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Spanish - Quality Health Plans of New York

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Directorio de Proveedores del Plan <strong>Quality</strong><br />

<strong>Health</strong> <strong>Plans</strong><br />

En este directorio se proporciona una lista de los proveedores de la red de <strong>Quality</strong> <strong>Health</strong><br />

<strong>Plans</strong>.<br />

Este directorio está destinado al área ALBERTSON, AMITYVILLE, ASTORIA, BABYLON,<br />

BALDWIN, BAY SHORE, BAYSIDE, BELLE HARBOR, BELLEROSE, BELLMORE, BETHPAGE,<br />

BRENTWOOD , BRIARWOOD, BRIDGEHAMPTON, CAMBRIA HEIGHTS, CARLE PLACE,<br />

CEDARHURST, CENTER MORICHES, CENTEREACH, CENTERPORT, COMMACK, COPIAGUE,<br />

CORAM, CORONA, DEER PARK, EAST HILLS, EAST ISLIP, EAST MEADOW, EAST MORICHES,<br />

EAST SETAUKET, ELMHURST, ELMONT, FAR ROCKAWAY, FARMINGDALE, FLORAL PARK,<br />

FLUSHING, FOREST HILLS, FRANKLIN SQUARE, FREEPORT, FRESH MEADOWS, GARDEN<br />

CITY, GARDEN CITY PARK, GLEN COVE, GLEN OAKS, GREAT NECK, GREENPORT,<br />

HAUPPAUGE, HEMPSTEAD, HEWLETT, HICKSVILLE, HOLLIS, HOWARD BEACH, HUNTINGTON,<br />

HUNTINGTON STATION, INWOOD, ISLAND PARK, ISLANDIA, ISLIP, JACKSON HEIGHTS,<br />

JAMAICA, JAMAICA ESTATES, JERICHO, KEW GARDENS, LAKE GROVE, LAKE RONKONKOMA,<br />

LAKE SUCCESS, LAWRENCE, LEVITTOWN, LINDENHURST, LITTLE NECK, LONG BEACH,<br />

LYNBROOK, MALVERNE, MANHASSET, MANORVILLE, MASPETH, MASSAPEQUA,<br />

MASSAPEQUA PARK, MASTIC, MATTITUCK, MEDFORD, MELVILLE, MERRICK, MIDDLE ISLAND,<br />

MIDDLE VILLAGE, MILLER PLACE, MINEOLA, MOUNT SINAI, NESCONSET, NEW HYDE PARK,<br />

NEW YORK, NORTH BABYLON, NORTH BELLMORE, NORTH MASSAPEQUA, NORTHPORT,<br />

OAKDALE, OAKLAND GARDENS, OCEANSIDE, OZONE PARK, PATCHOGUE, PLAINVIEW, PORT<br />

JEFFERSON, PORT JEFFERSON STATION, PORT WASHINGTON, QUEENS VILLAGE, REGO<br />

PARK, RICHMOND HILL, RIDGE, RIDGEWOOD, RIVERHEAD, ROCKAWAY PARK, ROCKVILLE<br />

CENTER, ROCKVILLE CENTRE, ROCKY POINT, RONKONKOMA, ROSEDALE, ROSLYN, ROSLYN<br />

HEIGHTS, SAINT ALBANS, SAINT JAMES, SAYVILLE, SEAFORD, SELDEN, SHELTER ISLAND,<br />

SHIRLEY, SHOREHAM, SMITHTOWN, SOUTH OZONE PARK, SOUTH RICHMOND HILL,<br />

SOUTHAMPTON, SPRINGFIELD GARDENS, STONY BROOK, SUNNYSIDE, SYOSSET,<br />

UNIONDALE, VALLEY STREAM, WADING RIVER, WANTAGH, WEST HEMPSTEAD, WEST ISLIP,<br />

WEST SAYVILLE, WESTBURY, WHITESTONE, WOODBURY, WOODHAVEN, WOODMERE AND<br />

WOODSIDE.<br />

Este directorio está actualizado al 11/6/2012. Puede que se hayan agregado o quitado<br />

algunos proveedores de nuestra red después de la impresión de este directorio. No<br />

garantizamos que todos los proveedores sigan aceptando nuevos miembros. Para obtener la<br />

información más actualizada acerca de los proveedores de la red de <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong> en<br />

su zona, puede visitar nuestro sitio web en www.qualityhealthplansny.com llame a nuestro<br />

Departamento de Servicio al Cliente al 1-877-233-7058, de domingos a sábados, de 8:00 am<br />

a 8:00 pm desde 1 de Octubre a el 14 de Febrero, y de lunes a viernes, 8:00am a 8:00pm<br />

hasta el próximo Periodo de Inscripción Anual]. Los usuarios de TTY/TDD deben llamar al<br />

711.<br />

<strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong> es un plan HMO con un contrato con Medicare.<br />

Esta información está disponible de manera gratuita en otros idiomas. Por favor, póngase en<br />

contacto con nuestro número de Servicio al Cliente al 1-877-233-7058 para más<br />

información.<br />

This information is available for free in other languages. Please contact our customer<br />

service number at 1-877-233-7058 for additional information.<br />

Este documento puede obtenerse en un formato alterno como Braille, tipografía grande o<br />

audio.<br />

H2773_QHPNY0465v2S Accepted<br />

i


Sección 1: Introducción<br />

En este directorio se proporciona una lista de los proveedores de la red de <strong>Quality</strong> <strong>Health</strong><br />

<strong>Plans</strong>. Para obtener información detallada sobre su cobertura de atención médica, consulte<br />

su Evidencia de Cobertura.<br />

Usted deberá elegir uno de los proveedores de nuestra red que se lista en este directorio<br />

como su Médico de cuidados primarios (PCP por sus siglas en inglés). El término “PCP” se<br />

utilizará en todo este directorio. Generalmente, debe recibir su atención médica de parte de<br />

un médico de cuidados primarios (PCP). Su PCP es un Pr<strong>of</strong>esional de la Atención Médica<br />

que cumple los requisitos estatales y está capacitado para brindarle atención médica básica .<br />

Como explicamos más adelante, usted recibirá su atención de rutina o básica de su PCP. Él<br />

o ella también podría hablar con otros doctores y proveedores de atención médica y remitirlo<br />

a ellos. Su PCP coordinará también el resto de los servicios cubiertos que usted obtiene<br />

como miembro del plan. Por ejemplo, para ver a un especialista, habitualmente usted<br />

primero tiene que obtener la aprobación de su PCP (esto se conoce como obtener una<br />

“remisión” para un especialista).<br />

Los “proveedores de la red” que se listan en este directorio aceptaron proporcionarle la<br />

cobertura atención médica/visual/dental. Puede acudir a cualquiera de los proveedores de<br />

nuestra red que figuran en este directorio; aunque algunos servicios pueden requerir referido .<br />

Si ha estado yendo con un proveedor de la red, no debe continuar yendo a ese mismo<br />

proveedor. En algunos casos, puede recibir servicios cubiertos por parte de proveedores que<br />

no pertenecen a la red.<br />

Si algún proveedor no perteneciente a la red le solicita el pago de servicios que están<br />

cubiertos. Pídale a su proveedor no perteneciente a la red, que nos envíe una factura<br />

primero a <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong>.<br />

<strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong><br />

Atención: Claims Processing<br />

P.O. Box 340397<br />

Tampa, FL 33694<br />

Le pagaremos a su proveedor no perteneciente a la red nuestra parte de la factura y le<br />

informaremos a usted, en todo caso, si tiene algo que pagar. Si usted ya pagó por los<br />

servicios cubiertos, envíenos la factura y la prueba de pago a la dirección que aparece arriba<br />

y le reembolsaremos nuestra parte del costo.<br />

Debe utilizar proveedores del plan, excepto en situaciones que requieran atención de<br />

emergencia o urgencia o para diálisis renal o para otro servicio fuera del área. Si recibe<br />

atención de rutina de proveedores fuera de la red, ni Medicare ni <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong> serán<br />

responsables de los costos.<br />

ii


Cobertura Fuera del Área de Servicio<br />

Cubrimos ciertos servicios de atención de médica que usted recibe de proveedores fuera de<br />

la red. Estos incluyen cuidados para una atención de emergencia médica, situaciones de<br />

atención urgentes o diálisis renal (riñón) que recibe cuando está fuera del área de servicio del<br />

plan, atención que ha sido aprobado por adelantado por <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong>, y cualquier<br />

servicio que fue ordenado y cubierto a través de un proceso de apelación.<br />

Recibiendo atención si tiene una emergencia médica o una necesidad de<br />

atención urgente<br />

¿Qué es una emergencia médica<br />

Una situación es una “emergencia médica” si usted considera de una manera razonable<br />

que su salud está en grave peligro. Esto significa que cada segundo cuenta. Algunos<br />

ejemplos de “emergencias médicas” son: dolor agudo, una lesión grave, una enfermedad<br />

grave o una condición médica que empeora.<br />

¿Qué hacer ante una emergencia médica<br />

Si usted tiene una emergencia médica:<br />

· Obtenga atención médica tan pronto como pueda. Llame al 911 para solicitar<br />

ayuda o vaya directamente a la sala de emergencia más cercana. En caso de<br />

cualquier emergencia, usted no tiene que comunicarse con ningún proveedor<br />

del plan, ni siquiera con su propio PCP, para obtener un permiso<br />

(“autorización”) o remisión.<br />

· Sin embargo, tan pronto como sea posible, usted o cualquier otra persona debe<br />

comunicarse con su PCP dentro de 48 horas, al número que aparece en la tarjeta<br />

de miembro de <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong>. Su PCP necesita saber sobre su emergencia<br />

porque le brindará atención de seguimiento. Por favor trate de comunicarse con su<br />

PCP para informarle sobre su emergencia en un plazo de 48 horas.<br />

Usted también puede obtener atención en casos de urgencia de proveedores no<br />

pertenecientes a la red cuando esté temporalmente fuera del área de servicio del plan .<br />

Puede además recibir atención de urgencia de proveedores no pertenecientes a la red<br />

cuando se encuentre en el área de servicio, pero que debido a circunstancias poco<br />

comunes o extraordinarias, los proveedores del plan no estén disponibles o estén<br />

inaccesibles temporalmente. Cuando temporalmente fuera del área de servicio del plan ,<br />

atención urgente, incluyendo diálisis, quizás obtenida del primer proveedor disponible.<br />

Usted debe usar los proveedores del plan menos en emergencias, situaciones de<br />

atención urgentes o diálisis renal (riñón) que recibe cuando está fuera del área de servicio<br />

del plan u otros servicios. Si usted obtiene atención de rutina de proveedores fuera de la<br />

red ni Medicare ni <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong> serán responsables de los costos.<br />

iii


¿Cuál es el área de servicio de <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong><br />

Los condados en su área de servicio se listan a continuación.<br />

NASSAU, QUEENS AND SUFFOLK<br />

¿Cómo buscar proveedores de <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong> en su área<br />

En la sección delantera de este directorio encontrara los PCP que forman parte de <strong>Quality</strong><br />

<strong>Health</strong> <strong>Plans</strong> de la red listada por condado y ciudad. La próxima sección de este libro<br />

enumera los especialistas de nuestro plan. La siguiente sección enumera los hospitales de<br />

la red, centro de enfermería especializada, proveedores de salud mental y otros<br />

proveedores.<br />

Si tiene preguntas acerca de <strong>Quality</strong> <strong>Health</strong> <strong>Plans</strong> o necesita ayuda para seleccionar un<br />

médico de cuidados primarios o “PCP”, llame a nuestro Departamento de Servicios para el<br />

Cliente al 1-877-233-7058, de domingos a sábados, de 8:00 am a 8:00 pm desde 1 de<br />

Octubre a el 14 de Febrero, y de lunes a viernes, 8:00am a 8:00pm hasta el próximo Periodo<br />

de Inscripción Anual. Los usuarios de TTY/TDD deben llamar al 711. O visite<br />

www.qualityhealthplansny.com.<br />

iv


Sección 2 - Lista de proveedores de la red<br />

Entre los diferentes tipos de proveedores se incluyen PCP, Especialistas, Hospitales, Centros<br />

de Enfermería Especializada, Proveedores de Salud Mental y Farmacias. El número total de<br />

proveedores en cada tipo se relaciona en el encabezamiento Tipo de Proveedor para cada<br />

tipo. Los proveedores marcados con un asterisco (*) no aceptan Medicaid, los proveedores<br />

con 3 asteriscos (***) no estan aceptando nuevos pacientes.<br />

v


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

Primary Care<br />

Physicians<br />

Family Medicine<br />

NASSAU<br />

HEMPSTEAD<br />

Parris, Marcia :M.D.<br />

PCP0696<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

286<br />

Deratus, Karl :M.D.<br />

PCP0692<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

Johnson, Charmaine<br />

:D.O.<br />

PCP0693<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

THOMAS, NICOLE<br />

Y:MD<br />

PCP0441<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

JAMAICA<br />

Deratus, Karl :M.D.<br />

PCP0691<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

HICKSVILLE<br />

Blacher, Eric :MD<br />

PCP0690<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Krotz, William :M.D.<br />

PCP0694<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

NEW HYDE PARK<br />

BARASCH,<br />

DAPHNA-RAQUEL<br />

:DO<br />

PCP0455<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

Languages: HEBREW<br />

VALLEY STREAM<br />

QUEENS<br />

ELMHURST<br />

YEE, WALTER :MD*<br />

PCP0439<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

FLUSHING<br />

FORDE, SANDRA<br />

L:MD<br />

PCP0453<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

PARIKH, SUNEEL<br />

V:MD<br />

PCP0445<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

FOREST HILLS<br />

RICHMOND HILL<br />

SHAH, SAPNA :MD<br />

PCP0443<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: HINDI, URDU, TAMIL, GUJARATI<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Krotz, William :M.D.<br />

PCP0695<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

TAKO, MODESTA<br />

M:MD<br />

PCP0442<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Languages: GERMAN, FRENCH<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

6


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

VINAYAGASUNDARA<br />

M, BHANUMATHY<br />

:MD<br />

PCP0440<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Languages: TAMIL, TELUGU<br />

NORTH BABYLON<br />

KAMINENI,<br />

BHARATHI :MD<br />

PCP0149<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

KROTZ, WILLIAM<br />

C:MD<br />

PCP0449<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

SHOENFELD, ERIC<br />

:MD<br />

PCP0020<br />

927 MERRICK RD<br />

BALDWIN,NY 11510<br />

Phone: (516)623-6095<br />

Fax: (516)623-6097<br />

Languages: SPANISH<br />

BELLMORE<br />

BROWN, SCOTT G:DO<br />

PCP0043<br />

2374 JERUSALEM AVE<br />

BELLMORE,NY 11710<br />

Phone: (516)409-8311<br />

Fax: (516)409-8313<br />

Languages: SPANISH<br />

LEVENTHAL, KEITH<br />

S:DO<br />

PCP0035<br />

2374 JERUSALEM AVE<br />

BELLMORE,NY 11710<br />

Phone: (516)409-8311<br />

Fax: (516)409-8313<br />

Languages: SPANISH<br />

BETHPAGE<br />

FELICIANO, DEBBIE<br />

:MD*<br />

PCP0071<br />

104 FOREST AVE<br />

GLEN COVE,NY 11542<br />

Phone: (516)759-5406<br />

Fax: (516)759-5537<br />

Languages: TAGALOG<br />

SAMUEL, RUSSELL<br />

H:MD*<br />

PCP0041<br />

104 FOREST AVE<br />

GLEN COVE,NY 11542<br />

Phone: (516)759-5406<br />

Fax: (516)759-5537<br />

Languages: SPANISH<br />

HEWLETT<br />

KHAN, AIJAZ :MD<br />

PCP0586<br />

1420 BROADWAY<br />

HEWLETT,NY 11557<br />

Phone: (516)374-8600<br />

Fax: (516)374-5325<br />

Languages: URDU<br />

ISLAND PARK<br />

MAZID, MOHAMMAD<br />

N:MD<br />

PCP0446<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: BENGALI, HINDI<br />

