCULAR SURGERY

ZIA, SAQIB MBBS

4287 RICHMOND AVE

STATEN ISLAND, NY 10312

Phone: 718-226-6800Fax: 718-226-1295 Languages: English

PRO13685Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

STATEN ISLAND

VASCULAR/INTERVENT

RADIOLOGY

GIORDANO, CHRISTOPHER F

MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13542Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

GIORDANO, CHRISTOPHER F

MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13541Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

GIORDANO, CHRISTOPHER F

MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13299Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

MACHLEDER, DANIEL MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13349Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

MACHLEDER, DANIEL MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13591Provider ID:

51

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Specialists/ Especialistas

RICHMOND County - SPECIALIST 575 Specialists

VASCULAR/INTERVENT

RADIOLOGY

MACHLEDER, DANIEL MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13590Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

SCHEINER, JONATHAN E MD

256B MASON AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13640Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

SCHEINER, JONATHAN E MD

375 SEGUINE AVE

STATEN ISLAND, NY 10309

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13639Provider ID:

VASCULAR/INTERVENT

RADIOLOGY

SCHEINER, JONATHAN E MD

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: 718-226-9175Fax: 718-226-8198 Languages: English

PRO13404Provider ID:

52

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Hospitals/ Hospitales

RICHMOND County - HOSPITALS 2 Hospitals

ACUTE CARE HOSPITAL

STATEN ISLAND

ACUTE CARE HOSPITAL

STATEN ISLAND UNIVERSITY

HOSPITAL,

375 SEQUINE AVE

STATEN ISLAND, NY 10309

Phone: (718)226-2000Fax: Languages: English

F00000267Provider ID:

ACUTE CARE HOSPITAL

STATEN ISLAND UNIVERSITY

HOSPITAL,

475 SEAVIEW AVE

STATEN ISLAND, NY 10305

Phone: (718)226-9000Fax: Languages: English

F00000268Provider ID:

53

*Not Accepting New Patients **Does Not Accept Medicaid

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Section 2 - List of Network Providers/ Sección 2 - Lista de Proveedores de la Red

Ancillary Health Services/ Servicios de Salud Auxiliar

RICHMOND County - ANCILLARY HEALTH SERVICES 3 AHS Providers

Dental Services

STATEN ISLAND

Dental Services

HealthPLEX,

333 EARLE OVINGTON BLVD

STE 300

STATEN ISLAND, NY 10305

Phone: (888)468-2185Fax: (888)468-2185 Languages: English

F00000295Provider ID:

PHYSICAL THERAPY CENTER

STATEN ISLAND

PHYSICAL THERAPY CENTER

VICTORY PHYSICAL THERAPY,

PC,

2550 VICTORY BLVD STE 301

STATEN ISLAND, NY 10301

Phone: (718)761-0017Fax: (718)761-7522 Languages: English

F00000159Provider ID:

PHYSICAL THERAPY CENTER

WELLHEALTH

REHABILITATION LLC,

5428 AMBOY RD

STATEN ISLAND, NY 10306

Phone: (718)605-0055Fax: (718)605-0066 Languages: English

F00000160Provider ID:

54

*Not Accepting New Patients **Does Not Accept Medicaid

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This directory provides a list of Quality Health Plans of New York’s network providers.

This directory is for RICHMOND county.

This directory is current as of 10/15/2015. Some network providers may have been added or removed

from our network after this directory was printed. We do not guarantee that each provider is still

accepting new members. To get the most up-to-date information about Quality Health Plans of New

York’s network providers in your area, you can visit http://qhpny.com/provider-directories-16.html or

call our Member Service Department at 877-233-7058, 7-days a week, 8:00 a.m. - 8:00 p.m. Eastern

Standard Time (“EST” ) from October 1 to February 14, and Monday through Friday, 8:00 a.m. -

8:00 p.m. EST from February 15 to September 30. TTY/TDD users should call 711.

Quality Health Plans of New York is an HMO plan with a Medicare contract. Enrollment in Quality

Health Plans of New York depends on contract renewal.

TThis information is available for free in other languages. Please contact our Member service

number at 1-877-233-7058 for additional information.

Esta información está disponible de forma gratuita en otros idiomas. Por favor, póngase en contacto

con nuestro número de Servicio al Miembro al 1-877-233-7058 para obtener información adicional.

This document may be available in an alternate format such as Braille, larger print or audio.

H2773_QHPNY0816_accepted

Este directorio proporciona una lista de Quality Health Plans of New York’s proveedores de la red.

Este directorio es para el Condado de RICHMOND county.

Este directorio está actualizada a 10/15/2015. Algunos proveedores de la red pueden haber sido

añadidos o eliminados de nuestra red después de la impresión de este directorio. No garantizamos que

cada proveedor todavía está aceptando nuevos miembros. Para obtener la información más actualizada

sobre los proveedores de la red de Quality Health Plans de New York en su área, puede visitar

http://qhpny.com/provider-directories-16.html o llamar a nuestro Departamento de Servicio de

Miembros al 1-877-233-7058, los 7 días de la semana, de 8:00a.m-8:p.m. hora del Este del 1 de

Octubre al 14 de Febrero y de Lunes a Viernes de 8:00a.m. -8:00p.m hora del Este del 15 de Febrero a

Septiembre. Los usuarios de TTY/TDD deben llamar al 711.

Quality Health Plans of New York es un plan HMO con un contrato de Medicare. La inscripción en

Quality Health Plans of New York depende de la renovación de contrato.

Esta información está disponible de forma gratuita en otros idiomas. Por favor, póngase en contacto

con nuestro número de Servicio al Miembro al 1-877-233-7058 para obtener información adicional.

Este documento puede estar disponible en un formato alternativo como Braille, letra grande o audio.

H2773_QHPNY0816S Accepted