FAMILY PRACTICE<br />

NASSAU<br />

BALDWIN<br />

RACHLIN, GARY<br />

K:DO*<br />

PCP0067<br />

160 HICKSVILLE RD<br />

BETHPAGE,NY 11714<br />

Phone: (516)731-1900<br />

Fax: (516)731-7302<br />

FARMINGDALE<br />

HOROWITZ, STUART<br />

:MD<br />

PCP0600<br />

1111 RTE 10<br />

FARMINGDALE,NY 11735<br />

Phone: (516)868-9700<br />

Fax: (631)752-3602<br />

BEDELL, JOHN D:DO<br />

PCP0431<br />

4042 A AUSTIN BLVD<br />

ISLAND PARK,NY 11558<br />

Phone: (516)670-8800<br />

Fax: (516)670-8803<br />

Languages: SPANISH<br />

CASTIGLIA,<br />

CAROLYN M:DO<br />

PCP0103<br />

4042 A AUSTIN BLVD<br />

ISLAND PARK,NY 11558<br />

Phone: (516)670-8800<br />

Fax: (516)670-8803<br />

Languages: RUSSIAN<br />

LYNBROOK<br />

GLEN COVE<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

7


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

SOSKEL, NEIL B:DO*<br />

PCP0036<br />

185 MERRICK RD STE 1B<br />

LYNBROOK,NY 11563<br />

Phone: (516)887-0077<br />

Fax: (516)887-5365<br />

Languages: SPANISH<br />

MASSAPEQUA<br />

SISSELMAN, JILL<br />

:DO*<br />

PCP0026<br />

100 VETERANS BLVD STE 2<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)308-4040<br />

Fax: (516)804-6386<br />

OCEANSIDE<br />

KHAN, AIJAZ :MD<br />

PCP0592<br />

187 DOT CT E<br />

OCEANSIDE,NY 11572<br />

Phone: (516)764-3310<br />

Fax: (516)766-0918<br />

Languages: URDU<br />

SEAFORD<br />

CUSUMANO,<br />

STEPHEN P:MD*<br />

PCP0432<br />

850 HICKSVILLE RD STE 110<br />

SEAFORD,NY 11783<br />

Phone: (516)735-5454<br />

Fax: (516)735-6121<br />

ASTORIA<br />

PIPIA, AMBROSE<br />

:MD*<br />

PCP0566<br />

42-07 30TH AVE<br />

ASTORIA,NY 11103<br />

Phone: (718)204-9886<br />

Fax: (718)204-8668<br />

Languages: ITALIAN AND SPANISH<br />

FLUSHING<br />

FASHAKIN,<br />

EMMANUEL O:MD<br />

PCP0017<br />

79-35 153RD ST<br />

FLUSHING,NY 11367<br />

Phone: (718)591-1600<br />

Fax: (718)591-0265<br />

Languages: SPANISH RUSSIAN<br />

PIPIA, AMBROSE<br />

:MD*<br />

PCP0564<br />

157-06 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)353-8933<br />

Fax: (718)358-8934<br />

Languages: ITALIAN AND SPANISH<br />

ZHANG, XIAOXIA<br />

:MD<br />

PCP0646<br />

39-07 PRINCE ST STE 6H<br />

FLUSHING,NY 11354<br />

Phone: (718)886-8718<br />

Fax: (718)886-8780<br />

Languages: CHINESE<br />

QADRI, SYED S:MD<br />

PCP0350<br />

267-01 HILLSIDE AVE<br />

GLEN OAKS,NY 11004<br />

Phone: (718)343-7790<br />

Fax: (718)343-7792<br />

Languages: HINDI PUNJABI<br />

HOLLIS<br />

FASHAKIN,<br />

EMMANUEL O:MD<br />

PCP0551<br />

196-21 HILLSIDE AVE<br />

HOLLIS,NY 11423<br />

Phone: (718)736-0080<br />

Fax: (718)217-6286<br />

Languages: SPANISH RUSSIAN<br />

JACKSON HEIGHTS<br />

MINHAS, SEEMA<br />

J:MD<br />

PCP0538<br />

37-29 72ND ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-9899<br />

Fax: (718)424-8702<br />

Languages: HINDI, PUNJABI<br />

QADRI, SYED S:MD<br />

PCP0540<br />

37-29 72ND ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-9899<br />

Fax: (718)424-8702<br />

Languages: HINDI PUNJABI<br />

JAMAICA<br />

UNIONDALE<br />

MUKHI, SHAKIR<br />

H:MD<br />

PCP0652<br />

897 FRONT ST<br />

UNIONDALE,NY 11553<br />

Phone: (516)486-0094<br />

Fax: (516)486-0110<br />

Languages: SPANISH<br />

GLEN OAKS<br />

MINHAS, SEEMA<br />

J:MD<br />

PCP0347<br />

267-01 HILLSIDE AVE<br />

GLEN OAKS,NY 11004<br />

Phone: (718)343-7790<br />

Fax: (718)343-7792<br />

Languages: HINDI, PUNJABI<br />

IMAM, HASSAN :MD<br />

PCP0490<br />

87-42 PARSONS BLVD<br />

JAMAICA,NY 11432<br />

Phone: (718)206-1288<br />

Fax: (718)206-1289<br />

Languages: PUNJABI, URDU<br />

QUEENS<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

8


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

MINHAS, SEEMA<br />

J:MD<br />

PCP0537<br />

87-42 PARSONS BLVD<br />

JAMAICA,NY 11432<br />

Phone: (718)206-1288<br />

Fax: (718)206-1289<br />

Languages: HINDI, PUNJABI<br />

AJAH, ONYEMACHI<br />

G:MD<br />

PCP0339<br />

111-34 FARMERS BLVD<br />

SAINT ALBANS,NY 11412<br />

Phone: (718)454-1466<br />

Fax: (718)454-1467<br />

Languages: HAUSA<br />

MURATORI, JOHN<br />

:MD<br />

PCP0674<br />

158 EAST MAIN ST<br />

BAY SHORE,NY 11706<br />

Phone: (631)665-5634<br />

Fax: (631)665-5639<br />

MUKHI, SHAKIR<br />

H:MD<br />

PCP0653<br />

165-21 CHAPIN PKWY<br />

JAMAICA,NY 11432<br />

Phone: (718)523-8600<br />

Fax: (718)523-7852<br />

Languages: SPANISH<br />

QADRI, SYED S:MD<br />

PCP0539<br />

87-42 PARSONS BLVD<br />

JAMAICA,NY 11432<br />

Phone: (718)206-1288<br />

Fax: (718)206-1289<br />

Languages: HINDI PUNJABI<br />

WALKER, SONIA :DO<br />

PCP0562<br />

114-81 177TH PL<br />

JAMAICA,NY 11434<br />

Phone: (718)658-6767<br />

Fax: (718)206-0861<br />

RICHMOND HILL<br />

FASHAKIN,<br />

EMMANUEL O:MD<br />

PCP0544<br />

105-22 JAMAICA AVE<br />

RICHMOND HILL,NY 11418<br />

Phone: (718)849-0702<br />

Fax: (718)849-8734<br />

Languages: SPANISH RUSSIAN<br />

SAINT ALBANS<br />

SOUTH RICHMOND HILL<br />

QADRI, SYED S:MD<br />

PCP0541<br />

104-37 LEFFERTS BLVD<br />

SOUTH RICHMOND HILL,N<br />

Phone: (718)322-8494<br />

Fax: (718)322-8495<br />

Languages: HINDI PUNJABI<br />

SPRINGFIELD GARDENS<br />

GRIFFITH REECE,<br />

WENDY :MD<br />

PCP0325<br />

145-24 230TH ST<br />

SPRINGFIELD GARDENS,N<br />

Phone: (718)712-6886<br />

Fax: (718)712-2346<br />

Languages: SPANISH<br />

SUFFOLK<br />

BAY SHORE<br />

BONANNO, RICHARD<br />

JOSEPH:MD<br />

PCP0075<br />

158 E MAIN ST<br />

BAY SHORE,NY 11706<br />

Phone: (631)665-5634<br />

Fax: (631)665-5639<br />

Languages: NONE<br />

CANAVIRE WEBER,<br />

CARLA C:DO<br />

PCP0058<br />

1745 UNION BLVD<br />

BAY SHORE,NY 11706<br />

Phone: (631)328-5560<br />

Fax: (631)328-5559<br />

Languages: SPANISH<br />

PILCHMAN, MARTHA<br />

:MD*<br />

PCP0676<br />

85 W MAIN ST, STE 101<br />

BAY SHORE,NY 11706<br />

Phone: (631)666-1400<br />

Fax: (631)666-5781<br />

Languages: SPANISH<br />

EAST SETAUKET<br />

KONCZYNIN,<br />

WILLIAM T:MD<br />

PCP0051<br />

7 S JERSEY AVE<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)689-2700<br />

Fax: (631)689-7557<br />

Languages: SPANISH<br />

SCHILLER, KEVIN<br />

J:DO<br />

PCP0032<br />

4 TECHNOLOGY DR STE 210<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)331-1506<br />

Fax: (631)331-1705<br />

LAKE GROVE<br />

SELTER, STEVEN<br />

G:MD*<br />

PCP0675<br />

3053 MIDDLE COUNTRY RD<br />

LAKE GROVE,NY 11755<br />

Phone: (631)588-5800<br />

Fax:<br />

Languages: SPANISH<br />

LINDENHURST<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

9


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

BERLEY, STEVEN<br />

:DO*<br />

PCP0052<br />

290 E SUNRISE HWY<br />

LINDENHURST,NY 11757<br />

Phone: (631)226-3600<br />

Fax: (631)226-3607<br />

CONSIGLIERE, GINO<br />

:MD<br />

PCP0015<br />

7 A MEDICAL DR<br />

PORT JEFFERSON STATION<br />

Phone: (631)928-5252<br />

Fax: (631)928-5259<br />

Languages: ITALIAN<br />

DRAGONE, JAMES<br />

A:MD<br />

PCP0669<br />

9 BROOKSITE DR<br />

SMITHTOWN,NY 11787<br />

Phone: (631)724-1331<br />

Fax: (631)724-0336<br />

HOERNING, KEITH<br />

R:DO*<br />

PCP0034<br />

290 E SUNRISE HWY<br />

LINDENHURST,NY 11757<br />

Phone: (631)226-3600<br />

Fax: (631)226-3607<br />

Languages: GERMAN<br />

SANTIAGO, CYNTHIA<br />

:MD<br />

PCP0021<br />

5 ROOSEVELT AVE<br />

PORT JEFFERSON STATION<br />

Phone: (631)732-6984<br />

Fax: (631)732-7019<br />

OBRIEN, KRISTEN<br />

:MD<br />

PCP0667<br />

9 BROOKSITE DR<br />

SMITHTOWN,NY 11787<br />

Phone: (631)724-1331<br />

Fax: (631)360-5646<br />

PATCHOGUE<br />

SHAH, JITENDRA<br />

A:MD*<br />

PCP0005<br />

504 MEDFORD AVE<br />

PATCHOGUE,NY 11772<br />

Phone: (631)475-4646<br />

Fax: (631)447-5234<br />

Languages: HINDI GHJARATI<br />

PORT JEFFERSON<br />

SELTER, STEVEN<br />

G:MD*<br />

PCP0047<br />

102 PROSPECT ST<br />

PORT JEFFERSON,NY 1177<br />

Phone: (631)473-0611<br />

Fax: (631)642-1617<br />

Languages: SPANISH<br />

PORT JEFFERSON STATION<br />

CHAUDRY, AZIZ :MD<br />

PCP0427<br />

2 MEDICAL DR STE B<br />

PORT JEFFERSON STATION<br />

Phone: (631)928-1414<br />

Fax: (631)928-1830<br />

Languages: URDU, SWAHILU, PINJA<br />

SELDEN<br />

AHMED, BASHIR :MD<br />

PCP0074<br />

1305 MIDDLE COUNTRY RD<br />

SELDEN,NY 11784<br />

Phone: (631)320-3053<br />

Fax: (631)320-3054<br />

Languages: URDU PUNJABI<br />

KENNY, DANIELE<br />

:MD*<br />

PCP0461<br />

1312 MIDDLE COUNTRY RD<br />

SELDEN,NY 11784<br />

Phone: (631)698-6556<br />

Fax: (631)698-1021<br />

SMITHTOWN<br />

BELDING, ALFRED<br />

P:MD<br />

PCP0666<br />

9 BROOKSITE DR<br />

SMITHTOWN,NY 11787<br />

Phone: (631)724-1331<br />

Fax: (631)724-0336<br />

SHETTY, SHARMILEE<br />

V:MD<br />

PCP0668<br />

9 BROOKSITE DR<br />

SMITHTOWN,NY 11787<br />

Phone: (631)724-1331<br />

Fax: (631)360-5646<br />

SOUTHAMPTON<br />

FEIN, ALLEN L:MD<br />

PCP0654<br />

205 WIND MILL LN STE A<br />

SOUTHAMPTON,NY 11968<br />

Phone: (631)283-6446<br />

Fax: (631)283-9827<br />

Languages: FRENCH, SPANISH AND<br />

WADING RIVER<br />

SELTER, STEVEN<br />

G:MD*<br />

PCP0530<br />

5968 ROUTE 25A<br />

WADING RIVER,NY 11792<br />

Phone: (631)929-0304<br />

Fax: (631)929-0380<br />

Languages: SPANISH<br />

WEST SAYVILLE<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

10


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

BURKE, STEPHEN<br />

M:MD<br />

PCP0584<br />

213 MONTAUK HWY<br />

WEST SAYVILLE,NY 11796<br />

Phone: (631)563-6205<br />

Fax: (631)563-7718<br />

Languages: SPANISH<br />

CORONA, ANTONIO<br />

PALANCA:MD*<br />

PCP0683<br />

95 FRANKLIN AVENUE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)561-7171<br />

Fax: (516)731-4655<br />

Languages: ENGLISH / TAGALOG<br />

CHAUDHRI, AFTAB<br />

A:MD<br />

PCP0662<br />

965 FENWORTH BLVD<br />

FRANKLIN SQUARE,NY 11<br />

Phone: (516)352-1124<br />

Fax: (516)352-0518<br />

Languages: URDU<br />

LEVITES, KENNETH<br />

B:MD<br />

PCP0557<br />

213 MONTAUK HWY<br />

WEST SAYVILLE,NY 11796<br />

Phone: (631)563-6205<br />

Fax: (631)563-7718<br />

Languages: SPANISH<br />

ZOTTO, NICHOLAS<br />

P:MD<br />

PCP0585<br />

213 MONTAUK HWY<br />

WEST SAYVILLE,NY 11796<br />

Phone: (631)563-6205<br />

Fax: (631)563-7718<br />

Languages: SPANISH<br />

GENERAL<br />

PRACTICE<br />

NASSAU<br />

LEVITTOWN<br />

CORONA, ANTONIO<br />

PALANCA:MD*<br />

PCP0006<br />

1 RANCH LN<br />

LEVITTOWN,NY 11756<br />

Phone: (516)731-4655<br />

Fax: (516)731-4655<br />

Languages: TAGALOG<br />

VALLEY STREAM<br />

SUFFOLK<br />

SHELTER ISLAND<br />

KELT, PETER A:MD<br />

PCP0664<br />

44 S FERRY RD<br />

SHELTER ISLAND,NY 1196<br />

Phone: (631)749-3149<br />

Fax: (631)749-4257<br />

INTERNAL<br />

MEDICINE<br />

NASSAU<br />

CARLE PLACE<br />

DI MAIO, JAMES<br />

J:MD<br />

PCP0023<br />

175 WESTBURY AVE<br />

CARLE PLACE,NY 11514<br />

Phone: (516)876-9121<br />

Fax: (516)279-6412<br />

Languages: SPANISH ITALIAN SOME<br />

FARMINGDALE<br />

POSILLICO,<br />

DOMINICK J:MD*<br />

PCP0438<br />

457 MAIN ST STE 1A<br />

FARMINGDALE,NY 11735<br />

Phone: (516)753-1155<br />

Fax: (516)753-1169<br />

Languages: SPANISH<br />

FREEPORT<br />

ALI, MUHAMMAD<br />

N:MD<br />

PCP0029<br />

33 N OCEAN AVE<br />

FREEPORT,NY 11520<br />

Phone: (516)378-4949<br />

Fax: (516)379-8026<br />

Languages: HINDI URDU SPANISH<br />

CHAK, PETER K:MD<br />

PCP0030<br />

33 N OCEAN AVE<br />

FREEPORT,NY 11520<br />

Phone: (516)378-4949<br />

Fax: (516)379-8026<br />

Languages: CHINESE, MANDARIN, C<br />

GRILL, HOWARD<br />

E:MD*<br />

PCP0054<br />

121 S OCEAN AVE<br />

FREEPORT,NY 11520<br />

Phone: (516)379-5005<br />

Fax: (516)379-9053<br />

Languages: FRENCH<br />

GARDEN CITY<br />

Kadam, Ranjit :M.D.<br />

PCP0709<br />

1000 Zeckendorf Blvd<br />

GARDEN CITY,NY 11530<br />

Phone: 5165425500<br />

Fax: 5165425556<br />

FRANKLIN SQUARE<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

11


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

Kadam, Sejal :M.D.<br />

PCP0711<br />

1000 Zeckendorf Blvd<br />

GARDEN CITY,NY 11530<br />

Phone: 5165425500<br />

Fax: 5165425556<br />

Galanti, Norman :M.D.<br />

PCP0706<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Vaddigiri, Venkatesh<br />

:M.D.<br />

PCP0726<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

HEMPSTEAD<br />

David, Monica :M.D.<br />

PCP0700<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

PANISH, MARK<br />

B:MD*<br />

PCP0165<br />

226 CLINTON ST<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)483-2020<br />

Fax: (516)560-1889<br />

GREENBERG,<br />

RONALD :MD<br />

PCP0140<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

Languages: SPANISH<br />

GROSSMAN, ROBERT<br />

B:MD<br />

PCP0139<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

YASMEEN, KAUSER<br />

:MD<br />

PCP0037<br />

100 NEWBRIDGE RD<br />

HICKSVILLE,NY 11801<br />

Phone: (516)942-5800<br />

Fax: (516)942-0745<br />

Languages: URDU<br />

Zelener, Marina :D.O.<br />

PCP0728<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

SHARMA, MANJOO<br />

:MD<br />

PCP0189<br />

226 CLINTON ST<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)483-2020<br />

Fax: (516)560-1889<br />

HICKSVILLE<br />

ANAND, CHANDNI<br />

K:MD<br />

PCP0112<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)428-9580<br />

Fax: (516)938-0120<br />

Languages: HINDI, PUNJABI<br />

Kadam, Ranjit :M.D.<br />

PCP0710<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Massand, Seema :M.D.<br />

PCP0715<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

POTTANAT, MARIE<br />

T:MD<br />

PCP0173<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

LEVITTOWN<br />

BERENSTEIN, ANNA<br />

:MD<br />

PCP0513<br />

2900 HEMPSTEAD TPKE<br />

LEVITTOWN,NY 11756<br />

Phone: (516)796-1616<br />

Fax: (516)796-1680<br />

LYNBROOK<br />

BRUSHTEIN, ROMAN<br />

:MD<br />

PCP0656<br />

303 MERRICK RD STE 511<br />

LYNBROOK,NY 11563<br />

Phone: (516)596-3611<br />

Fax: (516)596-3612<br />

Languages: RUSSIAN<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

12


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

ELKOULILY, AHMED<br />

:MD<br />

PCP0330<br />

232 MERRICK RD<br />

LYNBROOK,NY 11563<br />

Phone: (516)594-5961<br />

Fax: (516)256-7814<br />

Languages: SPANISH, ARABIC<br />

MASSAPEQUA<br />

ALEXANDER,<br />

ROBERT J:DO*<br />

PCP0433<br />

896 N BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-2233<br />

Fax: (516)541-2456<br />

FOGEL, ROBERT<br />

E:MD*<br />

PCP0039<br />

896 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)795-4500<br />

Fax: (516)541-2456<br />

Languages: SPANISH<br />

PADULA, WILLIAM<br />

C:MD<br />

PCP0009<br />

5240 MERRICK RD<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)798-2200<br />

Fax: (516)798-3242<br />

Languages: ITALIAN<br />

ROSENBLUM, IRA<br />

H:DO*<br />

PCP0434<br />

896 N BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-2233<br />

Fax: (516)541-2456<br />

SISSELMAN,<br />

STEPHEN G:DO*<br />

PCP0045<br />

100 VETERANS BLVD STE 2<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)308-4040<br />

Fax: (516)804-6386<br />

NEW HYDE PARK<br />

ABEMAYOR, VIOLET<br />

:MD<br />

PCP0560<br />

410 LAKEVILLE RD STE 200<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)488-9700<br />

Fax: (516)488-8826<br />

Languages: HEBREW, SPANISH, RUS<br />

Chandra, Preeti :M.D.*<br />

PCP0679<br />

1991 Marcus Avenue 2nd Floor<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

FITZMAURICE,<br />

SUSAN :MD<br />

PCP0565<br />

410 LAKEVILLE RD STE 200<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)488-9700<br />

Fax: (516)488-8826<br />

Languages: HEBREW, SPANISH, RUS<br />

FRID, GENYA :MD*<br />

PCP0607<br />

410 LAKEVILLE RD STE 200<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)488-9700<br />

Fax: (516)488-8826<br />

Languages: HEBREW, SPANISH, RUS<br />

LOONA, REENA :DO<br />

PCP0158<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

Languages: SPANISH<br />

MCCABE, KATHLEEN<br />

:MD*<br />

PCP0561<br />

410 LAKEVILLE RD STE 200<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)488-9700<br />

Fax: (516)488-8826<br />

Languages: HEBREW, SPANISH, RUS<br />

NORDLICHT,<br />

KENNETH :MD*<br />

PCP0605<br />

410 LAKEVILLE RD STE 200<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)488-9700<br />

Fax: (516)488-8826<br />

Languages: HEBREW SPANISH RUSSI<br />

PERDIK, PETER :MD*<br />

PCP0171<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

RAMSAROOP, NANDA<br />

D:MD<br />

PCP0175<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

13


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

REINHARTH, DANIEL<br />

:MD<br />

PCP0583<br />

410 LAKEVILLE RD STE 200<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)488-9700<br />

Fax: (516)488-8826<br />

Languages: HEBREW SPANISH RUSSI<br />

PLAINVIEW<br />

SHIRAZI, MOSHE<br />

H:MD<br />

PCP0057<br />

700 OLD COUNTRY ROAD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)433-4828<br />

Fax: (516)433-1895<br />

ROCKVILLE CENTRE<br />

CAIATI, JEROME<br />

R:MD*<br />

PCP0069<br />

165 N VILLAGE AVE STE 134<br />

ROCKVILLE CENTRE,NY 1<br />

Phone: (516)764-6605<br />

Fax: (516)764-6243<br />

Languages: ITALIAN<br />

GONDAL, ZOHA F:MD<br />

PCP0049<br />

2000 N VILLAGE AVE STE 314<br />

ROCKVILLE CENTRE,NY 1<br />

Phone: (516)678-6868<br />

Fax: (516)678-6997<br />

Languages: HINDI, URDU, PUNJABI<br />

ROSLYN HEIGHTS<br />

AMIN, KALPESH :MD<br />

PCP0547<br />

1 TURF LN<br />

ROSLYN HEIGHTS,NY 1157<br />

Phone: (516)247-1425<br />

Fax: (718)386-3522<br />

Languages: HINDI<br />

SEAFORD<br />

CARVO, MICHAEL<br />

J:DO*<br />

PCP0435<br />

850 HICKSVILLE RD STE 110<br />

SEAFORD,NY 11783<br />

Phone: (516)735-5454<br />

Fax: (516)735-6121<br />

SYOSSET<br />

MORCOS, CHADIA<br />

W:MD<br />

PCP0073<br />

77 COLONY LANE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-9691<br />

Fax: (516)496-3420<br />

Languages: SPANISH FRENCH ARABI<br />

VALLEY STREAM<br />

HASAN, ZEESHAN<br />

S:MD<br />

PCP0334<br />

300 STUART AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)285-4356<br />

Fax: (516)285-1271<br />

Languages: URDU, HINDI, PUNJABI<br />

KAUL, VANITA S:MD<br />

PCP0150<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: HINDI<br />

KOLOTINSKAYA,<br />

IRINA :MD<br />

PCP0456<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: RUSSIAN<br />

LAM, BINH :MD<br />

PCP0155<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: VIETNAMESE<br />

Lapinel, Sergei :M.D.<br />

PCP0714<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

Patel, Suresh :M.D.<br />

PCP0718<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

RAZA, NADEEM :MD<br />

PCP0507<br />

1221 DUTCH BROADWAY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)887-0833<br />

Fax: (516)284-6516<br />

Languages: URDU, HINDI<br />

Rybak, Jurij :M.D.<br />

PCP0720<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

SARKISSIAN,<br />

EDMOND :MD<br />

PCP0179<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: ARMENIAN, PERSIAN<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

14


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

Sheelawanti, Sheela<br />

:M.D.<br />

PCP0722<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

SIDDIQUI, QAISER<br />

:MD<br />

PCP0187<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: URDU, HINDI, BANGLA<br />

WEST HEMPSTEAD<br />

FORERO, ARMANDO<br />

:MD*<br />

PCP0556<br />

510 HEMPSTEAD TPKE<br />

WEST HEMPSTEAD,NY 115<br />

Phone: (516)486-1953<br />

Fax: (516)486-8390<br />

Languages: SPANISH<br />

WESTBURY<br />

AUTZ, ARTHUR :MD*<br />

PCP0414<br />

1610 OLD COUNTRY RD<br />

WESTBURY,NY 11590<br />

Phone: (516)228-4900<br />

Fax: (516)228-2341<br />

Languages: SPANISH<br />

WOODBURY<br />

VADDIGIRI,<br />

VENKATESH :MD<br />

PCP0199<br />

225 FROEHLICH FARM BLVD<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

Languages: HINDI, TELUGU, TAMIL<br />

QUEENS<br />

ASTORIA<br />

ALLA, VIJAY K:MD<br />

PCP0429<br />

41-02 31ST AVE<br />

ASTORIA,NY 11103<br />

Phone: (718)274-6100<br />

Fax: (718)274-6057<br />

Languages: TELHGU<br />

BOSE, SHISHIR K:MD<br />

PCP0119<br />

31-75 23RD ST<br />

RAHMAN, QUAZI<br />

ASTORIA,NY 11106<br />

M:MD<br />

Phone: (718)956-2200<br />

PCP0415<br />

Fax: (718)956-2316<br />

29-08 36TH AVE<br />

Languages: HINDI, BENNGALI (BANGLA) ASTORIA,NY 11106<br />

Phone: (718)482-7444<br />

Fax: (718)784-3279<br />

Deyhimpanah, Reza<br />

:M.D.<br />

Languages: BENGALI<br />

PCP0704<br />

31-75 23rd Street<br />

RAHMAN,<br />

ASTORIA,NY 11106<br />

MOHAMMAD M:MD<br />

Phone: 7189562200<br />

PCP0500<br />

Fax: 7189562316<br />

30-04 36TH AVE<br />

ASTORIA,NY 11106<br />

Phone: (718)383-4500<br />

Fax: (718)383-8047<br />

HUSSAINI, BATOOL<br />

M:MD<br />

Languages: SPANISH BENGALI HIND<br />

PCP0532<br />

2333 STEINWAY ST<br />

RAZA, NADEEM :MD<br />

ASTORIA,NY 11103<br />

PCP0410<br />

Phone: (718)371-1263<br />

2104 30TH AVE<br />

Fax: (718)850-1546<br />

ASTORIA,NY 11102<br />

Languages: URDU PUNJABI HINDI Phone: (718)956-9000<br />

Fax: (718)956-9011<br />

MEHRA, SUNIL :MD<br />

PCP0525<br />

2340 30TH AVE<br />

ASTORIA,NY 11102<br />

Phone: (718)726-3535<br />

Fax: (718)894-1264<br />

Languages: HINDU, SPANISH, URDU<br />

OGIRALA, RAJA<br />

G:MD<br />

PCP0602<br />

30-44 29TH ST #1J<br />

ASTORIA,NY 11102<br />

Phone: (718)278-4400<br />

Fax: (718)626-4914<br />

Languages: SPANISH<br />

BATRA, KAMAL :MD<br />

PCP0118<br />

PATEL, SHIRISHBHAI<br />

31-75 23RD ST<br />

:MD<br />

ASTORIA,NY 11106<br />

PCP0559<br />

Phone: (718)956-2200<br />

28-02 CRESCENT ST<br />

Fax: (718)956-2316<br />

ASTORIA,NY 11102<br />

Languages: HINDI, BENGALI (BANGLA) Phone: (718)278-6666<br />

Fax: (718)278-0460<br />

Languages: URDU, HINDI<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

15


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

TROJIC, REBECCA<br />

:MD<br />

PCP0195<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

Languages: TAGALOG<br />

VASA, CHIRAG :MD<br />

PCP0498<br />

2575 34TH ST<br />

ASTORIA,NY 11103<br />

Phone: (718)721-3400<br />

Fax: (718)721-3434<br />

Languages: HINDI GUJARATI<br />

CAMBRIA HEIGHTS<br />

Chinnappala, Swaroopa<br />

:M.D.<br />

PCP0699<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Deyhimpanah, Reza<br />

:M.D.<br />

PCP0703<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Hong, Tae-Soon :M.D.<br />

PCP0707<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Nurse, Sandra :M.D.<br />

PCP0716<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Patel, Suresh :M.D.<br />

PCP0717<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

ELMHURST<br />

CHAGLASSIAN,<br />

MARY D:MD<br />

PCP0123<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

LAPINEL, SERGEI<br />

P:MD<br />

PCP0161<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

Languages: SPANISH<br />

LEE, HWASUN :MD<br />

PCP0156<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

Languages: KOREAN<br />

RYBAK, JURIJ :MD<br />

PCP0181<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

Languages: SPANISH, ASL, UKRAIN<br />

Languages: FRENCH, ARMENIAN, GREEK, MODERN (1453-)<br />

Sheelawanti, Sheela :MD<br />

CHAUDHRY, NAEEM PCP0183<br />

86-15 QUEENS BLVD<br />

:MD<br />

ELMHURST,NY 11373<br />

PCP0466<br />

Phone: (718)899-6600<br />

83-01 GRAND AVE<br />

Fax: (718)803-5168<br />

ELMHURST,NY 11373<br />

Phone: (718)424-8922<br />

Languages: HINDI<br />

Fax: (718)424-4577<br />

Languages: URDU, PUNJABI, HINDI SOSA, ALAIN A:MD<br />

PCP0665<br />

JIVANI, ASLAM :MD<br />

40-08 FORLEY ST<br />

ELMHURST,NY 11373<br />

PCP0470<br />

Phone: (718)446-0270<br />

83-01 GRAND AVE<br />

Fax: (718)446-5939<br />

ELMHURST,NY 11373<br />

Phone: (718)424-8922<br />

Languages: SPANISH<br />

Fax: (718)424-4577<br />

Languages: HINDI, GUJRATI, SPAN SYCHIKOV, LUBOV<br />

:MD<br />

Lam, Binh :M.D.<br />

PCP0205<br />

86-15 QUEENS BLVD<br />

PCP0713<br />

ELMHURST,NY 11373<br />

86-15 Queens Blvd<br />

Phone: (718)899-6600<br />

ELMHURST,NY 11373<br />

Fax: (718)803-5168<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

Languages: RUSSIAN, YIDDISH<br />

FAR ROCKAWAY<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

16


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

Banner, Kenneth :M.D.*<br />

PCP0677<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

CHEN, YUCHUN :MD<br />

PCP0643<br />

3907 PRINCE ST, STE 3G<br />

FLUSHING,NY 11354<br />

Phone: (718)888-1202<br />

Fax: (718)886-1226<br />

LEE, HUNG SAM :DO<br />

PCP0397<br />

42-60 MAIN STREET SUITE 1C<br />

FLUSHING,NY 11355<br />

Phone: (718)762-1888<br />

Fax: (718)762-1889<br />

Languages: CANTONESE, MANDARIN,<br />

Baravarian, Albert<br />

:M.D.<br />

PCP0678<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

DEYHIMPANAH,<br />

REZA :MD<br />

PCP0126<br />

29-15 FAR ROCKAWAY BLVD<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

Languages: PERSIAN<br />

Fedoseeva, Maria :M.D.*<br />

PCP0680<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

Jain, Ajay :M.D.*<br />

PCP0708<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: 7183377000<br />

Fax: 7183278897<br />

DENG, JULIANG :MD<br />

PCP0641<br />

42-02 KISSENA BLVD STE 1B<br />

FLUSHING,NY 11355<br />

Phone: (718)539-8746<br />

Fax: (718)463-2197<br />

Languages: MANDARIN AND CANTONE<br />

Deyhimpanah, Reza<br />

:M.D.<br />

PCP0702<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

GAN, JIANGPING :MD<br />

PCP0642<br />

136-30 MAPLE AVE STE 1B<br />

FLUSHING,NY 11355<br />

Phone: (718)939-8890<br />

Fax: (718)939-2070<br />

Languages: CANTONESE AND MANDAR<br />

HAIDER, QAZI :MD<br />

PCP0046<br />

140-14 CHERRY AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)886-0355<br />

Fax: (718)886-0311<br />

Languages: SPANISH/HINDI<br />

LIANG, WEINING :MD<br />

PCP0567<br />

13604 NORTHERN BLVD, STE CU3<br />

FLUSHING,NY 11354<br />

Phone: (718)886-8386<br />

Fax: (718)886-8585<br />

Languages: CHINESE AND ENGLISH<br />

LIANG, WEINING :MD<br />

PCP0569<br />

133-02 41ST AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)886-1150<br />

Fax: (718)886-1185<br />

Languages: CHINESE AND ENGLISH<br />

LIANG, ELLEN :MD<br />

PCP0644<br />

132-52 41ST AVE STE M1<br />

FLUSHING,NY 11355<br />

Phone: (718)321-3262<br />

Fax: (718)321-3263<br />

Languages: MANDARIN AND CANTONE<br />

PODVAL, MARINA<br />

:MD<br />

PCP0639<br />

43-32 KISSENA BLVD STE LA<br />

FLUSHING,NY 11355<br />

Phone: (718)939-0609<br />

Fax: (718)939-4509<br />

Languages: RUSSIAN<br />

HTAY SHA, PAMELA Qureshi, Roshan :M.D.<br />

FLUSHING<br />

:MD<br />

PCP0719<br />

CAI, MIN :MD<br />

PCP0595<br />

140-15 Sanford Avenue<br />

136-20 38TH AVE STE CF-B 4THFLFLUSHING,NY 11355<br />

PCP0593<br />

FLUSHING,NY 11354<br />

Phone: 7186706411<br />

41-05 COLLEGE POINT BLVD STE #1C<br />

Phone: (718)358-8889<br />

Fax: 7186706479<br />

FLUSHING,NY 11355<br />

Fax: (718)358-8890<br />

Phone: (718)321-0558<br />

Fax: (718)321-1672<br />

Languages: CHINESE AND BURMESE<br />

Languages: MANDARIN AND CANTONE<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

17


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

SHI, XIANDONG :MD<br />

PCP0587<br />

41-60 MAIN ST APT 20C<br />

FLUSHING,NY 11355<br />

Phone: (718)865-8648<br />

Fax: (718)799-1019<br />

Languages: CHINESE<br />

Deyhimpanah, Reza<br />

:M.D.<br />

PCP0705<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

LOZADA, ERIBERTO<br />

S:MD<br />

PCP0102<br />

201-18 HILLSIDE AVE<br />

HOLLIS,NY 11423<br />

Phone: (718)479-5420<br />

Fax: (718)740-2404<br />

Shteynman, Alla :M.D.<br />

PCP0724<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

Torres, Francisco :M.D.<br />

PCP0725<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

WANG, YUANCONG<br />

:DO<br />

PCP0597<br />

43-73 UNION ST STE C-B<br />

FLUSHING,NY 11355<br />

Phone: (718)886-3877<br />

Fax: (718)886-3995<br />

Languages: MANDARIN CANTONESE F<br />

WU, QIONG :MD<br />

PCP0596<br />

135-27 38TH AVE #338<br />

FLUSHING,NY 11354<br />

Phone: (718)321-3522<br />

Fax: (718)321-3533<br />

Languages: CHINESE<br />

ZHAO, JIANGSHENG<br />

:MD<br />

PCP0647<br />

39-07 PRINCE ST STE 4F<br />

FLUSHING,NY 11354<br />

Phone: (718)939-3780<br />

Fax: (718)939-7040<br />

Languages: CANTONESE MANDARIN<br />

DHANDAYUTHAM,<br />

KARUR S:MD<br />

PCP0127<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: TAMIL, TELUGU<br />

STANILOIU, MARIA<br />

:MD<br />

PCP0190<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

FRESH MEADOWS<br />

AMIN, KALPESH :MD<br />

PCP0546<br />

78-46 PARSONS BLVD<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-1733<br />

Fax: (718)386-3522<br />

Languages: HINDI<br />

PATEL, JAYANT P:MD<br />

PCP0333<br />

78-46 PARSONS BLVD<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-1733<br />

Fax: (718)380-7959<br />

Languages: HINDI SPANISH<br />

HOLLIS<br />

OZOUDE, SYLVESTER<br />

A:MD<br />

PCP0003<br />

195-50 JAMAICA AVE<br />

HOLLIS,NY 11423<br />

Phone: (718)776-9899<br />

Fax: (718)776-5005<br />

Languages: SPANISH NIGERIAN FRE<br />

HOWARD BEACH<br />

FELLER, MARVIN<br />

:MD<br />

PCP0659<br />

86-10 151ST AVE<br />

HOWARD BEACH,NY 1141<br />

Phone: (718)843-4545<br />

Fax: (718)835-7271<br />

Languages: SPANISH AND JEWISH<br />

KRIPALANI, JAY<br />

R:MD*<br />

PCP0004<br />

159-05 92ND ST<br />

HOWARD BEACH,NY 1141<br />

Phone: (718)835-3636<br />

Fax: (718)835-0897<br />

JACKSON HEIGHTS<br />

AHMED, MAHBUB<br />

:MD<br />

PCP0341<br />

37-29 72ND ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-9899<br />

Fax: (718)424-8702<br />

Languages: BEGALI, URDU, ARABIC<br />

FOREST HILLS<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

18


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

FARIDI, NUZHAT :MD<br />

PCP0033<br />

3758 72ND ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)426-1000<br />

Fax: (718)426-1100<br />

Languages: URDU HINDI PUNJABI<br />

Alerte, Serge :M.D.<br />

PCP0697<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Kissoon, Surendra :MD<br />

PCP0712<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

MAHADIN, MAYRA<br />

S:MD<br />

PCP0404<br />

37-57 91ST 1 FLOOR<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)651-6500<br />

Fax: (718)651-0634<br />

Languages: SPANISH<br />

RODRIGUEZ, RAFAEL<br />

:MD<br />

PCP0459<br />

90-01A ROOSEVELT AVE<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)505-0030<br />

Fax: (718)505-0032<br />

Languages: SPANISH<br />

SAMI, MEDHAT F:MD<br />

PCP0684<br />

54-07 35TH AVENUE<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)458-1900<br />

Fax: (718)458-1990<br />

Languages: ARABIC<br />

BHARARA,<br />

MEENAKSHI :MD<br />

PCP0120<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: HINDI, URDU, PUNJABI<br />

BHAREL, VIRENDRA<br />

M:MD<br />

PCP0328<br />

88-01 PARSONS BLVD<br />

JAMAICA,NY 11432<br />

Phone: (718)526-3400<br />

Fax: (718)526-7438<br />

Languages: HINDI, URDU, PUNJABI<br />

BOYKIN, ROGER :MD<br />

PCP0472<br />

120-31 GUY R BREWER BLVD<br />

JAMAICA,NY 11434<br />

Phone: (718)949-1900<br />

Fax: (718)949-3241<br />

Languages: SPANISH<br />

LOWE, KEVIN :MD<br />

PCP0598<br />

114-30 175TH ST<br />

JAMAICA,NY 11434<br />

Phone: (718)523-5050<br />

Fax: (718)657-7520<br />

MAHABIR,<br />

PARMESHWAR :MD<br />

PCP0327<br />

187-02 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)264-2925<br />

Fax: (718)264-2949<br />

Languages: SPANISH<br />

NIZAMI, FARZANA<br />

:MD<br />

PCP0329<br />

87-46 CHELSEA ST STE LC<br />

JAMAICA,NY 11432<br />

Phone: (718)657-7900<br />

Fax: (718)657-7902<br />

Languages: BANGALI URDU SPANISH<br />

JAMAICA<br />

AHMED, NAJMA<br />

A:MD<br />

PCP0116<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

CHASKY, DEAN C:MD<br />

PCP0124<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: ITALIAN, SPANISH<br />

KHAN, NAZMUL :MD<br />

PCP0408<br />

170-05 HIGHLAND AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)262-8991<br />

Fax: (718)262-8992<br />

Patel-Pannullo, Julie<br />

:MD<br />

PCP0169<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

PERCY, MARIE S:MD<br />

PCP0170<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: FRENCH, SPANISH<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

19


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

RAHMAN,<br />

MOHAMMAD M:MD<br />

PCP0395<br />

87-25 HOMELAWN ST<br />

JAMAICA,NY 11432<br />

Phone: (718)206-1117<br />

Fax: (718)383-8047<br />

Languages: SPANISH BENGALI HIND<br />

RASHID,<br />

MOHAMMED K:MD<br />

PCP0326<br />

168-32 HIGHLAND AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)657-7300<br />

Fax: (718)657-2172<br />

Languages: BANGALI URDU HINDI<br />

BAJAJ, RANDHIR<br />

RAYZMAN, MAYA<br />

K:MD<br />

:MD<br />

PCP0430<br />

PCP0177<br />

66-29 GRAND AVE<br />

180-05 HILLSIDE AVE MASPETH,NY 11378<br />

JAMAICA,NY 11432<br />

Phone: (718)424-4500<br />

Phone: (718)526-6300<br />

Fax: (718)424-0132<br />

Fax: (718)286-3863<br />

Languages: HINDI, PUNJABI<br />

Languages: RUSSIAN, SPANISH, FRENCH<br />

ROMAN, ROLANDO<br />

:MD<br />

PCP0336<br />

88-54 180TH ST<br />

JAMAICA,NY 11432<br />

Phone: (718)657-8306<br />

Fax: (718)657-1464<br />

Languages: TAGALOG SPANISH BENG<br />

Sabharwal, Chanchal<br />

:M.D.<br />

PCP0721<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Shnaydman, Faina :M.D.<br />

PCP0723<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Wu, Patrick :M.D.<br />

PCP0727<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

MASPETH<br />

MIDDLE VILLAGE<br />

MEHRA, SUNIL :MD<br />

PCP0076<br />

84-04 PENELOPE AVE<br />

MIDDLE VILLAGE,NY 1137<br />

Phone: (718)894-8500<br />

Fax: (718)894-1264<br />

Languages: HINDU, SPANISH, URDU<br />

QUEENS VILLAGE<br />

NICOLEAU, ARYEL<br />

:MD*<br />

PCP0072<br />

92-04 SPRINGFIELD BLVD<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)465-3040<br />

Fax: (718)464-9063<br />

Languages: FRENCH SPANISH<br />

ODOOM, EBENEZER<br />

K B:MD<br />

PCP0055<br />

9204 SPRINGFIELD BLVD<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)465-3040<br />

Fax: (718)464-9063<br />

Languages: HUNGARIAN FRENCH CRE<br />

REGO PARK<br />

PINHAS, STELLA :MD<br />

PCP0063<br />

66-12 102ND STREET SUITE 1E<br />

REGO PARK,NY 11374<br />

Phone: (718)997-7117<br />

Fax: (718)997-8118<br />

Languages: RUSSIAN<br />

ZABARSKY, GARY<br />

:MD<br />

PCP0599<br />

96-14 63RD DR STE 200<br />

REGO PARK,NY 11374<br />

Phone: (718)997-0200<br />

Fax: (718)896-2163<br />

Languages: RUSSIAN POLISH<br />

RICHMOND HILL<br />

AZIZ, FARZANA H:MD<br />

PCP0018<br />

121-02 HILLSIDE AVE<br />

RICHMOND HILL,NY 11418<br />

Phone: (718)850-1673<br />

Fax: (718)850-1546<br />

Languages: URDU PUNJABI HINDI<br />

CHADDA, JITENDRA<br />

S:MD<br />

PCP0121<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: HINDI, PUNJABI,<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

20


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

CHUNG, HOWARD<br />

:MD<br />

PCP0129<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: CHINESE, CANTONESE<br />

MANGLA, ARUN<br />

K:MD<br />

PCP0399<br />

84-48 112TH ST<br />

RICHMOND HILL,NY 11418<br />

Phone: (718)847-5059<br />

Fax: (718)206-6125<br />

Languages: HINDI URDU PUNJABI<br />

TAVERNA, VITO<br />

F:MD<br />

PCP0323<br />

60-62 PALMETTO ST<br />

RIDGEWOOD,NY 11385<br />

Phone: (718)821-4443<br />

Fax: (718)821-5785<br />

Languages: SPANISH, ITALIAN<br />

CONTOVASILIS,<br />

JOHN W:MD<br />

PCP0131<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: ITALIAN<br />

Deyhimpanah, Reza<br />

:M.D.<br />

PCP0701<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

HUSSAINI, BATOOL<br />

M:MD<br />

PCP0019<br />

121-02 HILLSIDE AVE<br />

RICHMOND HILL,NY 11418<br />

Phone: (718)850-1673<br />

Fax: (718)850-1546<br />

Languages: URDU PUNJABI HINDI<br />

JHAVERI, RITA :MD<br />

PCP0070<br />

109-23 JAMAICA AVE<br />

RICHMOND HILL,NY 11418<br />

Phone: (718)441-0299<br />

Fax: (718)850-8339<br />

Languages: GUJARATI HINDI<br />

SZANDROWSKI,<br />

DENISE S:MD<br />

PCP0192<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: FRENCH AND ROMANIAN<br />

VOGIATZIS,<br />

NICHOLAS G:MD<br />

PCP0203<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: SPANISH, GREEK<br />

RIDGEWOOD<br />

AMIN, KALPESH :MD<br />

PCP0409<br />

69-11 FOREST AVE<br />

RIDGEWOOD,NY 11385<br />

Phone: (718)497-8419<br />

Fax: (718)386-3522<br />

Languages: HINDI<br />

BUZA, DORU I:MD<br />

PCP0473<br />

6083 MYRTLE AVE<br />

RIDGEWOOD,NY 11385<br />

Phone: (718)628-1010<br />

Fax: (718)497-7322<br />

Languages: RONANIAN, SERBIAN<br />

ROSEDALE<br />

WADHERA,<br />

MADHUKAR :MD<br />

PCP0007<br />

243-05 NEWHALL AVENUE<br />

ROSEDALE,NY 11422<br />

Phone: (718)528-4125<br />

Fax: (718)528-9328<br />

Languages: PANJABI, HINDI<br />

SAINT ALBANS<br />

LOWE, KEVIN :MD<br />

PCP0606<br />

190-21 DORMANS RD<br />

SAINT ALBANS,NY 11412<br />

Phone: (718)454-7833<br />

Fax: (718)264-8542<br />

SOUTH OZONE PARK<br />

AZIZ, FARZANA H:MD<br />

PCP0555<br />

108-14 101 AVE<br />

SOUTH OZONE PARK,NY 1<br />

Phone: (718)850-1673<br />

Fax: (718)850-1546<br />

Languages: URDU PUNJABI HINDI<br />

SOUTH RICHMOND HILL<br />

CHAUDHRY, NAEEM<br />

:MD<br />

PCP0552<br />

119-03 101ST AVE<br />

SOUTH RICHMOND HILL,N<br />

Phone: (718)441-0184<br />

Fax: (718)441-8098<br />

Languages: URDU, PUNJABI, HINDI<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

21


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

JIVANI, ASLAM :MD<br />

PCP0492<br />

119-03 101ST AVE<br />

SOUTH RICHMOND HILL,N<br />

Phone: (718)441-8096<br />

Fax: (718)441-0184<br />

Languages: HINDI, GUJRATI, SPAN<br />

KINTZOGLOU,<br />

ALEXANDER :MD<br />

PCP0335<br />

SHUSTERMAN,<br />

ARKADIY :DO<br />

101-05 LEFFERTS BLVD SUITE 203 PCP0396<br />

SOUTH RICHMOND HILL,N 95-25 JAMAICA AVENUE<br />

Phone: (718)441-8086<br />

WOODHAVEN,NY 11421<br />

Fax: (718)441-8087<br />

Phone: (718)441-4070<br />

Languages: SPANISH, GREEK, ITAL Fax: (718)441-4027<br />

URENA, ANDRES<br />

F:MD<br />

PCP0331<br />

104-19 LEFFERTS BLVD<br />

SOUTH RICHMOND HILL,N<br />

Phone: (718)641-3200<br />

Fax: (718)641-6358<br />

Languages: SPANISH<br />

CRISARI, FLAVIO<br />

:MD<br />

PCP0558<br />

85-33 FOREST PWY<br />

WOODHAVEN,NY 11421<br />

Phone: (718)441-3970<br />

Fax: (718)441-6291<br />

Languages: ITALIAN, PORTUGUESE,<br />

Languages: RUSSIAN<br />

VASA, CHIRAG :MD<br />

PCP0407<br />

85-33 FOREST PARKWAY<br />

WOODHAVEN,NY 11421<br />

Phone: (718)441-3970<br />

Fax: (718)441-6291<br />

Languages: HINDI GUJARATI<br />

CHEVIREDDY,<br />

CHAITANYA :MD<br />

PCP0460<br />

333 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)789-2020<br />

Fax: (718)789-5669<br />

Languages: HINDI<br />

GHOSHAL, PIYA :MD<br />

PCP0337<br />

116 BROADWAY STE 6<br />

AMITYVILLE,NY 11701<br />

Phone: (631)264-8600<br />

Fax: (631)264-8403<br />

GOYAL, BRIJESH<br />

K:MD<br />

PCP0477<br />

333 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)789-2020<br />

Fax: (631)789-5669<br />

Languages: PUNJABI<br />

WASEEM, FAISAL<br />

:MD<br />

PCP0332<br />

119-03 101ST AVENUE<br />

SOUTH RICHMOND HILL,N<br />

Phone: (718)441-0184<br />

Fax: (718)441-8098<br />

Languages: UROU, PUNJABI, MGAOG<br />

WHITESTONE<br />

SAMI, MEDHAT F:MD<br />

PCP0322<br />

17-52 FRANCIS LEWIS BLVD<br />

WHITESTONE,NY 11357<br />

Phone: (718)746-9494<br />

Fax: (718)746-4963<br />

Languages: ARABIC<br />

WOODHAVEN<br />

WOODSIDE<br />

GULATI, VINOD :MD<br />

BERENSTEIN, ANNA<br />

PCP0476<br />

333 BROADWAY<br />

:MD<br />

AMITYVILLE,NY 11701<br />

PCP0010<br />

Phone: (631)789-2020<br />

3096 51 ST<br />

Fax: (631)789-5669<br />

WOODSIDE,NY 11377<br />

Phone: (718)204-1469<br />

Languages: HINDI<br />

Fax: (718)545-1726<br />

HUSSAIN,<br />

MOHAMMAD S:MD<br />

RODRIGUEZ, RAFAEL PCP0402<br />

317 BROADWAY, STE. B<br />

:MD<br />

AMITYVILLE,NY 11701<br />

PCP0469<br />

Phone: (631)598-4897<br />

65-06 ROOSEVELT AVE 1ST FLOOR<br />

Fax: (631)464-4107<br />

WOODSIDE,NY 11377<br />

Phone: (718)606-2682<br />

Languages: SPANISH<br />

Fax: (718)606-2962<br />

Languages: SPANISH<br />

SUFFOLK<br />

AMITYVILLE<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

22


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

SCHMUTER, ELENA<br />

:DO<br />

PCP0463<br />

333 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)789-2020<br />

Fax: (631)789-5669<br />

Languages: RUSSIAN<br />

KAZENOFF, ROBERT<br />

:MD<br />

PCP0104<br />

205 E MAIN ST STE 2-7B<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-9100<br />

Fax: (631)351-9110<br />

KOCHAR, JASJIT<br />

S:MD<br />

PCP0153<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

CENTER MORICHES<br />

KAMDAR, NITIN<br />

B:MD<br />

PCP0657<br />

760 MONTAUK HWY STE 7<br />

CENTER MORICHES,NY 11<br />

Phone: (631)281-5200<br />

Fax: (631)909-3661<br />

Languages: HINDI<br />

DEER PARK<br />

TCHAO, PAUL :MD*<br />

PCP0663<br />

2043 DEER PARK AVE<br />

DEER PARK,NY 11729<br />

Phone: (631)242-8488<br />

Fax: (631)274-3505<br />

Languages: FRENCH CANTONESE MAN<br />

Chadha, Manish :M.D.<br />

EAST ISLIP<br />

PCP0698<br />

DESAI, VIKAS :MD<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

PCP0582<br />

Phone: 6317370100<br />

45 E MAIN ST<br />

Fax: 6314711000<br />

EAST ISLIP,NY 11730<br />

Phone: (631)581-0737<br />

Fax: (631)581-0729<br />

CHAWLA, OPKAR<br />

S:MD<br />

EAST SETAUKET<br />

PCP0125<br />

640 HAWKINS AVE<br />

HUSSAIN, ZEENAT<br />

LAKE RONKONKOMA,NY<br />

:MD<br />

Phone: (631)737-0100<br />

PCP0053<br />

Fax: (631)471-1000<br />

4 TECHNOLOGY DRIVE STE 130<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)751-0114<br />

Fax: (631)751-0118<br />

Languages: BENGALI/HINDI/SPANIS<br />

LIANG, ELLEN :MD<br />

PCP0645<br />

1880 E JERICHO TPKE 1FL<br />

HUNTINGTON,NY 11743<br />

Phone: (631)629-4628<br />

Fax: (631)629-4629<br />

Languages: MANDARIN AND CANTONE<br />

HUNTINGTON STATION<br />

LIANG, WEINING :MD<br />

PCP0570<br />

33 WALT WHITMAN RD #100A<br />

HUNTINGTON STATION,N<br />

Phone: (631)271-3310<br />

Fax: (631)271-3188<br />

Languages: CHINESE AND ENGLISH<br />

LAKE RONKONKOMA<br />

LEE, MICHAEL A:MD<br />

PCP0157<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

MELVILLE<br />

WEINGARTEN,<br />

CLIFFORD M:MD<br />

PCP0101<br />

2 LEEFIELD GATE<br />

MELVILLE,NY 11747<br />

Phone: (631)427-7651<br />

Fax: (631)549-1526<br />

MILLER PLACE<br />

DHILLON, JAGPREET<br />

:MD<br />

PCP0025<br />

43 RADIO AVE<br />

MILLER PLACE,NY 11764<br />

Phone: (631)821-8911<br />

Fax: (631)821-8912<br />

NORTH BABYLON<br />

GOSWAMY, ICHCHA<br />

:MD<br />

PCP0138<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: HINDI, PUNJADI, SPANISH<br />

HUNTINGTON<br />

Primary Care Physicians<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

23


Sección 2 - Listado de Proveedores del Plan : Primary Care Physicians<br />

RAO, JHANSI L:MD*<br />

PCP0176<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: HINDI, TELUGU<br />

SCHMELZER,<br />

BARBARA D:MD<br />

PCP0180<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

OAKDALE<br />

BARRETT, PATRICK<br />

A:DO*<br />

PCP0405<br />

4568 SUNRISE HWY<br />

OAKDALE,NY 11769<br />

Phone: (631)472-6000<br />

Fax: (631)472-9777<br />

PORT JEFFERSON STATION<br />

KOLUPOTI, SIVA<br />

K:MD<br />

PCP0040<br />

2 MEDICAL DR STE D<br />

PORT JEFFERSON STATION<br />

Phone: (631)331-5010<br />

Fax: (631)331-5017<br />

Languages: TELUSU<br />

RIVERHEAD<br />

DUVA, JOSEPH M:MD<br />

PCP0064<br />

887 OLD COUNTRY RD STE A<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-6122<br />

Fax: (631)727-2672<br />

Languages: POLISH<br />

KORNRICH,<br />

WILLIAM J:MD<br />

PCP0065<br />

887 OLD COUNTRY RD STE A<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-6122<br />

Fax: (516)727-2672<br />

Languages: POLISH<br />

STEELE, LILLY :MD<br />

PCP0066<br />

887 OLD COUNTRY RD STE A<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-6122<br />

Fax: (631)727-2672<br />

Languages: POLISH<br />

WADING RIVER<br />

BERNARD, ROBERT<br />

J:MD*<br />

GREAT NECK<br />

PCP0060<br />

BONAGURA,<br />

6144 ROUTE 25A BLDG C STE 10<br />

VINCENT R:MD<br />

WADING RIVER,NY 11792<br />

Phone: (631)929-5900<br />

PRO1735<br />

Fax: (631)929-6487<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Languages: SPANISH, GREEK, POLI Phone: (516)622-5070<br />

Fax: (516)622-5060<br />

Nephrology<br />

QUEENS<br />

JAMAICA<br />

WARD, LATONIA :MD<br />

PCP0198<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

SPECIALIST 1,379<br />

ALLERGY &<br />

IMMUNOLOGY<br />

NASSAU<br />

FRANKLIN SQUARE<br />

LANDA, DAHLIA<br />

S:MD<br />

PRO2474<br />

738 FRANKLIN AVE<br />

FRANKLIN SQUARE,NY 11<br />

Phone: (516)355-0505<br />

Fax: (516)561-2152<br />

GARDEN CITY<br />

SOLEYMANI, YOSEF<br />

:MD<br />

PRO2845<br />

877 STEWART AVE SUITE 5<br />

GARDEN CITY,NY 11530<br />

Phone: (516)794-8772<br />

Fax: (516)794-2855<br />

Languages: PERSIAN<br />

FAGIN, JAMES C:MD<br />

PRO1736<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-5070<br />

Fax: (516)622-5060<br />

KAPLAN, BLANKA<br />

:MD<br />

PRO1737<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-5070<br />

Fax: (516)622-5060<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

24


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

PERSAUD,<br />

YUDHISTIRA K:MD<br />

PRO2500<br />

935 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (917)584-6770<br />

Fax: (718)679-9779<br />

Languages: SPANISH<br />

PATEL, HARSHIT<br />

M:MD<br />

PRO2126<br />

120 BETHPAGE RD STE 310<br />

HICKSVILLE,NY 11801<br />

Phone: (516)822-6655<br />

Fax: (516)932-2090<br />

Languages: SPANISH, HINDI, GUJA<br />

PUGLISI, GREGORY<br />

:MD*<br />

PRO0042<br />

1171 OLD COUNTRY ROAD SUITE 5<br />

PLAINVIEW,NY 11803<br />

Phone: (516)938-7676<br />

Fax: (516)938-7718<br />

Languages: ITALIAN, SPANISH<br />

PONDA, PUNITA :MD<br />

PRO1738<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-5070<br />

Fax: (516)622-5060<br />

Languages: HINDI<br />

ROSENTHAL, DAVID<br />

W:DO*<br />

PRO1739<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-5070<br />

Fax: (516)622-5060<br />

SCHUVAL, SUSAN<br />

:MD<br />

PRO1740<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-5070<br />

Fax: (516)622-5060<br />

HICKSVILLE<br />

BHAT,<br />

BALLAMBATTU R:MD<br />

PRO0435<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

Languages: SPANISH, HINDI<br />

MASSAPEQUA<br />

PELTZ, STEVEN :MD<br />

PRO0111<br />

187 VETERANS BLVD STE 4<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)799-0608<br />

Fax: (516)799-1927<br />

Languages: SPANISH<br />

ROONEY, JOHN E:MD<br />

PRO2484<br />

627 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-4131<br />

Fax: (516)541-0171<br />

Languages: SPANISH<br />

NEW HYDE PARK<br />

SOLEYMANI, YOSEF<br />

:MD<br />

PRO0122<br />

1575 HILLSIDE AVE STE 200<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-6040<br />

Fax: (516)354-5919<br />

Languages: FARSI<br />

PLAINVIEW<br />

GERARDI, EUGENE<br />

N:MD*<br />

PRO0031<br />

1171 OLD COUNTRY RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)938-7676<br />

Fax: (516)938-7718<br />

QUEENS<br />

ASTORIA<br />

LEBO, DEBRA B:MD<br />

PRO2864<br />

35-01 30TH AVE, STE 400<br />

ASTORIA,NY 11103<br />

Phone: (718)726-7000<br />

Fax: (718)726-7111<br />

BAYSIDE<br />

PERSAUD,<br />

YUDHISTIRA K:MD<br />

PRO2136<br />

42-21 FRANCIS LEWIS BLVD STE M<br />

BAYSIDE,NY 11361<br />

Phone: (917)584-6770<br />

Fax: (718)679-9779<br />

Languages: SPANISH<br />

FLUSHING<br />

AYUSO, ROSALIA :MD<br />

PRO2771<br />

55-28 MAIN STREET<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

Languages: SPANISH<br />

KIM, BORA :DO<br />

PRO2505<br />

55-28 MAIN ST<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

Languages: KOREAN<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

25


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LANDA, DAHLIA<br />

S:MD<br />

PRO2476<br />

98-11 QUEENS BLVD STE 1D<br />

FLUSHING,NY 11355<br />

Phone: (718)228-1850<br />

Fax: (718)830-3894<br />

FOREST HILLS<br />

AYUSO, ROSALIA :MD<br />

PRO2774<br />

49-02 QUEENS BLVD.<br />

WOODSIDE,NY 11377<br />

Phone: (718)249-2009<br />

Fax: (718)651-3890<br />

Languages: SPANISH<br />

SUFFOLK<br />

NORTH BABYLON<br />

NATBONY, SHEILA<br />

F:DO*<br />

PRO0342<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

AYUSO, ROSALIA :MD<br />

PRO2772<br />

107-21 QUEENS BLVD, SUITE 2<br />

FOREST HILLS,NY 11375<br />

Phone: (718)575-3322<br />

Fax: (718)268-1920<br />

Languages: SPANISH<br />

JACKSON HEIGHTS<br />

BABYLON<br />

PORT JEFFERSON<br />

GERARDI, EUGENE<br />

HUSSAIN, HAMID<br />

N:MD*<br />

:MD*<br />

PRO2838<br />

PRO0043<br />

500 WEST MAIN STREET SUITE 216 620 BELLE TERRE RD STE 5<br />

BABYLON,NY 11702<br />

PORT JEFFERSON,NY 1177<br />

Phone: (631)669-6350<br />

Phone: (631)476-9736<br />

Fax: (631)669-1128<br />

Fax: (631)476-9738<br />

AYUSO, ROSALIA :MD<br />

PRO2773<br />

7411 37TH AVENUE<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-6100<br />

Fax: (718)424-2940<br />

Languages: SPANISH<br />

LEBO, DEBRA B:MD<br />

PRO2477<br />

74-11 37TH AVE<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-6100<br />

Fax: (718)424-2940<br />

JAMAICA<br />

WARREN, ANAT<br />

B:MD*<br />

PRO0196<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: ITALIAN, HEBREW, POL<br />

WOODSIDE<br />

BRENTWOOD<br />

PATEL, HARSHIT<br />

M:MD<br />

PRO2533<br />

820 SUFFOLK AVE<br />

BRENTWOOD,NY 11717<br />

Phone: (516)822-6655<br />

Fax: (516)932-2090<br />

Languages: SPANISH, HINDI, GUJA<br />

CENTER MORICHES<br />

HUSSAIN, HAMID<br />

:MD*<br />

PRO2237<br />

760 MONTAUK HWY STE 7<br />

CENTER MORICHES,NY 11<br />

Phone: (631)874-6849<br />

Fax: (631)476-9738<br />

LAKE RONKONKOMA<br />

NOLAN, PATRICIA<br />

M:MD<br />

PRO0318<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Languages: SPANISH<br />

Allergy/Immunology<br />

NASSAU<br />

HEMPSTEAD<br />

Nolan, Patricia :M.D.<br />

PRO2879<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

NEW HYDE PARK<br />

Warren, Anat :M.D.<br />

PRO2880<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

QUEENS<br />

ASTORIA<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

26


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Warren, Anat :M.D.<br />

PRO2881<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

CAMBRIA HEIGHTS<br />

Nolan, Patricia :M.D.<br />

PRO2878<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

ELMHURST<br />

Demeny, Marian :M.D.<br />

PRO2874<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Bhat, Ballambattu :M.D.<br />

PRO2873<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

MICHALOWSKI,<br />

CATHLEEN<br />

:Bachelors*<br />

AP00029<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

LYNBROOK<br />

BELSTEN, LINDA :<br />

AP00058<br />

444 MERRICK ROAD SUITE LL3<br />

LYNBROOK,NY 11563<br />

Phone: (516)536-5656<br />

Fax: (516)536-3029<br />

Demeny, Marian :M.D.<br />

PRO2876<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FLUSHING<br />

Natbony, Sheila :D.O.<br />

PRO2877<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

JAMAICA<br />

Demeny, Marian :M.D.<br />

PRO2875<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

RICHMOND HILL<br />

ARNP - ADVANCED<br />

REGISTERED<br />

NASSAU<br />

HEMPSTEAD<br />

BELSTEN, LINDA :<br />

AP00059<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

GROARKE, JUSTINE<br />

:Masters*<br />

AP00024<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

GROARKE, JUSTINE<br />

:Bachelors*<br />

AP00026<br />

444 MERRICK RD SUITE LL3<br />

LYNBROOK,NY 11563<br />

Phone: (516)536-5656<br />

Fax: (516)536-3029<br />

MICHALOWSKI,<br />

CATHLEEN<br />

:Bachelors*<br />

AP00028<br />

444 MERRICK RD SUITE LL3<br />

LYNBROOK,NY 11563<br />

Phone: (516)536-5656<br />

Fax: (516)536-3029<br />

MINEOLA<br />

BELSTEN, LINDA :<br />

AP00057<br />

120 MINEOLA BLVD, SUITE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

27


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GROARKE, JUSTINE<br />

:Masters*<br />

AP00025<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

PALMA, SCOTT<br />

:Masters*<br />

AP00008<br />

196 GLEN COVE RD<br />

CARLE PLACE,NY 11514<br />

Phone: 516-248-1868<br />

Fax: 516-248-2862<br />

PALMA, SCOTT<br />

:Masters*<br />

AP00010<br />

2900 HEMPSTEAD TURNPIKE STE 214<br />

LEVITTOWN,NY 11756<br />

Phone: 516-520-8736<br />

Fax: 516-520-9827<br />

MICHALOWSKI,<br />

CATHLEEN :Masters*<br />

AP00027<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

Roselli, Lisa :*<br />

AP00077<br />

196 Glen Cove Rd<br />

CARLE PLACE,NY 11514<br />

Phone: 516-248-1868<br />

Fax: 516-248-2862<br />

Rosenthal, Enid :*<br />

AP00080<br />

2900 Hempstead Turnpike Ste 214<br />

LEVITTOWN,NY 11756<br />

Phone: 516-520-8736<br />

Fax: 516-520-9827<br />

AUDIOLOGY<br />

NASSAU<br />

CARLE PLACE<br />

Cosci-Coleman, Joanna<br />

:*<br />

AP00065<br />

196 Glen Cove Rd<br />

CARLE PLACE,NY 11514<br />

Phone: 516-248-1868<br />

Fax: 516-248-2862<br />

DEVITO, FRANCESCA<br />

:Masters*<br />

AP00011<br />

196 GLEN VOCE RD<br />

CARLE PLACE,NY 11514<br />

Phone: 516-248-1868<br />

Fax: 516-248-2862<br />

MILANO, JENNIFER<br />

Y:Masters*<br />

AP00012<br />

196 GLEN COVE RD<br />

CARLE PLACE,NY 11514<br />

Phone: 516-248-1868<br />

Fax: 516-248-2862<br />

TALALAY, CARMEN<br />

:Masters*<br />

AP00007<br />

196 GLEN COVE RD<br />

CARLE PLACE,NY 11514<br />

Phone: (516)248-1868<br />

Fax: (516)248-2862<br />

GREAT NECK<br />

PALMA, SCOTT<br />

:Masters*<br />

AP00009<br />

475 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: 516-504-0379<br />

Fax: 516-504-4204<br />

STONE, IRIS<br />

E:Masters*<br />

AP00013<br />

475 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)504-0379<br />

Fax: (516)504-4204<br />

LEVITTOWN<br />

VALLEY STREAM<br />

Bonomo, Dorothy<br />

:AUD*<br />

AP00099<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

WOODBURY<br />

Kunis, Lynda :AUD*<br />

PRO2806<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

QUEENS<br />

CAMBRIA HEIGHTS<br />

Catania Maccca, Ray<br />

:PT*<br />

AP00100<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

28


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Kunis, Lynda :AUD*<br />

PRO2804<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: (718)479-6600<br />

Fax: (718)217-3546<br />

Baker, Michelle(Malki)<br />

:*<br />

AP00061<br />

157 02 Cross Bay Blvd<br />

HOWARD BEACH,NY 1141<br />

Phone: 718-323-1128<br />

Fax: 718-323-1134<br />

Cosci-Coleman, Joanna<br />

:*<br />

AP00069<br />

355 Broadway<br />

AMITYVILLE,NY 11701<br />

Phone: 631-789-1794<br />

Fax: 631-789-1867<br />

Merritt, Busisiwe :AUD*<br />

PRO2809<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: (718)479-6600<br />

Fax: (718)217-3546<br />

ELMHURST<br />

HALPER, KAREEN<br />

:Masters*<br />

AP00021<br />

91-31 QUEENS BLVD STE 214<br />

ELMHURST,NY 11373<br />

Phone: (718)476-2523<br />

Fax: (718)476-2544<br />

PALMA, SCOTT<br />

:Masters*<br />

AP00023<br />

91-31 QUEENS BLVD STE 214<br />

ELMHURST,NY 11373<br />

Phone: 718-476-2523<br />

Fax: 718-476-2544<br />

Cosci-Coleman, Joanna<br />

:*<br />

AP00066<br />

157 02 Cross Bay Blvd<br />

HOWARD BEACH,NY 1141<br />

Phone: 718-323-1128<br />

Fax: 718-323-1134<br />

McGehee, Rachel :*<br />

AP00072<br />

157 02 Cross Bay Blvd<br />

HOWARD BEACH,NY 1141<br />

Phone: 718-323-1128<br />

Fax: 718-323-1134<br />

PALMA, SCOTT<br />

:Masters*<br />

AP00022<br />

157 02 CROSS BAY BLVD<br />

HOWARD BEACH,NY 1141<br />

Phone: 718-323-1128<br />

Fax: 718-323-1134<br />

Palma, Scott :*<br />

AP00076<br />

355 Broadway<br />

AMITYVILLE,NY 11701<br />

Phone: 631-789-1794<br />

Fax: 631-789-1867<br />

Roselli, Lisa :*<br />

AP00079<br />

355 Broadway<br />

AMITYVILLE,NY 11701<br />

Phone: 631-789-1794<br />

Fax: 631-789-1867<br />

ISLANDIA<br />

Andersen, Tina :*<br />

AP00060<br />

1832 Veterans Memorial Hwy<br />

ISLANDIA,NY 11749<br />

Phone: 631-582-3707<br />

Fax: 631-582-3795<br />

TALALAY, CARMEN<br />

:Masters*<br />

AP00020<br />

91-31 QUEENS BLVD STE 214<br />

ELMHURST,NY 11373<br />

Phone: (718)476-2523<br />

Fax: (718)476-2544<br />

JAMAICA<br />

Kirschner, Randi :AUD*<br />

AP00102<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Cosci-Coleman, Joanna<br />

:*<br />

AP00068<br />

1832 Veterans Memorial Hwy<br />

ISLANDIA,NY 11749<br />

Phone: 631-582-3707<br />

Fax: 631-582-3795<br />

HOWARD BEACH<br />

SUFFOLK<br />

AMITYVILLE<br />

Doyle, Mary :*<br />

AP00070<br />

1832 Veterans Memorial Hwy<br />

ISLANDIA,NY 11749<br />

Phone: 631-582-3707<br />

Fax: 631-582-3795<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

29


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Palma, Scott :*<br />

AP00075<br />

1832 Veterans Memorial Hwy<br />

ISLANDIA,NY 11749<br />

Phone: 631-582-3707<br />

Fax: 631-582-3795<br />

Forzano, Marlene :*<br />

AP00071<br />

1080A Old Country Rd<br />

RIVERHEAD,NY 11901<br />

Phone: 631-369-7280<br />

Fax: 631-369-7279<br />

AKINBOBOYE,<br />

OLAKUNLE O:MD*<br />

PRO2297<br />

129 JACKSON STREET<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)538-4531<br />

Fax: (516)292-6287<br />

Roselli, Lisa :*<br />

AP00078<br />

1832 Veterans Memorial Hwy<br />

ISLANDIA,NY 11749<br />

Phone: 631-582-3707<br />

Fax: 631-582-3795<br />

LAKE RONKONKOMA<br />

Catania Maccca, Ray<br />

:PT*<br />

AP00101<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

Kunis, Lynda :AUD*<br />

PRO2805<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

RIVERHEAD<br />

Cosci-Coleman, Joanna<br />

:*<br />

AP00085<br />

1080A Old Country Rd<br />

RIVERHEAD,NY 11901<br />

Phone: 631-369-7280<br />

Fax: 631-369-7279<br />

Palma, Scott :*<br />

AP00074<br />

1080A Old Country Rd<br />

RIVERHEAD,NY 11901<br />

Phone: 631-369-7280<br />

Fax: 631-369-7279<br />

CARDIOLOGIST<br />

NASSAU<br />

FARMINGDALE<br />

SACHER, HOWARD<br />

L:DO<br />

PRO2413<br />

1111 ROUTE 110<br />

FARMINGDALE,NY 11735<br />

Phone: (516)541-9700<br />

Fax: (631)752-3602<br />

FRANKLIN SQUARE<br />

RATNER, SCOTT<br />

J:MD<br />

PRO2451<br />

407 FRANKLIN AVE<br />

FRANKLIN SQUARE,NY 11<br />

Phone: (516)616-0808<br />

Fax: (516)616-0993<br />

HEMPSTEAD<br />

JAMES, NICHOLAS<br />

:MD*<br />

PRO0084<br />

230 HILTON AVE STE 115<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)565-6490<br />

Fax: (516)481-4910<br />

MANHASSET<br />

ALTMAN, ERIK J:MD*<br />

PRO1741<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2300<br />

Fax: (516)562-3978<br />

Languages: HEBREW<br />

BELDNER, STUART<br />

J:MD<br />

PRO1743<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2300<br />

Fax: (516)562-3978<br />

BOUTIS, LOUKAS<br />

S:MD<br />

PRO1745<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4102<br />

Fax: (516)562-2087<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

30


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

DODDAMANI,<br />

SANJAY :MD<br />

PRO1748<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4100<br />

Fax: (516)562-3990<br />

ONG, LAWRENCE<br />

Y:MD<br />

PRO1757<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4100<br />

Fax: (516)562-2087<br />

BHANSALI, ROHAN<br />

D:MD<br />

PRO1744<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7330<br />

Fax: (718)343-9462<br />

DRUZ, REGINA S:MD<br />

PRO1749<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4103<br />

Fax: (516)562-2015<br />

RUTKIN, BRUCE J:MD<br />

PRO1760<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4100<br />

Fax: (516)562-2015<br />

CHEUNG, JIM W:MD<br />

PRO1766<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7354<br />

Fax: (718)470-1821<br />

KATZ, STANLEY :MD<br />

PRO1753<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4101<br />

Fax: (516)562-3992<br />

SUMA, VALENTIN<br />

S:MD*<br />

PRO1763<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4100<br />

Fax: (516)562-3990<br />

DIAMOND, JOSEPH<br />

A:MD<br />

PRO1747<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7362<br />

Fax: (718)347-0753<br />

LEE, ALEXANDER<br />

D:MD<br />

PRO1754<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4100<br />

Fax: (516)562-2087<br />

MAKARYUS, AMGAD<br />

N:MD*<br />

PRO1756<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-1452<br />

Fax: (516)562-1464<br />

MASSAPEQUA<br />

SACHER, HOWARD<br />

L:DO<br />

PRO2410<br />

510 HICKSVILLE RD<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)795-2626<br />

Fax: (516)799-7451<br />

NEW HYDE PARK<br />

ARKONAC, BURAK<br />

M:MD*<br />

PRO1742<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7358<br />

Fax: (718)343-9762<br />

EDASERY, BEPPY<br />

J:MD<br />

PRO0125<br />

1575 HILLSIDE AVE STE 103<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)352-1804<br />

Fax: (516)352-1449<br />

Languages: HINDI, MALAYALAM<br />

GOLDNER, BRUCE<br />

G:MD<br />

PRO1750<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7330<br />

Fax: (718)470-1821<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

31


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

JAUHAR, SANDEEP<br />

:MD<br />

PRO1751<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-4360<br />

Fax: (718)343-9762<br />

SLOTWINER, DAVID<br />

J:MD<br />

PRO1761<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7333<br />

Fax: (718)470-1821<br />

GOULD, RANDALL<br />

J:MD*<br />

PRO2116<br />

850 HICKSVILLE RD STE 104<br />

SEAFORD,NY 11783<br />

Phone: (516)798-0141<br />

Fax: (516)798-0694<br />

Languages: SPANISH<br />

KAPLAN, BARRY<br />

M:MD<br />

PRO1752<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7358<br />

Fax: (718)343-9762<br />

SPERA, ANTHONY<br />

P:MD<br />

PRO0273<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

GRAINER, STEVEN<br />

:DO*<br />

PRO2176<br />

850 HICKSVILLE RD STE 104<br />

SEAFORD,NY 11783<br />

Phone: (516)798-0141<br />

Fax: (516)798-0694<br />

Languages: SPANISH<br />

ROSEN, STACEY<br />

E:MD<br />

PRO1758<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-4330<br />

Fax: (718)343-9762<br />

STEINBERG, BART<br />

S:MD<br />

PRO1762<br />

270-07 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7732<br />

Fax: (718)470-1821<br />

SCHEINBACH, ALAN<br />

J:DO<br />

PRO2115<br />

850 HICKSVILLE RD STE 104<br />

SEAFORD,NY 11783<br />

Phone: (516)798-0141<br />

Fax: (516)798-0694<br />

Languages: SPANISH<br />

ROSMAN, DAVID<br />

R:MD<br />

PRO1759<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-4360<br />

Fax: (718)347-0753<br />

SINGER, MARC A:MD<br />

PRO0072<br />

2800 MARCUS AVE STE 203<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)775-6666<br />

Fax: (516)354-7111<br />

Languages: HEBREW YIDDISH<br />

SEAFORD<br />

DAVINO, ROBERT<br />

C:MD*<br />

PRO2112<br />

850 HICKSVILLE RD STE 104<br />

SEAFORD,NY 11783<br />

Phone: (516)798-0141<br />

Fax: (516)798-0694<br />

Languages: SPANISH<br />

GALLER, STEVEN<br />

G:DO*<br />

PRO2061<br />

850 HICKSVILLE RD STE 104<br />

SEAFORD,NY 11783<br />

Phone: (516)798-0141<br />

Fax: (516)798-0694<br />

Languages: SPANISH<br />

WITKES, DAVID<br />

M:DO*<br />

PRO2114<br />

850 HICKSVILLE RD STE 104<br />

SEAFORD,NY 11783<br />

Phone: (516)798-0141<br />

Fax: (516)798-0694<br />

Languages: SPANISH<br />

SYOSSET<br />

KAHN, SANDY :MD<br />

PRO0104<br />

175 JERICHO TURNPIKE STE 204<br />

SYOSSET,NY 11791<br />

Phone: (516)496-4141<br />

Fax: (516)496-4393<br />

Languages: SPANISH DOCTORS<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

32


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

STRUHL, ROBERT<br />

TROULAKIS,<br />

E:MD<br />

EMMANUEL F:MD<br />

PRO0102<br />

PRO2504<br />

175 JERICHO TURNPIKE SUITE 204 30-18 37TH ST<br />

SYOSSET,NY 11791<br />

ASTORIA,NY 11103<br />

Phone: (516)496-4141<br />

Phone: (718)278-0100<br />

Fax: (516)496-4393<br />

Fax: (718)278-1143<br />

Languages: SPANISH, DOCTORS<br />

Languages: GREEK, SPANISH, AND<br />

SHAH, RAJENDRA<br />

C:MD<br />

PRO0285<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

VALLEY STREAM<br />

DENIER, DONNA<br />

P:MD*<br />

PRO1746<br />

900 FRANKLIN AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)256-6201<br />

Fax: (516)256-6230<br />

YADAV, RANVIR<br />

S:MD*<br />

PRO1765<br />

900 FRANKLIN AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)256-6201<br />

Fax: (516)256-6230<br />

QUEENS<br />

ASTORIA<br />

PALKHIWALA, ARUN<br />

J:MD<br />

PRO2182<br />

42-07 30TH AVENUE<br />

ASTORIA,NY 11103<br />

Phone: (718)204-7200<br />

Fax: (718)267-0060<br />

Languages: SPANISH, ITALIAN, HI<br />

PALKHIWALA,<br />

SAMEET A:MD<br />

PRO2179<br />

42-07 30TH AVENUE<br />

ASTORIA,NY 11103<br />

Phone: (718)204-7200<br />

Fax: (718)267-0060<br />

ELMHURST<br />

MORLOTE, MANUEL<br />

E:MD<br />

PRO2861<br />

40-08 FORLEY STREET<br />

ELMHURST,NY 11373<br />

Phone: (718)446-0270<br />

Fax: (718)446-5939<br />

Languages: SPANISH, ITALIAN, RU<br />

FLUSHING<br />

AKINBOBOYE,<br />

OLAKUNLE O:MD*<br />

PRO2295<br />

56-45 MAIN ST<br />

FLUSHING,NY 11355<br />

Phone: (718)670-1023<br />

Fax: (718)661-7913<br />

KIM, BACK :MD<br />

PRO2261<br />

136-20 38TH AVENUE SUITE AJ<br />

FLUSHING,NY 11354<br />

Phone: (718)359-4600<br />

Fax: (718)997-8880<br />

Languages: KOREAN, SPANISH<br />

MEHTA, BIJOY K:MD<br />

PRO0329<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

FOREST HILLS<br />

TABAEE, JAVAD<br />

M:MD<br />

PRO0262<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: PERSIAN<br />

JAMAICA<br />

SRIVASTAVA,<br />

RAJEEV :MD<br />

PRO2173<br />

162 15 HIGHLAND AVE STE 1A<br />

JAMAICA,NY 11432<br />

Phone: (718)297-8398<br />

Fax: (718)297-0063<br />

Languages: HINDI, SPANISH<br />

KEW GARDENS<br />

DAVID, MARIAN :MD<br />

PRO0073<br />

125-10 QUEENS BLVD STE 2701<br />

KEW GARDENS,NY 11415<br />

Phone: (718)261-0444<br />

Fax: (718)261-0940<br />

Languages: SPANISH, ROMANIAN, R<br />

OZONE PARK<br />

AVARICIO, MICHAEL<br />

LUZ:MD<br />

PRO1674<br />

9511 101ST AVE<br />

OZONE PARK,NY 11416<br />

Phone: (718)360-5060<br />

Fax: (718)360-0443<br />

Languages: TAGALO/SPANISH/POLIS<br />

QUEENS VILLAGE<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

33


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GUPTA, MOHINDER<br />

P:MD<br />

PRO2098<br />

90 33 SPRINGFIELD BLVD<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)464-5225<br />

Fax: (718)740-8838<br />

Languages: HINDI/ENGLISH<br />

GUPTA, RAKESH :MD<br />

PRO2132<br />

90-33 SPRINGFIELD BLVD<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)464-5225<br />

Fax: (718)740-8838<br />

Languages: HINDI<br />

SINGAL, SANJIV :MD<br />

PRO2142<br />

211-15 JAMAICA AVE<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)454-5700<br />

Fax:<br />

Languages: HINDI, PUNJABI, URDU<br />

ROSEDALE<br />

AKINBOBOYE,<br />

OLAKUNLE O:MD*<br />

PRO2100<br />

234-36 MERRICK BLVD<br />

ROSEDALE,NY 11422<br />

Phone: (718)949-9400<br />

Fax: (718)949-8300<br />

SOUTH OZONE PARK<br />

JAYASUNDERA,<br />

TIMOTHY :MD<br />

PRO2139<br />

13056 LEFFERTS BLVD<br />

SOUTH OZONE PARK,NY 1<br />

Phone: (718)763-6666<br />

Fax: (718)251-5636<br />

WHITESTONE<br />

MORDEN,<br />

ALEXANDER :MD<br />

PRO2062<br />

160-20 WILLETS POINT BLVD<br />

WHITESTONE,NY 11357<br />

Phone: (718)279-4300<br />

Fax: (718)423-7714<br />

Languages: RUSSIAN, HEBREW<br />

SUFFOLK<br />

AMITYVILLE<br />

POTTANAT, JOSEPH<br />

:MD<br />

PRO2335<br />

389 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)789-3434<br />

Fax: (631)789-3039<br />

Languages: SPANISH<br />

BAY SHORE<br />

COUDREY, LAURA<br />

:MD<br />

PRO2066<br />

1916 UNION BLVD<br />

BAY SHORE,NY 11706<br />

Phone: (631)666-2290<br />

Fax: (631)666-2283<br />

Languages: LITHUANIAN<br />

DESVARIEUX, MARIE<br />

:MD<br />

PRO2138<br />

1916 UNION BLVD<br />

BAY SHORE,NY 11706<br />

Phone: (631)666-2290<br />

Fax: (631)666-2283<br />

Languages: FRENCH, SPANISH, CRE<br />

GREENPORT<br />

BUCKLEY, WILLIAM<br />

J:MD<br />

PRO2242<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

Languages: SPANISH<br />

CREAN, JOHN M:MD<br />

PRO2189<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

DOUGHERTY,<br />

ROBERT P:MD<br />

PRO2191<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

FALCO, THOMAS<br />

A:MD<br />

PRO2221<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

MAZZUCCHI, FULVIO<br />

:MD<br />

PRO2239<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

MONSERRATE,<br />

RICARDO J:MD<br />

PRO2198<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

Languages: SPANISH<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

34


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

PEARSON, JOHN<br />

W:MD<br />

PRO2283<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

SAPORITA, MARK<br />

:MD<br />

PRO2259<br />

201 MANOR PL<br />

GREENPORT,NY 11944<br />

Phone: (631)477-2701<br />

Fax: (631)477-8893<br />

HUNTINGTON<br />

MACCARO, PAUL<br />

C:MD<br />

PRO1755<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2798<br />

Fax: (631)351-4115<br />

STEPHENSON, KENT<br />

M:MD<br />

PRO1767<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2798<br />

Fax: (631)351-4115<br />

WEISSMAN, EDWARD<br />

C:MD<br />

PRO1764<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2000<br />

Fax: (631)952-5751<br />

YOUNG, SHUG HONG DABHI, RAMESH :MD<br />

:MD<br />

PRO0093<br />

PRO0108<br />

951 ROANOKE AVE<br />

5225-37 NESCONSET HWY DAVIS RIVERHEAD,NY PROFESSIONAL 11901 PARK<br />

PORT JEFFERSON STATION Phone: (631)727-7773<br />

Phone: (631)642-1500<br />

Fax: (631)727-7832<br />

Fax: (631)642-3093<br />

Languages: SPANISH<br />

Languages: CHINESE, TAIWANESE<br />

RIVERHEAD<br />

BIBIANA, STEPHEN<br />

D:MD<br />

PRO0028<br />

951 ROANOKE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-7773<br />

Fax: (631)727-7832<br />

Languages: SPANISH<br />

BLANCO, MIGUEL<br />

:MD<br />

PRO0082<br />

951 ROANOKE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-7773<br />

Fax: (631)727-7832<br />

Languages: SPANISH<br />

BUCKLEY, WILLIAM<br />

J:MD<br />

PRO2103<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)727-2646<br />

Languages: SPANISH<br />

CREAN, JOHN M:MD<br />

PRO2091<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)727-2646<br />

DALAL, PRATEEK<br />

:MD<br />

PRO0090<br />

951 ROANOKE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-7773<br />

Fax: (631)727-7832<br />

Languages: SPANISH<br />

DOUGHERTY,<br />

ROBERT P:MD<br />

PRO2130<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)727-2646<br />

EASOW, BABU :MD<br />

PRO0027<br />

951 ROANOKE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-7773<br />

Fax: (631)727-7832<br />

Languages: SPANISH<br />

FALCO, THOMAS<br />

A:MD<br />

PRO2134<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)727-2646<br />

PORT JEFFERSON STATION<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

35


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LEDERMAN, STEVEN<br />

:MD<br />

PRO0112<br />

951 ROANOKE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-7773<br />

Fax: (631)727-7832<br />

Languages: SPANISH<br />

MAZZUCCHI, FULVIO<br />

:MD<br />

PRO2090<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)727-2646<br />

SAPORITA, MARK<br />

:MD<br />

PRO2129<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)477-8893<br />

VALENTINO,<br />

PATRICK :DO<br />

PRO0088<br />

951 ROANOKE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-7773<br />

Fax: (631)727-7832<br />

Languages: SPANISH<br />

Spera, Anthony :M.D.<br />

PRO2892<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

VALLEY STREAM<br />

Mehta, Bijoy :M.D.<br />

PRO2885<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

MONSERRATE,<br />

RICARDO J:MD<br />

PRO2131<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)727-2646<br />

Languages: SPANISH<br />

PATEL, RAJOO :MD<br />

PRO0092<br />

951 ROANOKE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-7773<br />

Fax: (631)727-7832<br />

Languages: SPANISH<br />

PEARSON, JOHN<br />

W:MD<br />

PRO2101<br />

1279 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-2100<br />

Fax: (631)727-2646<br />

SHOREHAM<br />

YEN, OWEN :MD<br />

PRO0085<br />

45 ROUTE 25A STE C<br />

SHOREHAM,NY 11786<br />

Phone: (631)744-3303<br />

Fax: (631)744-1627<br />

Languages: CHINESE<br />

STONY BROOK<br />

ZODIATIS,<br />

DEMETRIUS :MD<br />

PRO0024<br />

1388 STONYBROOK RD<br />

STONY BROOK,NY 11794<br />

Phone: (631)751-7588<br />

Fax: (631)689-3665<br />

Languages: GREEK<br />

Cardiology<br />

NASSAU<br />

HEMPSTEAD<br />

Spera, Anthony :M.D.<br />

PRO2893<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

ASTORIA<br />

Mehta, Bijoy :M.D.<br />

PRO2886<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

ELMHURST<br />

Mittle, Sumit :M.D.<br />

PRO2888<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

36


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Altman, Erik :M.D.<br />

PRO2792<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Patel, Keyoor :D.O.*<br />

PRO2815<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

NORTH BABYLON<br />

Altman, Erik :M.D.<br />

PRO2791<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Laighold, Saaron :M.D.<br />

PRO2807<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Cardiology/Nuclear<br />

Cardiology<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Cacciabaudo, Jean :M.D.<br />

PRO2796<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

NORTH BABYLON<br />

Cacciabaudo, Jean :M.D.<br />

PRO2795<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Cardiology/Nuclear<br />

Cardiology/Echocardi<br />

SUFFOLK<br />

NORTH BABYLON<br />

Sedaghat, David :M.D.*<br />

PRO2822<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Cardiovascular<br />

Disease<br />

NASSAU<br />

HICKSVILLE<br />

Thakore, Avni :M.D.<br />

PRO2895<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

NEW HYDE PARK<br />

Thakore, Avni :M.D.<br />

PRO2894<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Chiropractic<br />

NASSAU<br />

EAST MEADOW<br />

Meoli, Richard :DC*<br />

PRO2742<br />

595 Merrick Avenue<br />

EAST MEADOW,NY 11554<br />

Phone: 516-481-1400<br />

Fax: 516-481-1411<br />

ELMONT<br />

Gerard, Marie :DC*<br />

PRO2677<br />

1 Cerenzia Boulevard<br />

ELMONT,NY 11003<br />

Phone: 516-616-5187<br />

Fax: 516-616-6655<br />

FARMINGDALE<br />

Mazza, Ronald :DC*<br />

PRO2642<br />

56 A Motor Avenue<br />

FARMINGDALE,NY 11735<br />

Phone: 516-752-1910<br />

Fax: 516-752-1914<br />

FLORAL PARK<br />

Thompson, Jennifer<br />

:DC*<br />

PRO2630<br />

242 Jericho Turnpike<br />

FLORAL PARK,NY 11001<br />

Phone: 516-328-9015<br />

Fax: 516-488-9865<br />

GARDEN CITY<br />

DiCostanzo, Anthony<br />

:DC*<br />

PRO2650<br />

350 Old Country Road<br />

GARDEN CITY,NY 11530<br />

Phone: 516-248-0103<br />

Fax: 516-248-4661<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

37


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GARDEN CITY PARK<br />

Bouchard, Teresa :DC*<br />

PRO2731<br />

371 Nassau Boulevard<br />

GARDEN CITY PARK,NY 1<br />

Phone: 516-248-3647<br />

Fax: 516-414-8519<br />

Maggio, Ferdinand :DC*<br />

PRO2664<br />

66 North Wantagh Avenue<br />

LEVITTOWN,NY 11756<br />

Phone: 516-796-0100<br />

Fax: 516-796-0954<br />

LONG BEACH<br />

Sirlin, Andrew :DC*<br />

PRO2672<br />

744 Old Country Road<br />

PLAINVIEW,NY 11803<br />

Phone: 516-933-1034<br />

Fax: 516-931-1084<br />

ROCKVILLE CENTER<br />

Goebel, Robert :DC*<br />

PRO2685<br />

371 Nassau Boulevard<br />

GARDEN CITY PARK,NY 1<br />

Phone: 516-248-3647<br />

Fax: 516-414-8519<br />

Stanger, Jeffrey :DC*<br />

PRO2701<br />

1015 West Beech Street<br />

LONG BEACH,NY 11561<br />

Phone: 516-889-6900<br />

Fax: 516-897-5833<br />

Russo, Michael :DC*<br />

PRO2670<br />

100 North Centre Avenue<br />

ROCKVILLE CENTER,NY 1<br />

Phone: 516-763-2600<br />

Fax: 516-763-4218<br />

GREAT NECK<br />

Surasky, Scott :DC*<br />

PRO2647<br />

15 Barstow Road<br />

GREAT NECK,NY 11021<br />

Phone: 516-487-9414<br />

Fax: 516-487-2302<br />

LYNBROOK<br />

London, Fern H :DC*<br />

PRO2732<br />

377 Broadway<br />

LYNBROOK,NY 11563<br />

Phone: 516-593-0909<br />

Fax: 516-593-0910<br />

SYOSSET<br />

Csillag, Ronald :DC*<br />

PRO2699<br />

5 Elmwood Lane<br />

SYOSSET,NY 11791<br />

Phone: 516-682-1995<br />

Fax: 516-921-0169<br />

HEMPSTEAD<br />

Strauss, Elliot :DC*<br />

PRO2656<br />

135 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 516-486-1125<br />

Fax: 516-486-1243<br />

MASSAPEQUA<br />

Bowles, Raymond :DC*<br />

PRO2753<br />

998 Carmans Road<br />

MASSAPEQUA,NY 11758<br />

Phone: 516-541-4730<br />

Fax: 516-541-4748<br />

VALLEY STREAM<br />

Ragone, Filippo S :DC*<br />

PRO2675<br />

125 North Central Avenue<br />

VALLEY STREAM,NY 1158<br />

Phone: 516-872-3100<br />

Fax: 516-568-0876<br />

HEWLETT<br />

Pesa, Carl :DC*<br />

PRO2714<br />

1728 Broadway<br />

HEWLETT,NY 11557<br />

Phone: 516-593-3339<br />

Fax:<br />

MERRICK<br />

Kavett, Mark :DC*<br />

PRO2728<br />

305 Merrick Avenue<br />

MERRICK,NY 11566<br />

Phone: 516-378-3440<br />

Fax: 516-378-3955<br />

WANTAGH<br />

Leviton, Brian :DC*<br />

PRO2660<br />

521 Wantagh Avenue<br />

WANTAGH,NY 11793<br />

Phone: 516-579-1200<br />

Fax: 516-579-1852<br />

LEVITTOWN<br />

PLAINVIEW<br />

WESTBURY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

38


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Mazza, Ronald :DC*<br />

PRO2641<br />

55 Post Avenue<br />

WESTBURY,NY 11590<br />

Phone: 516-752-1910<br />

Fax: 516-377-6235<br />

Burte, Wayne :DC*<br />

PRO2635<br />

247-11 Union Turnpike<br />

BELLEROSE,NY 11426<br />

Phone: 718-347-3999<br />

Fax: 718-347-3773<br />

Whittaker, Gayle :DC*<br />

PRO2746<br />

70-20 Austin Street<br />

FOREST HILLS,NY 11375<br />

Phone: 718-544-8282<br />

Fax: 718-544-3641<br />

QUEENS<br />

ASTORIA<br />

Mazza, Ronald :DC*<br />

PRO2661<br />

27-51 27th Street<br />

ASTORIA,NY 11102<br />

Phone: 718-728-0612<br />

Fax: 718-545-7771<br />

BAYSIDE<br />

Penna, Mariangela :DC*<br />

PRO2718<br />

209-19 34th Road<br />

BAYSIDE,NY 11361<br />

Phone: 718-423-6762<br />

Fax: 718-423-6762<br />

Vilan, Ronit :DC*<br />

PRO2629<br />

210-08 Northern Boulevard<br />

BAYSIDE,NY 11361<br />

Phone: 718-279-9485<br />

Fax: 718-279-0986<br />

BRIARWOOD<br />

Herzlich, Jeffrey :DC*<br />

PRO2750<br />

8437 Main Street<br />

BRIARWOOD,NY 11435<br />

Phone: 718-805-1010<br />

Fax: 718-805-1038<br />

FAR ROCKAWAY<br />

Bokor, Daniel :DC*<br />

PRO2688<br />

265 Beach 20th Street<br />

FAR ROCKAWAY,NY 1169<br />

Phone: 718-327-4970<br />

Fax: 718-471-6542<br />

FLUSHING<br />

Alpert, Bruce :DC*<br />

PRO2709<br />

142-42 41st Avenue<br />

FLUSHING,NY 11355<br />

Phone: 718-463-0006<br />

Fax: 718-460-2936<br />

FRESH MEADOWS<br />

Strauss, Elliot :DC*<br />

PRO2700<br />

185-07 64th Avenue<br />

FRESH MEADOWS,NY 1136<br />

Phone: 718-445-7121<br />

Fax: 516-445-7123<br />

HOLLIS<br />

Gagliardi, Anthony<br />

:DC*<br />

PRO2717<br />

201-18 Hillside Avenue<br />

HOLLIS,NY 11423<br />

Phone: 718-740-7074<br />

Fax: 631-423-1416<br />

HOWARD BEACH<br />

Campisi, Carmen :DC*<br />

PRO2657<br />

160-55 Crossbay Boulevard<br />

HOWARD BEACH,NY 1141<br />

Phone: 718-843-7300<br />

Fax: 718-843-7305<br />

BELLE HARBOR<br />

Nussbaum, Morton :DC*<br />

PRO2674<br />

404 Beach 132 Street<br />

BELLE HARBOR,NY 11694<br />

Phone: 718-945-2322<br />

Fax: 718-474-4893<br />

Pashayan, Richard :DC*<br />

PRO2740<br />

57-53 Parsons Boulevard<br />

FLUSHING,NY 11365<br />

Phone: 718-961-0446<br />

Fax: 718-961-2061<br />

FOREST HILLS<br />

JAMAICA<br />

Battisti, Renato :DC*<br />

PRO2684<br />

22A JFK International Airport<br />

JAMAICA,NY 11430<br />

Phone: 718-244-1644<br />

Fax: 718-244-1622<br />

BELLEROSE<br />

LITTLE NECK<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

39


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Sposta, Daniel :DC*<br />

PRO2644<br />

54-44 Little Neck Parkway<br />

LITTLE NECK,NY 11362<br />

Phone: 718-224-1902<br />

Fax: 718-224-2807<br />

Csillag, Ronald :DC*<br />

PRO2698<br />

19-15 Utopia Parkway<br />

WHITESTONE,NY 11357<br />

Phone: 718-352-4500<br />

Fax: 718-352-4502<br />

Papadopoulos, Gregory<br />

:DC*<br />

PRO2725<br />

294 Burr Road<br />

COMMACK,NY 11725<br />

Phone: 631-493-9390<br />

Fax: 631-493-9397<br />

REGO PARK<br />

Friedman, Jeffrey :DC*<br />

PRO2745<br />

63-109 Saunders Street<br />

REGO PARK,NY 11374<br />

Phone: 718-897-8040<br />

Fax: 718-897-8041<br />

WOODHAVEN<br />

Pazos, Dennis :DC*<br />

PRO2752<br />

96-16 Jamaica Avenue<br />

WOODHAVEN,NY 11421<br />

Phone: 718-846-5182<br />

Fax: 718-846-7999<br />

CORAM<br />

Sall, Dennis :DC*<br />

PRO2638<br />

1970 Route 112<br />

CORAM,NY 11727<br />

Phone: 631-476-4600<br />

Fax: 631-476-8236<br />

Ganz, Neil :DC*<br />

PRO2631<br />

98-76 Queens Boulevard<br />

REGO PARK,NY 11374<br />

Phone: 718-275-4194<br />

Fax: 718-275-4191<br />

RICHMOND HILL<br />

Nissenbaum, Steven<br />

:DC*<br />

PRO2637<br />

105-09 Jamaica Avenue<br />

RICHMOND HILL,NY 11418<br />

Phone: 718-441-9390<br />

Fax: 718-441-3744<br />

SUNNYSIDE<br />

Abrankian, Michael<br />

:DC*<br />

PRO2616<br />

4348 48 Street<br />

SUNNYSIDE,NY 11104<br />

Phone: 718-472-0448<br />

Fax: 718-472-9555<br />

WHITESTONE<br />

SUFFOLK<br />

BAY SHORE<br />

Gozdziewski, Daniel<br />

:DC*<br />

PRO2715<br />

1855 Union Boulevard<br />

BAY SHORE,NY 11706<br />

Phone: 631-968-8511<br />

Fax: 631-968-8533<br />

BRENTWOOD<br />

DaSilva, Dennis :DC*<br />

PRO2645<br />

1025 Suffolk Avenue<br />

BRENTWOOD,NY 11717<br />

Phone: 631-434-7053<br />

Fax: 631-951-2715<br />

BRIDGEHAMPTON<br />

Kelly, Richard :DC*<br />

PRO2734<br />

39 Sawasett Avenue<br />

BRIDGEHAMPTON,NY 119<br />

Phone: 631-537-8187<br />

Fax: 631-537-5242<br />

Surace, Daniel :DC*<br />

PRO2722<br />

24 Hawkins Path<br />

CORAM,NY 11727<br />

Phone: 631-732-1612<br />

Fax: 631-732-1612<br />

EAST ISLIP<br />

Chinnici, John :DC*<br />

PRO2724<br />

280 East Main Street<br />

EAST ISLIP,NY 11730<br />

Phone: 631-581-5957<br />

Fax: 631-277-4730<br />

EAST MORICHES<br />

Menis, Stuart :DC*<br />

PRO2697<br />

130 Montauk Highway<br />

EAST MORICHES,NY 11940<br />

Phone: 631-874-2797<br />

Fax: 631-874-9387<br />

EAST SETAUKET<br />

COMMACK<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

40


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Levine, Charles :DC*<br />

PRO2711<br />

151 Gnarled Hollow Road<br />

EAST SETAUKET,NY 11733<br />

Phone: 631-689-3232<br />

Fax: 631-941-1096<br />

Kiesecker, John :DC*<br />

PRO2751<br />

9 Golf Club Circle<br />

MANORVILLE,NY 11949<br />

Phone: 631-878-5163<br />

Fax: 631-878-3537<br />

Russo, John F :DC*<br />

PRO2686<br />

1300 Montauk Highway<br />

OAKDALE,NY 11769<br />

Phone: 631-567-4437<br />

Fax: 631-567-3018<br />

HAUPPAUGE<br />

Capuano, Robert :DC*<br />

PRO2726<br />

3 Gaymor Road<br />

HAUPPAUGE,NY 11788<br />

Phone: 631-265-9440<br />

Fax: 631-265-9446<br />

MATTITUCK<br />

Hinsch, James :DC*<br />

PRO2649<br />

14325 Main Road<br />

MATTITUCK,NY 11952<br />

Phone: 631-298-5333<br />

Fax: 631-298-1304<br />

PATCHOGUE<br />

Biase, Angelo :DC*<br />

PRO2623<br />

157 North Ocean Avenue<br />

PATCHOGUE,NY 11772<br />

Phone: 631-289-3067<br />

Fax: 631-289-3027<br />

HUNTINGTON<br />

Lombardo, Dean :DC*<br />

PRO2747<br />

752 Park Avenue<br />

HUNTINGTON,NY 11743<br />

Phone: 631-385-0207<br />

Fax: 631-385-1272<br />

MIDDLE ISLAND<br />

Surace, Bruce :DC*<br />

PRO2741<br />

59 Middle Country Road<br />

MIDDLE ISLAND,NY 11953<br />

Phone: 516-732-1615<br />

Fax: 516-732-1612<br />

SAINT JAMES<br />

Thomaier, Gregory<br />

:DC*<br />

PRO2639<br />

338 Lake Avenue<br />

SAINT JAMES,NY 11780<br />

Phone: 631-584-8100<br />

Fax: 631-584-9436<br />

ISLIP<br />

Sengstock, Bernhard<br />

:DC*<br />

PRO2712<br />

152 Islip Avenue<br />

ISLIP,NY 11751<br />

Phone: 631-277-6767<br />

Fax: 631-277-4311<br />

LINDENHURST<br />

Slavin, David :DC*<br />

PRO2710<br />

150 East Sunrise Highway<br />

LINDENHURST,NY 11757<br />

Phone: 631-956-2225<br />

Fax: 631-956-7568<br />

MANORVILLE<br />

NESCONSET<br />

McPartland, Kevin :DC*<br />

PRO2668<br />

127 Smithtown Boulevard<br />

NESCONSET,NY 11767<br />

Phone: 631-360-0170<br />

Fax: 631-361-6221<br />

NORTH BABYLON<br />

Palmer, William F :DC*<br />

PRO2706<br />

1105 Deer Park Avenue<br />

NORTH BABYLON,NY 1170<br />

Phone: 631-595-2010<br />

Fax: 631-595-1415<br />

OAKDALE<br />

SAYVILLE<br />

Van Kalmthout,<br />

Leonard H :DC*<br />

PRO2716<br />

200 Railroad Avenue<br />

SAYVILLE,NY 11782<br />

Phone: 631-567-2424<br />

Fax: 631-256-0012<br />

SELDEN<br />

Pernice, Frank :DC*<br />

PRO2727<br />

301 Mooney Pond Road<br />

SELDEN,NY 11784<br />

Phone: 631-736-1000<br />

Fax: 631-736-1023<br />

SHIRLEY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

41


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Cohen, Adam :DC*<br />

PRO2690<br />

2 Coraci Boulevard<br />

SHIRLEY,NY 11967<br />

Phone: 631-395-9090<br />

Fax: 631-395-9100<br />

COOPER YENGLE,<br />

RACHEL :Masters*<br />

AP00047<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

BARLAS, IMRAN<br />

A:MD<br />

PRO1768<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4970<br />

Fax: (516)562-1226<br />

SHOREHAM<br />

Badalian, Robert :DC*<br />

PRO2691<br />

21 Miller Avenue<br />

SHOREHAM,NY 11786<br />

Phone: 631-821-3080<br />

Fax: 631-821-6582<br />

STONY BROOK<br />

Bonasera, Gregory :DC*<br />

PRO2640<br />

1 Sycamore Drive<br />

STONY BROOK,NY 11790<br />

Phone: 631-445-1011<br />

Fax: 631-689-1070<br />

WEST ISLIP<br />

Weir, Edward :DC*<br />

PRO2636<br />

270 West Fourth Street<br />

WEST ISLIP,NY 11795<br />

Phone: 631-669-3313<br />

Fax: 631-669-3319<br />

CNM - Certified<br />

Nurse Midwife<br />

NASSAU<br />

HEMPSTEAD<br />

LYNBROOK<br />

COOPER YENGLE,<br />

RACHEL :Masters*<br />

AP00049<br />

444 MERRICK RD SUITE LL3<br />

LYNBROOK,NY 11563<br />

Phone: (516)536-5656<br />

Fax: (516)536-3029<br />

MINEOLA<br />

COOPER YENGLE,<br />

RACHEL :Masters*<br />

AP00048<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

CRITICAL CARE<br />

MEDICINE<br />

NASSAU<br />

GREAT NECK<br />

SHPAK, IRINA :MD<br />

PRO0048<br />

233 EAST SHORE RD STE 112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

CASSIERE, HUGH<br />

A:MD<br />

PRO1769<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2294<br />

Fax: (516)562-1226<br />

DAVE, RITU :MD<br />

PRO1770<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4310<br />

Fax: (516)562-2588<br />

Languages: HINDI<br />

GRIFFIN, KIMBERLY<br />

M:MD<br />

PRO1772<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4910<br />

Fax: (516)562-3786<br />

HUSSAIN, ERFAN :MD<br />

PRO1773<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2308<br />

Fax: (516)562-2385<br />

MANHASSET<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

42


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LUSTBADER, DANA<br />

R:MD<br />

PRO1776<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-1621<br />

Fax: (516)562-2385<br />

KODALI, RAVINDRA<br />

:MD<br />

PRO1775<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7460<br />

Fax: (718)343-1438<br />

<strong>Health</strong>PLEX, :*<br />

F00000293<br />

,<br />

Phone: (888)468-2185<br />

Fax:<br />

REISER, PETER M:MD<br />

PRO1777<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2308<br />

Fax: (516)562-2385<br />

SINGH, NARENDRA<br />

:MD<br />

PRO1779<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2993<br />

Fax: (516)562-1576<br />

WEISS, SINDEE R:MD<br />

PRO1780<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2308<br />

Fax: (516)562-2385<br />

MASSAPEQUA<br />

SHPAK, IRINA :MD<br />

PRO2850<br />

643 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)798-1066<br />

Fax: (516)798-7351<br />

Languages: GERMAN, SPANISH<br />

NEW HYDE PARK<br />

SUFFOLK<br />

HUNTINGTON<br />

DIBLASIO,<br />

FERDINAND C:MD*<br />

PRO1771<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2000<br />

Fax: (631)952-5751<br />

KATRIYAR, NEERAJ<br />

:MD<br />

PRO1774<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2000<br />

Fax: (631)952-5751<br />

SHIH, PETER H:MD<br />

PRO1778<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2000<br />

Fax: (631)952-5751<br />

Dental Services<br />

NASSAU<br />

QUEENS<br />

<strong>Health</strong>PLEX, :*<br />

F00000294<br />

,<br />

Phone: (888)468-2185<br />

Fax:<br />

SUFFOLK<br />

<strong>Health</strong>PLEX, :*<br />

F00000292<br />

,<br />

Phone: (888)468-2185<br />

Fax:<br />

Dermatology<br />

NASSAU<br />

HEMPSTEAD<br />

<strong>New</strong>field, Stanley :M.D.<br />

PRO2891<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

HEWLETT<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

43


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

COHEN, DAVID L:MD<br />

PRO0025<br />

1800 ROCKAWAY AVE<br />

HEWLETT,NY 11557<br />

Phone: (516)887-4343<br />

Fax: (516)887-8569<br />

Languages: SPANISH HEBREW<br />

HICKSVILLE<br />

Mann, Michael :M.D.<br />

PRO2884<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

LAKE SUCCESS<br />

ELLIS, JEFFREY<br />

I:MD*<br />

PRO1781<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2530<br />

Fax: (516)708-2571<br />

MANHASSET<br />

PENSTEIN, ADAM<br />

K:MD*<br />

PRO1782<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4310<br />

Fax: (516)562-2981<br />

NEW HYDE PARK<br />

GREENSPAN, EMILY<br />

R:MD*<br />

PRO0384<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

VALLEY STREAM<br />

NEWFIELD, STANLEY<br />

:MD<br />

PRO0317<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

QUEENS<br />

ASTORIA<br />

Mendez, Beatriz :M.D.<br />

PRO2887<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

BAYSIDE<br />

ZUCKERMAN,<br />

JORDAN S:MD*<br />

PRO0058<br />

23-83 BELL BLVD<br />

BAYSIDE,NY 11360<br />

Phone: (718)423-0200<br />

Fax: (718)423-3134<br />

Languages: SPANISH, ITALIEN, GR<br />

ELMHURST<br />

BRUSTEIN, DENNIS<br />

M:MD<br />

PRO0444<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

Languages: CHINESE, RUSSIAN, SP<br />

FLUSHING<br />

<strong>New</strong>field, Stanley :M.D.<br />

PRO2890<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

FOREST HILLS<br />

PALTIEL, MICHAEL<br />

:MD<br />

PRO2128<br />

6405 YELLOWSTONE BLVD, CFU 101<br />

FOREST HILLS,NY 11375<br />

Phone: (718)896-3376<br />

Fax: (718)795-1005<br />

Languages: RUSSIAN<br />

JAMAICA<br />

Brustein, Dennis :M.D.<br />

PRO2882<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

COHEN, DAVID L:MD<br />

PRO2303<br />

175-61 HILLSIDE AVENUE STE. 404<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6226<br />

Fax: (718)526-6267<br />

Languages: SPANISH HEBREW<br />

MENDEZ, BEATRIZ<br />

:MD<br />

PRO0332<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: SPANISH<br />

OAKLAND GARDENS<br />

WELLS, LAWRENCE<br />

M:MD*<br />

PRO0065<br />

209-17 UNION TURNPIKE<br />

OAKLAND GARDENS,NY 1<br />

Phone: (718)464-2626<br />

Fax: (718)464-2641<br />

Languages: SPANISH<br />

REGO PARK<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

44


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SOLOWEY, CARL<br />

:MD*<br />

PRO2506<br />

98-05 63RD RD APT 1M<br />

REGO PARK,NY 11374<br />

Phone: (718)896-1010<br />

Fax: (718)896-5066<br />

Languages: NONE<br />

RICHMOND HILL<br />

Greenspan, Emily :M.D.<br />

PRO2883<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

WHITESTONE<br />

ROSMARIN,<br />

LEONARD A:MD<br />

PRO2521<br />

18-15 FRANCIS LEWIS BLVD<br />

WHITESTONE,NY 11357<br />

Phone: (718)746-5463<br />

Fax: (718)746-1967<br />

Languages: GREEK<br />

NORTH BABYLON<br />

MANN, MICHAEL<br />

A:MD<br />

PRO0350<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: HEBREW<br />

NAYYAR, KRISHAN<br />

C:MD<br />

PRO0343<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

SOUTHAMPTON<br />

FISHMAN, STEVEN<br />

:MD<br />

PRO2218<br />

325 MEETING HOUSE LN<br />

SOUTHAMPTON,NY 11968<br />

Phone: (631)283-3131<br />

Fax: (631)283-3743<br />

Languages: SPANISH<br />

Bruno, Heather :RD,<br />

C.D.N.*<br />

AP00103<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Ficalora, Cathy :C.D.N.*<br />

AP00106<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

NORTH BABYLON<br />

Ficalora, Cathy :C.D.N.*<br />

AP00105<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Nayyar, Krishan :M.D.<br />

PRO2889<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

MEDFORD<br />

WELLS, LAWRENCE<br />

M:MD*<br />

PRO2847<br />

1735 NO OCEAN AVE STE C<br />

MEDFORD,NY 11763<br />

Phone: (631)475-5550<br />

Fax: (631)475-5574<br />

Languages: SPANISH<br />

Dietetics-Nutrition<br />

NASSAU<br />

HICKSVILLE<br />

Bruno, Heather :RD,<br />

C.D.N.*<br />

AP00104<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

QUEENS<br />

FLUSHING<br />

DURABLE<br />

MEDICAL<br />

NASSAU<br />

ALL-MED<br />

MANAGEMENT<br />

SYSTEMS, :*<br />

F00000330<br />

,<br />

Phone: (800)369-1416<br />

Fax:<br />

QUEENS<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

45


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

ALL-MED<br />

MANAGEMENT<br />

SYSTEMS, :*<br />

F00000331<br />

,<br />

Phone: (800)369-1416<br />

Fax:<br />

ROMAO, ISABELA<br />

:MD*<br />

PRO1790<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2540<br />

Fax: (516)708-2573<br />

Languages: PORTUGUESE<br />

ALYESHMERNI,<br />

KHOSROW :MD<br />

PRO0455<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: FARSI<br />

SUFFOLK<br />

ALL-MED<br />

MANAGEMENT<br />

SYSTEMS, :*<br />

F00000333<br />

,<br />

Phone: (800)369-1416<br />

Fax:<br />

EMERGENCY<br />

MEDICINE<br />

NASSAU<br />

GREAT NECK<br />

HIRSCH, SUSAN C:MD<br />

PRO1788<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-5001<br />

Fax: (516)622-5005<br />

ENDOCRINOLOGIS<br />

T<br />

NASSAU<br />

LAKE SUCCESS<br />

VALSAMIS, AGELIKI<br />

S:DO<br />

PRO1791<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2540<br />

Fax: (516)708-2573<br />

WEINERMAN,<br />

STUART A:MD<br />

PRO1792<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2540<br />

Fax: (516)708-2573<br />

NEW HYDE PARK<br />

KLEIN, IRWIN L:MD<br />

PRO1789<br />

2800 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)708-2540<br />

Fax: (516)708-2573<br />

VALLEY STREAM<br />

KIRSCHBAUM, JODI<br />

A:MD<br />

PRO0367<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: FRENCH<br />

QUEENS<br />

FOREST HILLS<br />

ZAHEDI, TOORAY<br />

:MD<br />

PRO2251<br />

68-60 AUSTIN STREET<br />

FOREST HILLS,NY 11375<br />

Phone: (718)575-9734<br />

Fax: (718)575-5095<br />

Languages: SPANISH FRENCH PERSI<br />

JAMAICA<br />

NAJOVITS, OLGA<br />

:MD*<br />

PRO0340<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

SUFFOLK<br />

NESCONSET<br />

TERRANA, JOSEPH<br />

:MD*<br />

PRO2336<br />

57 SOUTHERN BLVD SUITE 1<br />

NESCONSET,NY 11767<br />

Phone: (631)584-0069<br />

Fax: (631)686-5580<br />

Languages: ITALIAN AND SOME SPA<br />

WEST ISLIP<br />

HITO, HASSAN :MD<br />

PRO2170<br />

1111 MONATAUK HIGHWAY<br />

WEST ISLIP,NY 11795<br />

Phone: (631)587-1300<br />

Fax: (631)587-1323<br />

Languages: ARABIC<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

46


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Endocrinology<br />

NASSAU<br />

HEMPSTEAD<br />

Kirschbaum, Jodi :M.D.<br />

PRO2900<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

HICKSVILLE<br />

Dynkevich, Yevgeniya<br />

:M.D.<br />

PRO2899<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

NEW HYDE PARK<br />

Dynkevich, Yevgeniya<br />

:M.D.<br />

PRO2897<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

QUEENS<br />

FLUSHING<br />

Alyeshmerni, Khosrow<br />

:M.D.<br />

PRO2896<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

FOREST HILLS<br />

Najovits, Olga :M.D.<br />

PRO2901<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

SUFFOLK<br />

NORTH BABYLON<br />

Dynkevich, Yevgeniya<br />

:M.D.<br />

PRO2898<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Family Practice<br />

SUFFOLK<br />

WEST SAYVILLE<br />

EBARB, RAYMOND<br />

:MD<br />

PRO2374<br />

213 MONTAUK HWY<br />

WEST SAYVILLE,NY 11796<br />

Phone: (631)563-6205<br />

Fax: (631)563-7718<br />

Languages: SPANISH<br />

Gastroenterology<br />

NASSAU<br />

HEMPSTEAD<br />

Ramaiah, Chandhini<br />

:M.D.<br />

PRO2933<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

HICKSVILLE<br />

INDARAM, ANANT<br />

V:MD<br />

PRO0377<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

INWOOD<br />

GUPTA, ROM M:MD<br />

PRO2147<br />

271 DOUGHTY BLVD<br />

INWOOD,NY 11096<br />

Phone: (516)330-6615<br />

Fax: (516)889-3561<br />

Languages: SPANISH<br />

LEVITTOWN<br />

BRAUNSTEIN,<br />

MICHAEL C:MD<br />

PRO2249<br />

2920 HEMPSTEAD TPKE<br />

LEVITTOWN,NY 11756<br />

Phone: (516)796-8882<br />

Fax: (631)226-6793<br />

Languages: SPANISH HEBREW<br />

MALVERNE<br />

BANSAL, PRADEEP<br />

:MD<br />

PRO2313<br />

1 ARLINGTON AVE STE #1<br />

MALVERNE,NY 11565<br />

Phone: (516)593-4451<br />

Fax: (516)593-6202<br />

Languages: SPANISH AND HINDI<br />

LIPSKY, HAROLD<br />

:MD<br />

PRO2402<br />

1 ARLINGTON AVE STE #1<br />

MALVERNE,NY 11565<br />

Phone: (516)593-4451<br />

Fax: (516)593-6202<br />

Languages: SPANISH AND HINDI<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

47


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SINGH, CHARNJIT<br />

:MD*<br />

PRO2327<br />

1 ARLINGTON AVE STE #1<br />

MALVERNE,NY 11565<br />

Phone: (516)593-4451<br />

Fax: (516)593-6202<br />

Languages: SPANISH AND HINDI<br />

MANHASSET<br />

BERNSTEIN, DAVID<br />

E:MD<br />

PRO1793<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4281<br />

Fax: (516)562-2683<br />

DEVITO, BETHANY<br />

:MD<br />

PRO1795<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4281<br />

Fax: (516)562-2688<br />

KAUSHIK, NEERAJ<br />

:MD*<br />

PRO1797<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4281<br />

Fax: (516)562-2683<br />

KHODADADIAN,<br />

EDNA :MD<br />

PRO1798<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4281<br />

Fax: (516)562-2099<br />

MASSAPEQUA<br />

BRAUNSTEIN,<br />

MICHAEL C:MD<br />

PRO2248<br />

566 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)795-5660<br />

Fax: (631)226-6793<br />

Languages: SPANISH HEBREW<br />

NEW HYDE PARK<br />

Badalov, Ilya :M.D.<br />

PRO2906<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

CERULLI, MAURICE<br />

A:MD<br />

PRO1794<br />

2800 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)708-2500<br />

Fax: (516)708-2580<br />

Languages: ITALIAN<br />

Emanuel, Richard :M.D.<br />

PRO2916<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

GREENBERG,<br />

RONALD E:MD<br />

PRO1796<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7281<br />

Fax: (718)343-0128<br />

Lesman, Alan :M.D.<br />

PRO2924<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Markovics, Peter :M.D.<br />

PRO2927<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Palumbo, Frank :M.D.<br />

PRO2930<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Ramaiah, Chandhini<br />

:M.D.<br />

PRO2932<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

YANG, STEVEN S:MD<br />

PRO1799<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7281<br />

Fax: (718)343-0128<br />

OCEANSIDE<br />

GUPTA, ROM M:MD<br />

PRO2790<br />

3227 LONG BEACH ROAD<br />

OCEANSIDE,NY 11572<br />

Phone: (516)678-0900<br />

Fax: (516)889-3561<br />

Languages: SPANISH<br />

SPECIALIST<br />

VALLEY STREAM<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

48


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

MARKOVICS, PETER<br />

:MD<br />

PRO0352<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: HUNGARIAN<br />

Lowy, Arthur :M.D.<br />

REDDY, GAUTAM<br />

PRO2926<br />

M:MD<br />

225 Froehlich Farm Blvd<br />

PRO0038<br />

WOODBURY,NY 11797<br />

210 E SUNRISE HIGHWAY SUITE Phone: 304 5163645400<br />

VALLEY STREAM,NY 1158 Fax: 5166773653<br />

Phone: (516)825-8484<br />

Fax: (516)825-8491<br />

RIEDERS, BRADLEY<br />

ASTORIA<br />

S:MD<br />

PRO0026<br />

Badalov, Ilya :M.D.<br />

210 E SUNRISE HIGHWAY SUITE PRO2907 304<br />

VALLEY STREAM,NY 1158 31-75 23rd Street<br />

Phone: (516)825-8484<br />

ASTORIA,NY 11106<br />

Fax: (516)825-8491<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

WOODBURY<br />

Abraham, Biju :D.O.<br />

PRO2902<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

FERRARA, NEIL :MD<br />

PRO0426<br />

225 FROEHLICH FARM BLVD<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

Languages: SPANISH<br />

Indaram, Anant :M.D.<br />

PRO2919<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

QUEENS<br />

BAYSIDE<br />

RAND, JAMES<br />

ALAN:MD<br />

PRO0049<br />

200-12 44TH AVENUE<br />

BAYSIDE,NY 11361<br />

Phone: (718)224-7454<br />

Fax: (718)225-8430<br />

Languages: NONE<br />

SALVATORE,<br />

LIBERATO :MD<br />

PRO0067<br />

36-35 BELL BLVD STE 100<br />

BAYSIDE,NY 11361<br />

Phone: (718)224-2199<br />

Fax: (718)224-3060<br />

Languages: SPANISH ITALIAN<br />

SALVATORE,<br />

LIBERATO :MD<br />

PRO2842<br />

248-18 UNION TURNPIKE<br />

BELLEROSE,NY 11426<br />

Phone: (718)224-3086<br />

Fax: (718)224-3060<br />

Languages: SPANISH ITALIAN<br />

CAMBRIA HEIGHTS<br />

Palumbo, Frank :M.D.<br />

PRO2931<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

CORONA<br />

SALVATORE,<br />

LIBERATO :MD<br />

PRO2843<br />

104-27 A CORONA AVE<br />

CORONA,NY 11368<br />

Phone: (718)224-3086<br />

Fax: (718)224-3060<br />

Languages: SPANISH ITALIAN<br />

ELMHURST<br />

Badalov, Ilya :M.D.<br />

PRO2908<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

Emanuel, Richard :M.D.<br />

PRO2917<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

BELLEROSE<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

49


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

RAMAIAH,<br />

CHANDHINI :MD<br />

PRO0021<br />

8712 58TH AVE<br />

ELMHURST,NY 11373<br />

Phone: (718)426-4800<br />

Fax: (718)651-9284<br />

Languages: STAFF SPEAKS SPANISH<br />

Sharma, Anil :M.D.<br />

PRO2935<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

Lesman, Alan :M.D.<br />

PRO2923<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

PALMADESSA,<br />

DONALD J:MD<br />

David<strong>of</strong>f, Samuel :M.D.<br />

PRO2097<br />

PRO2910<br />

241-02 NORTHERN BLVD 1ST FLOOR 96-10 Metropolitan Avenue<br />

FLUSHING,NY 11358<br />

FOREST HILLS,NY 11375<br />

Phone: (718)461-0163<br />

Phone: 7184590400<br />

Fax: (718)358-5570<br />

Fax: 7182863863<br />

Languages: SPANISH, CHINESE, RO<br />

BASU, PRITHWIJIT<br />

P:MD*<br />

PRO2412<br />

5 STATION SQ<br />

FOREST HILLS,NY 11375<br />

Phone: (718)897-0584<br />

Fax: (718)896-5571<br />

Languages: HINDI, SPANISH, RUSS<br />

FLUSHING<br />

BADALOV, ILYA :MD<br />

PRO0461<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: PERSIAN, RUSSIAN, TA<br />

David<strong>of</strong>f, Samuel :M.D.<br />

PRO2909<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

Emanuel, Richard :M.D.<br />

PRO2915<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

Palumbo, Frank :M.D.<br />

PRO2928<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

RAND, JAMES A:<br />

PRO2841<br />

5516 MAIN STREET<br />

FLUSHING,NY 11355<br />

Phone: (718)224-7454<br />

Fax: (718)225-8430<br />

SHARMA, ANIL K:MD<br />

PRO0289<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: HINDI, PUNJABI, URDU<br />

EMANUEL, RICHARD<br />

B:MD<br />

PRO0420<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

GUPTA, ROM M:MD<br />

PRO2789<br />

102-02 QUEENS BOULEVARD<br />

FOREST HILLS,NY 11375<br />

Phone: (718)997-0488<br />

Fax: (516)889-3561<br />

Languages: SPANISH<br />

Lesman, Alan :M.D.<br />

PRO2925<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

KLOTZ, HENRY :MD*<br />

PRO0369<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: POLISH, HEBREW, RUSS<br />

YAO, ALAN C:MD<br />

PRO2459<br />

132-52 41ST AVE SUITE M1<br />

FLUSHING,NY 11355<br />

Phone: (718)321-3262<br />

Fax: (718)321-3263<br />

Languages: MANDARIN AND CANTONE<br />

FOREST HILLS<br />

JAMAICA<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

50


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

DAVIDOFF, SAMUEL<br />

:MD<br />

PRO0399<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: RUSSIAN<br />

Klotz, Henry :M.D.<br />

PRO2922<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Palumbo, Frank :M.D.<br />

PRO2929<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

REGO PARK<br />

MARFATIA, SALIL<br />

P:MD*<br />

PRO0103<br />

92-29 QUEENS BLVD<br />

REGO PARK,NY 11374<br />

Phone: (718)897-5700<br />

Fax: (718)897-0287<br />

Languages: SPANISH, HINDI, GUJA<br />

RICHMOND HILL<br />

Badalov, Ilya :M.D.<br />

PRO2905<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

ROCKAWAY PARK<br />

GUPTA, ROM M:MD<br />

PRO2788<br />

431 BEACH 129TH STREET<br />

ROCKAWAY PARK,NY 116<br />

Phone: (718)474-1000<br />

Fax: (516)889-3561<br />

Languages: SPANISH<br />

SPRINGFIELD GARDENS<br />

GUPTA, ROM M:MD<br />

PRO2304<br />

224-14 147TH AVE<br />

SPRINGFIELD GARDENS,N<br />

Phone: (718)997-0488<br />

Fax: (516)889-3561<br />

Languages: SPANISH<br />

Languages: MANDARIN AND CANTONE<br />

LAKE RONKONKOMA<br />

Abraham, Biju :D.O.<br />

PRO2904<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

LINDENHURST<br />

BRAUNSTEIN,<br />

MICHAEL C:MD<br />

PRO0077<br />

150 E SUNRISE HWY STE L22<br />

LINDENHURST,NY 11757<br />

Phone: (631)226-6717<br />

Fax: (631)226-6793<br />

Languages: SPANISH HEBREW<br />

Abraham, Biju :D.O.<br />

PRO2903<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Ferrara, Neil :M.D.<br />

PRO2918<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

RIVERHEAD<br />

MEHTA, DHIREN<br />

SUFFOLK<br />

C:MD<br />

HUNTINGTON<br />

PRO0029<br />

36 OSPREY AVE<br />

YAO, ALAN C:MD<br />

RIVERHEAD,NY 11901<br />

PRO2460<br />

Phone: (631)727-4171<br />

1880 E JERICHO TURNPIKE 1FL Fax: (631)727-3660<br />

HUNTINGTON,NY 11743 Languages: HINDU<br />

Phone: (631)629-4628<br />

Fax: (631)629-4629<br />

GERIATRICS<br />

NASSAU<br />

LAKE SUCCESS<br />

IOFEL, YAKOV :MD<br />

PRO1802<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2520<br />

Fax: (516)708-2585<br />

KATINAS, LORI C:MD<br />

PRO1803<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2520<br />

Fax: (516)708-2585<br />

Languages: SPANISH<br />

NORTH BABYLON<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

51


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LOLIS, JAMES D:MD<br />

PRO1805<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2521<br />

Fax: (516)708-2585<br />

TOMMASULO,<br />

BARBARA C:MD<br />

PRO1807<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)256-6551<br />

Fax: (516)256-6143<br />

De Guzman, Julieta<br />

:M.D.<br />

PRO2912<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

WOLF-KLEIN,<br />

GISELE :MD<br />

PRO1808<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2520<br />

Fax: (516)708-2585<br />

MANHASSET<br />

BABALOLA,<br />

OLAWUMI O:MD*<br />

PRO1800<br />

330 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8005<br />

Fax: (516)562-8013<br />

Languages: YORUBA<br />

GUZIK, HOWARD<br />

J:MD<br />

PRO1801<br />

330 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8005<br />

Fax: (516)562-8013<br />

SHAH, RUPAL S:MD*<br />

PRO1806<br />

330 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8005<br />

Fax: (516)562-8013<br />

WESTBURY<br />

LANMAN,<br />

GERALDINE :MD*<br />

PRO1804<br />

972 BRUSH HOLLOW RD<br />

WESTBURY,NY 11590<br />

Phone: (516)876-4100<br />

Fax: (516)876-4101<br />

Gynecology (No OB)<br />

QUEENS<br />

CAMBRIA HEIGHTS<br />

De Guzman, Julieta<br />

:M.D.<br />

PRO2913<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

FOREST HILLS<br />

De Guzman, Julieta<br />

:M.D.<br />

PRO2914<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

JAMAICA<br />

RICHMOND HILL<br />

De Guzman, Julieta<br />

:M.D.<br />

PRO2911<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

GYNECOLOGY (NO<br />

OBG)<br />

NASSAU<br />

HEMPSTEAD<br />

HIRJIBEHEDIN,<br />

POURUCHISHTI<br />

F:MD*<br />

PRO0396<br />

226 CLINTON ST<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)483-2020<br />

Fax: (516)560-1889<br />

HICKSVILLE<br />

O'CONNOR,<br />

KATHLEEN D:MD<br />

PRO0310<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

GYNECOLOGY<br />

ONCOLOGY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

52


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

NASSAU<br />

MANHASSET<br />

CONTRERAS, DIANA<br />

N:MD<br />

PRO1809<br />

1554 NORTHERN BLVD<br />

MANHASSET,NY 11030<br />

Phone: (516)390-9242<br />

Fax: (516)390-9244<br />

LOVECCHIO, JOHN<br />

L:MD<br />

PRO1810<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4438<br />

Fax: (516)562-2805<br />

MENZIN, ANDREW<br />

W:MD<br />

PRO1811<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4438<br />

Fax: (516)562-2805<br />

WHYTE, JILL S:MD*<br />

PRO1812<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4438<br />

Fax: (516)562-2805<br />

Hematology/Oncology<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Shah, Vijay :M.D.<br />

PRO2934<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

HOME<br />

HEALTHCARE<br />

NASSAU<br />

ALL-MED<br />

MANAGEMENT<br />

SYSTEMS, :*<br />

F00000335<br />

,<br />

Phone: (800)369-1416<br />

Fax:<br />

QUEENS<br />

ALL-MED<br />

MANAGEMENT<br />

SYSTEMS, :*<br />

F00000336<br />

,<br />

Phone: (800)369-1416<br />

Fax:<br />

SUFFOLK<br />

ALL-MED<br />

MANAGEMENT<br />

SYSTEMS, :*<br />

F00000338<br />

,<br />

Phone: (800)369-1416<br />

Fax:<br />

Home Infusion<br />

NASSAU<br />

GARDEN CITY<br />

ALL MED<br />

MANAGEMENT<br />

SYSTEMS OF NEW<br />

YORK INDEPENDENT<br />

PRACTICE<br />

ASSOCIATION<br />

INCORPORATED, :*<br />

F00000284<br />

14101 COMMERCE WAY<br />

GARDEN CITY,NY 11530<br />

Phone: (800)369-1416<br />

Fax: (800)369-1416<br />

QUEENS<br />

OAKLAND GARDENS<br />

ALL MED<br />

MANAGEMENT<br />

SYSTEMS OF NEW<br />

YORK INDEPENDENT<br />

PRACTICE<br />

ASSOCIATION<br />

INCORPORATED, :*<br />

F00000286<br />

14101 COMMERCE WAY<br />

OAKLAND GARDENS,NY 1<br />

Phone: (800)369-1416<br />

Fax: (800)369-1416<br />

SUFFOLK<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

53


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

RONKONKOMA<br />

ALL MED<br />

MANAGEMENT<br />

SYSTEMS OF NEW<br />

YORK INDEPENDENT<br />

PRACTICE<br />

ASSOCIATION<br />

INCORPORATED, :*<br />

F00000285<br />

14101 COMMERCE WAY<br />

RONKONKOMA,NY 11779<br />

Phone: (800)369-1416<br />

Fax: (800)369-1416<br />

INFECTIOUS<br />

DISEASE<br />

NASSAU<br />

FOREST HILLS<br />

SMITH, MIRIAM<br />

A:MD<br />

PRO1854<br />

102-01 66TH RD<br />

FOREST HILLS,NY 11375<br />

Phone: (718)830-4002<br />

Fax: (718)275-7806<br />

MANHASSET<br />

EPSTEIN, MARCIA<br />

E:MD<br />

PRO1843<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

FARBER, BRUCE<br />

F:MD<br />

PRO1844<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

HIRSCH, BRUCE<br />

E:MD<br />

PRO1845<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

HIRSCHWERK,<br />

DAVID A:MD<br />

PRO1846<br />

400 COMMUNITY DR<br />

MANHASSET, 0<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

KIM, ANGELA C:MD<br />

PRO1847<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

MALHOTRA,<br />

PRASHANT :MD<br />

PRO1848<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

Languages: HINDI<br />

MARKOVSKAYA,<br />

YELENA :MD<br />

PRO1849<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

MCGOWAN, JOSEPH<br />

P:MD<br />

PRO1850<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

OPPENHEIM,<br />

MICHAEL I:MD<br />

PRO1851<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

SHAH, SANJIV S:MD<br />

PRO1852<br />

400 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4280<br />

Fax: (516)562-2626<br />

NEW HYDE PARK<br />

EDWARDS, BARBARA<br />

:MD<br />

PRO1842<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7290<br />

Fax: (718)470-0637<br />

Jhaveri, Sangam :M.D.<br />

PRO2921<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

54


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SINGER, CAROL F:MD<br />

PRO1853<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-5290<br />

Fax: (718)470-0637<br />

WANTAGH<br />

ALAM, MAQSOOD<br />

:MD<br />

PRO2168<br />

1259 WANTAGH AVE<br />

WANTAGH,NY 11793<br />

Phone: (516)221-7971<br />

Fax: (516)221-8117<br />

QUEENS<br />

Laboratory Services<br />

NASSAU<br />

SYOSSET<br />

QUEST DIAGNOSTICS<br />

INC, :<br />

F00000323<br />

575 UNDERHILL BLVD<br />

SYOSSET,NY 11791<br />

Phone: (866)865-2805<br />

Fax: (866)865-2805<br />

Midwifery<br />

NASSAU<br />

FLUSHING<br />

Laffin, Maryanne :CNM<br />

AP00109<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Katulis, Theresa :CNM<br />

AP00108<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

JAMAICA<br />

Jhaveri, Sangam :M.D.<br />

PRO2920<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

HEMPSTEAD<br />

Laffin, Maryanne :CNM<br />

AP00110<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

NORTH BABYLON<br />

Katulis, Theresa :CNM<br />

AP00107<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

SUFFOLK<br />

AMITYVILLE<br />

ALAM, MOHAMMUD<br />

:MD<br />

PRO2165<br />

333 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)789-2020<br />

Fax: (631)789-5669<br />

Languages: HINDI<br />

NGUYEN, ANDREW<br />

:MD<br />

PRO2169<br />

333 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)789-2020<br />

Fax: (631)789-5669<br />

HICKSVILLE<br />

Laffin, Maryanne :CNM<br />

AP00112<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

VALLEY STREAM<br />

Laffin, Maryanne :CNM<br />

AP00111<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

NEPHROLOGY<br />

NASSAU<br />

GREAT NECK<br />

BHASKARAN, MADHU<br />

C:MD<br />

PRO1856<br />

100 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8210<br />

Fax: (516)465-8202<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

55


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GITMAN, MICHAEL<br />

D:MD<br />

PRO1857<br />

100 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8200<br />

Fax: (516)465-8202<br />

WAGNER, JOHN<br />

D:MD<br />

PRO1862<br />

100 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-3010<br />

Fax: (516)465-3011<br />

NOTKIN, ALICIA :MD<br />

PRO0003<br />

1129 NORTHERN BLVD STE 101<br />

MANHASSET,NY 11030<br />

Phone: (516)365-5570<br />

Fax: (516)365-5532<br />

MATTANA, JOSEPH<br />

J:MD<br />

PRO1858<br />

100 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-3010<br />

Fax: (516)465-3011<br />

MILLER, ILENE J:MD<br />

PRO1859<br />

100 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8200<br />

Fax: (516)465-8203<br />

SHAH, HITESH H:MD<br />

PRO1860<br />

100 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8200<br />

Fax: (516)465-8202<br />

SINGHAL, PRAVIN<br />

C:MD<br />

PRO1861<br />

100 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-3010<br />

Fax: (516)465-3011<br />

PRINCE, SIMON :DO<br />

HEMPSTEAD<br />

PRO0109<br />

PAHLAVAN, MOHSEN<br />

1129 NORTHERN BLVD STE 101<br />

MANHASSET,NY 11030<br />

:MD<br />

Phone: (516)365-5570<br />

PRO0315<br />

Fax: (516)365-5532<br />

226 CLINTON ST<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)483-2020<br />

Fax: (516)560-1889<br />

TEPEDINO, GERARD<br />

Languages: PERSIAN<br />

:MD<br />

PRO0041<br />

HICKSVILLE<br />

1129 NORTHERN BLVD STE 101<br />

MANHASSET,NY 11030<br />

KOSHY, BINNY :MD<br />

Phone: (561)365-5570<br />

PRO0360<br />

Fax: (561)365-5532<br />

350 S BROADWAY<br />

Languages: ITALIAN<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

NEW HYDE PARK<br />

Fax: (516)938-0120<br />

Languages: MALAYALAM, TAMIL Koshy, Binny :M.D.<br />

PRO2939<br />

MANHASSET<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

ALI, SAYED SAJID:MD Phone: 5163541600<br />

PRO0106<br />

Fax: 5169414672<br />

1129 NORTHERN BLVD STE 101<br />

MANHASSET,NY 11030<br />

Phone: (516)365-5570<br />

VALLEY STREAM<br />

Fax: (516)365-5532<br />

Languages: NONE<br />

Pahlavan, Mohsen :M.D.<br />

PRO2940<br />

BELLUCCI,<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

ALESSANDRO G:MD<br />

Phone: 5168253600<br />

PRO1855<br />

Fax: 5168232096<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4312<br />

Fax: (516)562-2981<br />

QUEENS<br />

CAMBRIA HEIGHTS<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

56


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Ward, Latonia :M.D.<br />

PRO2949<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

ELMHURST<br />

Hafeez, Tahir :M.D.<br />

PRO2938<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FOREST HILLS<br />

Gupta, Surendra :M.D.<br />

PRO2936<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

SU, AMY :MD<br />

PRO0267<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

JAMAICA<br />

GUPTA, SURENDRA<br />

K:MD<br />

PRO0388<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: HINDI<br />

Hafeez, Tahir :M.D.<br />

PRO2937<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Su, Amy :MD,PHD<br />

PRO2947<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

KEW GARDENS<br />

EPSTEIN, EDWARD<br />

M:MD<br />

PRO2273<br />

120-46 QUEENS BLVD<br />

KEW GARDENS,NY 11415<br />

Phone: (718)793-3341<br />

Fax: (718)268-1666<br />

FALK, BRYAN M:DO<br />

PRO2592<br />

120-46 QUEENS BLVD<br />

KEW GARDENS,NY 11415<br />

Phone: (718)793-3341<br />

Fax: (718)268-1666<br />

Languages: SPANISH<br />

GOLDMAN, MICHAEL<br />

MEIR:MD<br />

PRO2593<br />

120-46 QUEENS BLVD<br />

KEW GARDENS,NY 11415<br />

Phone: (718)793-3341<br />

Fax: (718)268-1666<br />

Languages: HEBREW, SPANISH, YID<br />

KLEINER, MORTON<br />

J:MD<br />

PRO2277<br />

120-46 QUEENS BLVD<br />

KEW GARDENS,NY 11415<br />

Phone: (718)793-3341<br />

Fax: (718)268-1666<br />

Languages: HEBREW, YIDDISH<br />

OZONE PARK<br />

ALI, SAYED SAJID:MD<br />

PRO2293<br />

109-23 JAMAICA AVE<br />

OZONE PARK,NY 11417<br />

Phone: (718)441-0299<br />

Fax: (718)850-8339<br />

Languages: NONE<br />

QUEENS VILLAGE<br />

BENOIT, MARCEL<br />

M:MD<br />

PRO2407<br />

215-17 JAMAICA AVE<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)740-3106<br />

Fax: (718)740-3253<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Pahlavan, Mohsen :M.D.<br />

PRO2941<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

MOUNT SINAI<br />

RACITI, ALFRED :MD<br />

PRO0020<br />

701 ROUTE 25A STE B1<br />

MOUNT SINAI,NY 11766<br />

Phone: (631)331-4403<br />

Fax: (631)331-1932<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

57


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SOLOMON, MARK<br />

:MD<br />

PRO0074<br />

701 ROUTE 25A STE B1<br />

MOUNT SINAI,NY 11766<br />

Phone: (631)331-4403<br />

Fax: (631)331-1932<br />

CHAO, KENNETH<br />

Y:MD*<br />

PRO2466<br />

1401 FRANKLIN COURT E<br />

GARDEN CITY,NY 11530<br />

Phone: (516)747-0000<br />

Fax: (516)877-5438<br />

FEIGIN, ANDREW<br />

S:MD<br />

PRO1866<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4477<br />

Fax: (516)570-4499<br />

NORTH BABYLON<br />

GONCHARUK,<br />

ANDREY :MD*<br />

PRO0381<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

KLINGER, RONALD<br />

F:MD*<br />

PRO2468<br />

1401 FRANKLIN COURT E<br />

GARDEN CITY,NY 11530<br />

Phone: (516)747-0000<br />

Fax: (516)877-5438<br />

Languages: RUSSIAN, UKRAINIAN<br />

MISRA, AJAY :MD*<br />

SHIRLEY<br />

PRO2458<br />

1401 FRANKLIN COURT E<br />

THIPPESWAMY,<br />

GARDEN CITY,NY 11530<br />

HABBALMATH M:MD Phone: (516)747-0000<br />

PRO2181<br />

Fax: (516)877-5438<br />

SUITE 11 WILLIAM FLOYD COMMONS<br />

SHIRLEY,NY 11967<br />

Phone: (631)281-4861<br />

GLEN COVE<br />

Fax: (631)281-8546<br />

RUBIN, LYUBOV :MD<br />

PRO1881<br />

101 ST ANDREWS LN<br />

NEUROLOGY<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7500<br />

Fax: (516)674-5008<br />

NASSAU<br />

GREWAL, HARPREET<br />

K:MD*<br />

PRO1868<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4477<br />

Fax: (516)570-4499<br />

Languages: HINDI<br />

MORA, SOL N:MD<br />

PRO1874<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4400<br />

Fax: (516)570-4444<br />

NELSON, JEFFREY<br />

L:MD<br />

PRO1875<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4466<br />

Fax: (516)570-4499<br />

EAST MEADOW<br />

BLITZ, KAREN M:DO<br />

PRO1863<br />

801 MERRICK AVE<br />

EAST MEADOW,NY 11554<br />

Phone: (516)393-8935<br />

Fax: (516)393-8981<br />

GARDEN CITY<br />

GREAT NECK<br />

EIDELBERG, DAVID<br />

:MD<br />

PRO1864<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4477<br />

Fax: (516)570-4499<br />

NIETHAMMER,<br />

MARTIN :MD<br />

PRO1876<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)510-4428<br />

Fax: (516)570-4444<br />

Languages: GERMAN<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

58


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

PINKHASOVA, DORA<br />

S:MD<br />

PRO1878<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4400<br />

Fax: (516)570-4444<br />

Rubin, Daniel :M.D.<br />

PRO2944<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

VISHNUBHAKAT,<br />

SURYA M:MD<br />

PRO1885<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4300<br />

Fax: (516)562-2635<br />

POURFAR, MICHAEL<br />

H:MD<br />

PRO1879<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4477<br />

Fax: (516)570-4499<br />

SCHWARTZ, GUY<br />

J:MD*<br />

PRO1882<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4477<br />

Fax: (516)570-4499<br />

SHELAT, AMIT M:DO*<br />

PRO1883<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)570-4400<br />

Fax: (516)570-4444<br />

Languages: GUJARATI<br />

HEMPSTEAD<br />

Tse, Peter :M.D.<br />

PRO2948<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

HICKSVILLE<br />

Salama, Fawzy :M.D.<br />

PRO2945<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

MANHASSET<br />

JAIN, SANJAY K:MD<br />

PRO1870<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-3034<br />

Fax: (516)562-2635<br />

Languages: HINDI<br />

KATZ, JEFFREY<br />

M:MD<br />

PRO1872<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-3064<br />

Fax: (516)562-2635<br />

PATIL,<br />

ALLAMPRABHU S:MD<br />

PRO1877<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4300<br />

Fax: (516)562-2635<br />

Languages: HINDI<br />

ROSEN, NOAH L:MD<br />

PRO1880<br />

1554 NORTHERN BLVD<br />

MANHASSET,NY 11030<br />

Phone: (516)719-7246<br />

Fax: (516)627-3568<br />

MASSAPEQUA<br />

CHAO, KENNETH<br />

Y:MD*<br />

PRO2465<br />

880 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-0300<br />

Fax: (516)541-6390<br />

KLINGER, RONALD<br />

F:MD*<br />

PRO2467<br />

880 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-0300<br />

Fax: (516)541-6390<br />

MISRA, AJAY :MD*<br />

PRO2457<br />

880 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-0300<br />

Fax: (516)541-6390<br />

NEW HYDE PARK<br />

EINBERG, KENNETH<br />

R:MD<br />

PRO1865<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7321<br />

Fax: (718)347-3016<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

59


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GORDON, MARC<br />

L:MD<br />

PRO1867<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7366<br />

Fax: (718)347-3016<br />

SY-KHO, ROSE<br />

MARRIE Y:MD<br />

PRO1884<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5255<br />

Fax: (718)347-2240<br />

TSE, PETER :MD<br />

PRO0255<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

HWANG, SEAN :MD<br />

PRO1869<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7310<br />

Fax: (718)470-9402<br />

KANNER, RONALD<br />

M:MD<br />

PRO1871<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7311<br />

Fax: (718)347-3016<br />

LIBMAN, RICHARD<br />

B:MD<br />

PRO1873<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7260<br />

Fax: (718)347-3016<br />

Rubin, Daniel :M.D.<br />

PRO2942<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

ROCKVILLE CENTRE<br />

TAN, ANGELITO<br />

D:MD<br />

PRO2409<br />

2000 N VILLAGE AVE STE 202<br />

ROCKVILLE CENTRE,NY 1<br />

Phone: (516)536-5511<br />

Fax: (516)536-5579<br />

Languages: TAGALOG, SPANISH<br />

VALLEY STREAM<br />

HUSAIN,<br />

MOHAMMAD :MD<br />

PRO2395<br />

1129 LINDEN ST<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)823-0316<br />

Fax: (516)823-3021<br />

Rubin, Daniel :M.D.<br />

PRO2943<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

FLUSHING<br />

LU, JYH HAUR :MD<br />

PRO2309<br />

136-20 38TH AVE #5A<br />

FLUSHING,NY 11354<br />

Phone: (646)409-4402<br />

Fax: (718)888-9025<br />

Languages: MANDARIN AND TAIWANE<br />

FRESH MEADOWS<br />

GOLZAD, MEHRDAD<br />

:MD*<br />

PRO1676<br />

6134 188TH ST STE 205<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)454-2222<br />

Fax: (718)264-0257<br />

Languages: FRENCH PERSI<br />

REGO PARK<br />

ZLATNIK, VLADIMIR<br />

:MD<br />

PRO0120<br />

99-52 66TH RD LOBBY C<br />

REGO PARK,NY 11374<br />

Phone: (718)459-2848<br />

Fax: (718)459-2854<br />

Languages: RUSSIAN UKRANIAN<br />

WOODHAVEN<br />

COHEN, IGOR :MD<br />

PRO2253<br />

95-25 JAMAICA AVENUE<br />

WOODHAVEN,NY 11421<br />

Phone: (718)441-4070<br />

Fax: (718)441-4027<br />

SUFFOLK<br />

BAY SHORE<br />

COHEN, DANIEL<br />

H:MD<br />

PRO2588<br />

370 E MAIN ST STE 1<br />

BAY SHORE,NY 11706<br />

Phone: (631)666-4767<br />

Fax: (631)665-2153<br />

Languages: SPANISH<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

60


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

ROGOVE, ANDREW<br />

D:MD<br />

PRO2586<br />

370 E MAIN ST STE1<br />

BAY SHORE,NY 11706<br />

Phone: (631)666-4767<br />

Fax: (631)665-2153<br />

Languages: SPANISH<br />

WINICK, JONATHAN<br />

C:MD<br />

PRO2587<br />

370 E MAIN ST STE 1<br />

BAY SHORE,NY 11706<br />

Phone: (631)666-4767<br />

Fax: (631)665-2153<br />

Languages: SPANISH<br />

LAKE RONKONKOMA<br />

Salama, Fawzy :M.D.<br />

PRO2946<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

NORTH BABYLON<br />

SALAMA, FAWZY<br />

W:MD<br />

PRO0278<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: ARABIC<br />

PORT JEFFERSON<br />

BERDIA, AJAY V:MD<br />

PRO0016<br />

640 BELLE TERRE RD BLDG H<br />

PORT JEFFERSON,NY 1177<br />

Phone: (631)331-8774<br />

Fax: (631)331-8775<br />

Languages: HINDI<br />

NUCLEAR<br />

MEDICINE<br />

NASSAU<br />

GLEN COVE<br />

WANG, GENE-JACK<br />

:MD<br />

PRO1893<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7756<br />

Fax: (516)674-7761<br />

MANHASSET<br />

STUDENTSOVA,<br />

YANA S:MD<br />

PRO1890<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4400<br />

Fax: (516)562-1608<br />

TRONCO, GENE G:MD<br />

PRO1892<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4400<br />

Fax: (516)562-1608<br />

NEW HYDE PARK<br />

PALESTRO,<br />

CHRISTOPHER J:MD<br />

PRO1887<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7081<br />

Fax: (718)470-9247<br />

RINI, JOSEPHINE<br />

N:MD<br />

PRO1888<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7080<br />

Fax: (718)470-9247<br />

TOMAS, MARIA B:MD<br />

PRO1891<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7080<br />

Fax: (718)470-9247<br />

SUFFOLK<br />

HUNTINGTON<br />

BLANDO, LORNA<br />

O:MD<br />

PRO1886<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2000<br />

Fax: (631)952-5751<br />

RUPPEL, WILLIAM<br />

:MD<br />

PRO1889<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2000<br />

Fax: (631)952-5751<br />

Nurse Practitioner<br />

NASSAU<br />

HICKSVILLE<br />

Lincks, Jennifer :NP<br />

AP00095<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

61


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Powers, John :NP*<br />

AP00119<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Simpson, Lisa :NP<br />

AP00098<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Ostrover, Leslie Ann<br />

:NP*<br />

AP00116<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

NEW HYDE PARK<br />

Lincks, Jennifer :NP<br />

AP00096<br />

1991 Marcus Avenue 2nd Floor<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

FOREST HILLS<br />

Ostrover, Leslie Ann<br />

:NP*<br />

AP00118<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

RICHMOND HILL<br />

Fonss, Peggy :NP<br />

AP00091<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

QUEENS<br />

ASTORIA<br />

Ostrover, Leslie Ann<br />

:NP*<br />

AP00117<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

CAMBRIA HEIGHTS<br />

Babekova, Svetlana :NP<br />

AP00114<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

FAR ROCKAWAY<br />

Middleton-Brown,<br />

Denise :NP<br />

AP00097<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

FLUSHING<br />

JAMAICA<br />

Babekova, Svetlana :NP<br />

AP00113<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Fonss, Peggy :NP<br />

AP00092<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: (718)525-5600<br />

Fax: (718)527-0922<br />

Kempton, Patricia :NP<br />

AP00115<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

OBSTETRICS /<br />

GYNECOLOGY<br />

NASSAU<br />

HEMPSTEAD<br />

ALTMAN NEUMANN,<br />

JOAN :MD<br />

PRO2779<br />

1 FULTON AVENUE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

CHAVEZ, MARTIN<br />

:MD<br />

PRO2575<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

CIOFFI, JOSEPH :MD*<br />

PRO2600<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

62


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

CUCCO, VALERIE :DO<br />

PRO2576<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

LAZAROU, GEORGE<br />

:MD<br />

PRO2549<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

VINTZILEOS,<br />

ANTHONY :MD<br />

PRO2571<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

FRETWELL,<br />

CYNTHIA :MD<br />

PRO2553<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

IVANOV, SVETLIN :*<br />

PRO2557<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

KASTNER, ELANA<br />

:MD<br />

PRO2559<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

KINZLER, WENDY<br />

:MD<br />

PRO2562<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

KRINER, MARY :MD<br />

PRO2566<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

MOON, FREDRICK<br />

:DO<br />

PRO2567<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

MUSCAT, JOLENE<br />

C:MD<br />

PRO2604<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

RAFAEL, TIMOTHY<br />

:MD<br />

PRO2613<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

SICURANZA,<br />

GENEVIEVE :MD<br />

PRO2547<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

HEWLETT<br />

ALTMAN NEUMANN,<br />

JOAN :MD<br />

PRO2781<br />

1175 WEST BROADWAY<br />

HEWLETT,NY 11557<br />

Phone: (516)616-4522<br />

Fax: (516)616-4566<br />

HICKSVILLE<br />

ROYO, BLAS A:MD<br />

PRO0294<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

Languages: SPANISH<br />

LYNBROOK<br />

CHAVEZ, MARTIN<br />

:MD<br />

PRO2573<br />

444 MERRICK RD SUITE LL3<br />

LYNBROOK,NY 11563<br />

Phone: (516)536-5656<br />

Fax: (516)536-3029<br />

KASTNER, ELANA<br />

:MD<br />

PRO2560<br />

444 MERRICK RD SUITE LL3<br />

LYNBROOK,NY 11563<br />

Phone: (516)536-5656<br />

Fax: (516)536-3029<br />

MINEOLA<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

63


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

ALTMAN NEUMANN,<br />

JOAN :MD<br />

PRO2778<br />

120 MINEOLA BLVD SUITE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

FRETWELL,<br />

CYNTHIA :MD<br />

PRO2546<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

LAZAROU, GEORGE<br />

:MD<br />

PRO2545<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

BYRNE, PAUL :MD<br />

PRO2585<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

IVANOV, SVETLIN<br />

S:MD<br />

PRO2555<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

LAZAROU, STAVROS<br />

:DO<br />

PRO2862<br />

120 MINEOLA BLVD SUITE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

CHAVEZ, MARTIN<br />

:MD<br />

PRO2574<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

KASTNER, ELANA<br />

:MD<br />

PRO2558<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

MANNA, GENO :MD<br />

PRO2551<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

CIOFFI, JOSEPH :MD*<br />

PRO2599<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

CUCCO, VALERIE :DO<br />

PRO2577<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

FRANK, ALLEN :MD<br />

PRO2602<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

KINZLER, WENDY<br />

:MD<br />

PRO2561<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

KRINER, MARY :MD<br />

PRO2565<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

MILLER, JEFFREY<br />

:MD<br />

PRO2582<br />

259 FIRST ST<br />

MINEOLA,NY 11501<br />

Phone: (516)633-3010<br />

Fax:<br />

MOON, FREDRICK<br />

:DO<br />

PRO2568<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

64


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

MUSCAT, JOLENE<br />

C:MD<br />

PRO2603<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

RAFAEL, TIMOTHY<br />

:MD<br />

PRO2612<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

SCARANTINO,<br />

STEPHEN :MD<br />

PRO2552<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

SICURANZA,<br />

GENEVIEVE :MD<br />

PRO2544<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

VINTZILEOS,<br />

ANTHONY :MD<br />

PRO2570<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

ZANDIEH, PEYMAN<br />

:MD<br />

PRO2584<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

VALLEY STREAM<br />

KOHANIM, BEHNAM<br />

:MD<br />

PRO0358<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: PERSIAN<br />

SAPERSTEIN, HILDY<br />

A:MD<br />

PRO0280<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

QUEENS<br />

ASTORIA<br />

HLEAP, CARLOS<br />

A:MD*<br />

PRO0397<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

CORONA<br />

LOCHARD, JEAN<br />

JOSEPH:MD<br />

PRO2455<br />

102-11 ROOSEVELT AVE<br />

CORONA,NY 11368<br />

Phone: (718)898-5200<br />

Fax: (718)898-1505<br />

Languages: FRENCH & CREOLE<br />

FAR ROCKAWAY<br />

FRANCILLON, MARIE<br />

L:MD<br />

PRO0404<br />

29-15 FAR ROCKAWAY BLVD<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

Languages: FRENCH, SPANISH<br />

FLUSHING<br />

CHA, JONATHAN :MD<br />

PRO0449<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: KOREAN<br />

RHO, ROBERT B:MD<br />

PRO0100<br />

3701 MAIN ST STE 500<br />

FLUSHING,NY 11354<br />

Phone: (718)888-0018<br />

Fax: (718)504-4006<br />

Languages: SPANISH KOREAN CHINE<br />

HOLLIS<br />

OKEKE, EMEKA<br />

E:MD<br />

PRO1673<br />

196-21 HILLSIDE AVE<br />

HOLLIS,NY 11423<br />

Phone: (718)465-4605<br />

Fax: (718)304-7612<br />

Languages: SPANISH/IGBU<br />

REGO PARK<br />

SAJJAD, REHANA :MD<br />

PRO0097<br />

62-54 97TH PLACE SUITE 2E<br />

REGO PARK,NY 11374<br />

Phone: (718)271-9900<br />

Fax: (718)271-9911<br />

Languages: URDU, HINDI, PUNJABI<br />

RICHMOND HILL<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

65


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

KIM, SE H:MD<br />

NASSAU<br />

PRO0366<br />

125-06 101ST AVE<br />

NEW HYDE PARK<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Shin, Young :M.D.<br />

Fax: (718)849-5773<br />

PRO3016<br />

Languages: KOREAN<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

ROSEDALE<br />

Fax: 5169414672<br />

TAYLOR RANDALL,<br />

UDELE :MD*<br />

PRO0004<br />

131-76 LAURELTON PARKWAY QUEENS<br />

ROSEDALE,NY 11422<br />

Phone: (718)525-7125<br />

ASTORIA<br />

Fax: (718)525-7126<br />

Germain, Michele :D.O.<br />

Languages: SPANISH<br />

PRO2973<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

SUFFOLK<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

NORTH BABYLON<br />

GRAFSTEIN, HAROLD<br />

:MD<br />

PRO0398<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: HEBREW, SPANISH<br />

HILLS, DONA J:MD<br />

PRO0395<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

JEREMIAS,<br />

ELISABETH :MD<br />

PRO0373<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: GERMAN, HUNGARIAN<br />

Rayev, Lana :M.D.<br />

PRO3005<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

Sticco, Christine :MD<br />

PRO3020<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

CAMBRIA HEIGHTS<br />

Rayev, Lana :M.D.<br />

PRO3004<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Sticco, Christine :MD<br />

PRO3019<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

ELMHURST<br />

Germain, Michele :D.O.<br />

PRO2974<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FOREST HILLS<br />

Chuy, Feliciano :M.D.<br />

PRO2961<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Germain, Michele :D.O.<br />

PRO2975<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Rayev, Lana :M.D.<br />

PRO3006<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

JAMAICA<br />

Obstetrics/Gynecology<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

66


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Francillon, Marie :M.D.<br />

PRO2970<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Jeremias, Elisabeth<br />

:M.D.<br />

PRO2986<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

JERICHO<br />

Grand, Faye :OT*<br />

PRO2652<br />

366 North Broadway<br />

JERICHO,NY 11753<br />

Phone: 516-933-2515<br />

Fax: 516-933-2533<br />

Kim, Se :M.D.<br />

PRO2987<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Rayev, Lana :M.D.<br />

PRO3003<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Shin, Young :M.D.<br />

PRO3015<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Sticco, Christine :MD<br />

PRO3018<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

OCCUPATIONAL<br />

THERAPY<br />

NASSAU<br />

CEDARHURST<br />

Battaglia, James :OT*<br />

PRO2618<br />

123 Grove Avenue<br />

CEDARHURST,NY 11516<br />

Phone: 516-374-4248<br />

Fax: 516-374-4258<br />

GARDEN CITY<br />

Defeo, Jennifer :OT*<br />

PRO2662<br />

1325 Franklin Avenue<br />

GARDEN CITY,NY 11530<br />

Phone: 516-280-8811<br />

Fax: 516-280-8809<br />

GREAT NECK<br />

Gelman, Marc :OT*<br />

PRO2622<br />

55 Northern Boulevard<br />

GREAT NECK,NY 11021<br />

Phone: 516-466-9300<br />

Fax: 516-466-9353<br />

Martins, Carlos :OT*<br />

PRO2682<br />

107 Northern Boulevard<br />

GREAT NECK,NY 11021<br />

Phone: 516-504-4263<br />

Fax: 718-281-4263<br />

ROCKVILLE CENTRE<br />

Scalise, Richard :OT*<br />

PRO2619<br />

176 North Village Avenue<br />

ROCKVILLE CENTRE,NY 1<br />

Phone: 516-255-4263<br />

Fax: 516-255-4050<br />

ROSLYN<br />

Appleman, Dori :OT*<br />

PRO2673<br />

10 Henhawk Lane<br />

ROSLYN,NY 11576<br />

Phone: 516-626-7273<br />

Fax: 516-626-9537<br />

WEST HEMPSTEAD<br />

Defeo, Jennifer :OT*<br />

PRO2663<br />

300 Hempstead Turnpike<br />

WEST HEMPSTEAD,NY 115<br />

Phone: 516-505-2200<br />

Fax: 516-505-5416<br />

QUEENS<br />

ELMHURST<br />

Grand, Faye :OT*<br />

PRO2653<br />

91-31 Queens Boulevard<br />

ELMHURST,NY 11373<br />

Phone: 718-424-7856<br />

Fax: 718-424-6748<br />

FLORAL PARK<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

67


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Grand, Faye :OT*<br />

PRO2651<br />

268-08 Union Turnpike<br />

FLORAL PARK,NY 11004<br />

Phone: 718-343-4263<br />

Fax: 718-347-0738<br />

Kassimir, Joanne :OT*<br />

PRO2659<br />

2375 <strong>New</strong> <strong>York</strong> Avenue<br />

HUNTINGTON STATION,N<br />

Phone: 631-421-9191<br />

Fax: 631-421-1979<br />

ALLEN, STEVEN<br />

L:MD<br />

PRO1813<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8970<br />

Fax: (516)734-8862<br />

FOREST HILLS<br />

DiLorenzo, John :PT*<br />

PRO2962<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

FRESH MEADOWS<br />

Roselli, Nicola :OT*<br />

PRO2744<br />

61-18 190th Street<br />

FRESH MEADOWS,NY 1136<br />

Phone: 718-454-0842<br />

Fax: 718-454-1704<br />

SOUTH OZONE PARK<br />

Martins, Carlos :OT*<br />

PRO2683<br />

114-20 Rockaway Boulevard<br />

SOUTH OZONE PARK,NY 1<br />

Phone: 718-845-4616<br />

Fax: 718-845-1965<br />

SUFFOLK<br />

CENTERPORT<br />

Ulrich, Naomi :OT*<br />

PRO2735<br />

4 Haven Court<br />

CENTERPORT,NY 11721<br />

Phone: 631-848-5002<br />

Fax:<br />

ONCOLOGIST<br />

NASSAU<br />

BETHPAGE<br />

IQBAL, MIR J:MD<br />

PRO0124<br />

4277 HEMPSTEAD TURNPIKE<br />

BETHPAGE,NY 11714<br />

Phone: (516)735-9210<br />

Fax: (516)735-9247<br />

Languages: HINDI, URDU, KASHNIN<br />

GLEN COVE<br />

MILANO, EILEEN<br />

SHEEHY :MD<br />

PRO1835<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7430<br />

Fax: (516)674-5010<br />

VINTILA, CRINA<br />

D:MD<br />

PRO1841<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7430<br />

Fax: (516)674-5010<br />

LAKE SUCCESS<br />

BAYER, RUTHEE-LU<br />

:MD<br />

PRO1828<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8973<br />

Fax: (516)734-8836<br />

BRADLEY, THOMAS<br />

P:MD<br />

PRO1814<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8894<br />

Fax: (516)734-8924<br />

BUDMAN, DANIEL<br />

R:MD<br />

PRO1829<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8958<br />

Fax: (516)734-8924<br />

CARLETON, JANE<br />

E:MD<br />

PRO1830<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8966<br />

Fax: (516)734-8863<br />

HUNTINGTON STATION<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

68


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

D'OLIMPIO, JAMES<br />

T:MD<br />

PRO1831<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8964<br />

Fax: (516)734-8950<br />

KOLITZ, JONATHAN<br />

E:MD<br />

PRO1820<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8970<br />

Fax: (516)734-8862<br />

GRALLA, RICHARD<br />

:MD*<br />

PRO1832<br />

450 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)734-8966<br />

Fax: (516)734-8863<br />

Languages: SPANISH<br />

DEVOE, CRAIG E:MD<br />

PRO1815<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8874<br />

Fax: (516)734-8863<br />

SHAPIRA, IULIANA<br />

T:MD<br />

PRO1839<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8964<br />

Fax: (516)734-8950<br />

HOFFMAN, MARK<br />

A:MD<br />

PRO1817<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-8937<br />

Fax: (718)470-0169<br />

DONAHUE, LAURA<br />

L:MD<br />

PRO1816<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8894<br />

Fax: (516)734-8924<br />

VINCIGUERRA,<br />

VINCENT P:MD<br />

PRO1840<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8954<br />

Fax: (516)734-8950<br />

LANZKOWSKY,<br />

PHILIP :MD<br />

PRO1833<br />

269-01 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-3201<br />

Fax: (718)343-8542<br />

JOHN, VEENA S:MD<br />

PRO1818<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8958<br />

Fax: (516)734-8924<br />

KINER-STRACHAN,<br />

BONNIE S:MD<br />

PRO1819<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8974<br />

Fax: (516)734-8836<br />

WEISELBERG, LORA<br />

R:MD<br />

PRO1827<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8963<br />

Fax: (516)734-8862<br />

LONG BEACH<br />

WANG, JEN CHIN :MD<br />

PRO2392<br />

5 E WALNUT<br />

LONG BEACH,NY 11561<br />

Phone: (516)889-7447<br />

Fax: (516)889-2501<br />

Languages: CHINESE<br />

LEBOWICZ, YEHUDA<br />

:MD<br />

PRO1834<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-8930<br />

Fax: (718)470-0169<br />

LIPTON, RICHARD<br />

A:MD<br />

PRO1821<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7380<br />

Fax: (718)347-8903<br />

NEW HYDE PARK<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

69


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LIU, JOHNSON M:MD<br />

PRO1822<br />

269-01 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7174<br />

Fax: (718)470-4843<br />

MEHROTRA,<br />

BHOOMI :MD<br />

PRO1823<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-8934<br />

Fax: (718)470-0169<br />

PATEL, DILIP V:MD<br />

PRO1836<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-8931<br />

Fax: (718)470-0169<br />

RAFTOPOULOS,<br />

HARALAMBOS :MD<br />

PRO1824<br />

450 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)734-8966<br />

Fax: (516)734-8863<br />

Languages: GREEK<br />

RAI, KANTI R:MD<br />

PRO1837<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-4050<br />

Fax: (718)470-4250<br />

ROY, RAJASREE :MD<br />

PRO1838<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-8930<br />

Fax: (718)470-0169<br />

RUSSO, LINDA A:MD<br />

PRO1825<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7136<br />

Fax: (718)470-0169<br />

SAVONA, STEVEN<br />

R:MD<br />

PRO1826<br />

450 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)734-8967<br />

Fax: (516)734-8863<br />

VALLEY STREAM<br />

CHEUNG, TONY<br />

W:MD<br />

PRO0433<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: CHINESE (CANTONESE)<br />

WOODBURY<br />

GUPTA, ARUNA :MD<br />

PRO0386<br />

225 FROEHLICH FARM BLVD<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

SHAH, VIJAY R:MD<br />

PRO0288<br />

225 FROEHLICH FARM BLVD<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

Languages: HINDI, GUJARATI<br />

QUEENS<br />

ASTORIA<br />

KHUWAJA, ABDUL<br />

ALI:MD<br />

PRO2167<br />

45-05 BROADWAY<br />

ASTORIA,NY 11103<br />

Phone: (718)777-1998<br />

Fax: (718)777-5368<br />

Languages: URDU, HINDI<br />

FLUSHING<br />

SINHA, MADHU :MD<br />

PRO0070<br />

5723 141 STREET<br />

FLUSHING,NY 11355<br />

Phone: (718)661-3737<br />

Fax: (718)661-3747<br />

Languages: HINDI POLISH SPANISH<br />

WANG, JEN CHIN :MD<br />

PRO2393<br />

41-28 HAIGHT ST<br />

FLUSHING,NY 11355<br />

Phone: (718)762-6059<br />

Fax:<br />

Languages: CHINESE<br />

FOREST HILLS<br />

BAJAJ, SHANTA :MD<br />

PRO0462<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: HINDI<br />

DALY, JANE :MD<br />

PRO0414<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

70


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SPANOS, GEORGE<br />

A:MD<br />

PRO0272<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: GREEK<br />

Oncology<br />

QUEENS<br />

FOREST HILLS<br />

Zdanowitz, Joel :M.D.<br />

PRO2831<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

OPHTHALMOLOGI<br />

ST<br />

NASSAU<br />

FREEPORT<br />

BICKOFF, COREY<br />

:MD<br />

PRO2328<br />

294 WEST MERRICK RD STE 5<br />

FREEPORT,NY 11520<br />

Phone: (516)223-3337<br />

Fax: (516)223-3469<br />

Languages: SPANISH<br />

DAVIS, STEVEN R:MD<br />

PRO2105<br />

155 W MERRICK ROAD<br />

FREEPORT,NY 11520<br />

Phone: (516)379-3062<br />

Fax: (516)379-4680<br />

Languages: SPANISH<br />

FLECKNER, MARK<br />

KODSI, SYLVIA R:MD<br />

R:MD<br />

PRO1895<br />

PRO2122<br />

600 NORTHERN BLVD #214<br />

520 FRANKLIN AVENUE SUITE 123 GREAT NECK,NY 11021<br />

GARDEN CITY,NY 11530 Phone: (516)470-2020<br />

Phone: (516)739-5905<br />

Fax: (516)470-2000<br />

Fax: (516)739-6876<br />

Languages: SPANISH<br />

GLEN COVE<br />

APPEL, ROBERT I:MD<br />

PRO2068<br />

34 FOREST AVENUE<br />

GLEN COVE,NY 11542<br />

Phone: (516)676-0210<br />

Fax: (516)759-3307<br />

Languages: SPANISH, ITALIAN<br />

GIRARDI, ANTHONY<br />

:MD<br />

PRO2408<br />

8 MEDICAL PLAZA STE 201<br />

GLEN COVE,NY 11542<br />

Phone: (516)676-4596<br />

Fax: (516)674-0502<br />

Languages: ITALIAN, SPANISH<br />

WESSON, JONATHAN<br />

T:MD<br />

PRO2411<br />

8 MEDICAL PLAZA STE 201<br />

GLEN COVE,NY 11542<br />

Phone: (516)676-4596<br />

Fax: (516)674-0502<br />

Languages: SPANISH<br />

GREAT NECK<br />

BONIUK, VIVIEN :MD<br />

PRO1894<br />

600 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)470-2020<br />

Fax: (516)470-2000<br />

PACKER, SAMUEL<br />

:MD<br />

PRO1896<br />

600 NORTHERN BLVD #107<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8400<br />

Fax: (516)465-8412<br />

POMERANZ,<br />

HOWARD D:MD<br />

PRO1897<br />

600 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)470-2020<br />

Fax: (516)470-2000<br />

SHIH, CAROLYN<br />

Y:MD<br />

PRO1898<br />

600 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8491<br />

Fax: (516)465-8505<br />

Languages: SPANISH<br />

WARREN, FAYE L:MD<br />

PRO1899<br />

600 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)470-2020<br />

Fax: (516)470-2000<br />

HEWLETT<br />

GARDEN CITY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

71


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LUCK, RICHARD<br />

A:DO<br />

PRO0015<br />

1504 BROADWAY<br />

HEWLETT,NY 11557<br />

Phone: (516)371-1550<br />

Fax: (516)371-5470<br />

Languages: SPANISH<br />

LAWRENCE<br />

FEINER, LEONARD<br />

:MD<br />

PRO2311<br />

360 CENTRAL AVE STE 121<br />

LAWRENCE,NY 11559<br />

Phone: (516)569-5644<br />

Fax: (516)569-4601<br />

Languages: ENGLISH, HEBREW, YID<br />

LONG BEACH<br />

HENKEN, HERBERT<br />

:MD<br />

PRO2508<br />

511 E PARK AVE<br />

LONG BEACH,NY 11561<br />

Phone: (516)889-1518<br />

Fax: (516)889-1519<br />

Languages: SPANISH<br />

ROMSAITONG,<br />

PANUS :MD<br />

PRO2322<br />

54-44 LITTLE NECK PKWY<br />

LONG BEACH,NY 11561<br />

Phone: (718)428-9396<br />

Fax:<br />

Languages: THAI, SPANISH<br />

NEW HYDE PARK<br />

HAUG, STEPHEN :MD<br />

PRO0393<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

KRANZ, OSCAR J:MD<br />

PRO2117<br />

44 SOUTH BAYLES AVE<br />

PORT WASHINGTON,NY 11<br />

Phone: (516)883-8300<br />

Fax: (516)883-1375<br />

Languages: FRENCH, SPANISH, GER<br />

SIROTA, MARC A:MD<br />

PRO2099<br />

44 SOUTH BAYLES AVE<br />

PORT WASHINGTON,NY 11<br />

Phone: (516)883-8300<br />

Fax: (516)883-1375<br />

Languages: ITALIAN / SPANISH<br />

VALLEY STREAM<br />

ARUM, EUGENE S:MD<br />

PRO0458<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: SPANISH, FRENCH<br />

WEINER, MICHAEL<br />

J:MD<br />

PRO0197<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

QUEENS<br />

ASTORIA<br />

BERMAN, GARY S:MD<br />

PRO0453<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

BAYSIDE<br />

LEVINE, STEWART<br />

A:MD<br />

PRO0008<br />

2634 BELL BLVD<br />

BAYSIDE,NY 11360<br />

Phone: (718)428-2020<br />

Fax: (718)279-8077<br />

Languages: SPANISH, GREEK, ITAL<br />

SHAPIRO, LESLIE<br />

ALAN:MD<br />

PRO0001<br />

200-20 44TH AVE<br />

BAYSIDE,NY 11361<br />

Phone: (718)281-4500<br />

Fax: (718)631-4901<br />

Languages: SPANISH HEBREW<br />

ELMHURST<br />

HAHN, YOUNG S:MD<br />

PRO0391<br />

88-06 55TH AVE<br />

ELMHURST,NY 11373<br />

Phone: (718)271-9730<br />

Fax: (718)271-1775<br />

Languages: KOREAN<br />

PACCIONE, JEFFREY<br />

:MD<br />

PRO0313<br />

88-06 55TH AVE<br />

ELMHURST,NY 11373<br />

Phone: (718)271-9730<br />

Fax: (718)271-1775<br />

Languages: SPANISH, ITALIAN<br />

FAR ROCKAWAY<br />

HAMLET, YONAH<br />

:MD<br />

PRO2490<br />

220 BEACH 20TH ST<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)327-3200<br />

Fax: (718)327-3505<br />

Languages: HEWBREW, RUSSIAN, SP<br />

PORT WASHINGTON<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

72


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

REIZES, ILAN :MD<br />

PRO2292<br />

51-15 BEACH CHANNEL DR<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)734-2830<br />

Fax: (718)734-2646<br />

Languages: HEBREW<br />

RUSSELL, RICHARD<br />

S:MD<br />

PRO2070<br />

41-61 KISSENA BLVD<br />

FLUSHING,NY 11355<br />

Phone: (718)539-4010<br />

Fax: (718)321-9587<br />

ELKIN, NATALIA :MD<br />

PRO2321<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: RUSSIAN<br />

FLUSHING<br />

DU, TED T:MD<br />

PRO2102<br />

136-20 38TH AVENUE STE 7G<br />

FLUSHING,NY 11354<br />

Phone: 718-395-8080<br />

Fax: (718)395-8081<br />

Languages: CHINESE<br />

HSIEH, SHAUYENE<br />

:MD<br />

PRO0357<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: CHINESE(MANDARIN/TAI<br />

RABIN, SHELDON<br />

:MD<br />

PRO0010<br />

4161 KISSENA BLVD<br />

FLUSHING,NY 11355<br />

Phone: (718)539-4010<br />

Fax: (718)321-9587<br />

Languages: SPANISH/CHINESE/RUSS<br />

REIZES, ILAN :MD<br />

PRO1675<br />

41 61 KISSENA BLVD<br />

FLUSHING,NY 11355<br />

Phone: (718)539-4010<br />

Fax: (718)321-9587<br />

Languages: HEBREW<br />

FOREST HILLS<br />

AHARON, RAPHAEL<br />

:MD<br />

PRO0095<br />

108-37 71ST AVENUE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)268-6120<br />

Fax: (718)261-8622<br />

Languages: SPANISH, HEBREW<br />

FRESH MEADOWS<br />

CHENG, NANCY :MD<br />

PRO2320<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: CHINESE<br />

CRAPOTTA, JOSEPH<br />

A:MD<br />

PRO2319<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, RUSSIAN, FR<br />

DAYAN, ALAN :MD<br />

PRO2315<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, FRENCH, CHI<br />

ELLIS, RACHEL :MD<br />

PRO2324<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, RUSSIAN, FR<br />

FREELEY, DOUGLAS<br />

:MD<br />

PRO2317<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH<br />

GRASSO, CONO :MD<br />

PRO2316<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, FRENCH, CRE<br />

LEE, DAVID :MD<br />

PRO2453<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, FRENCH, CRI<br />

NAJAC, RICHARD<br />

:MD<br />

PRO2325<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, FRENCH, CRE<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

73


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

ROMSAITONG, DIANE<br />

:MD<br />

PRO2318<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, FRENCH, CRE<br />

NAJAC, RICHARD<br />

:MD<br />

PRO2171<br />

125-10 QUEENS BLVD STE 305<br />

KEW GARDENS,NY 11415<br />

Phone: (718)261-2666<br />

Fax: (718)268-0443<br />

Languages: SPANISH<br />

AHDOOT, MICHAEL<br />

:MD<br />

PRO2065<br />

46-01 QUEENS BLVD<br />

SUNNYSIDE,NY 11104<br />

Phone: (718)565-2020<br />

Fax: (718)565-2052<br />

WEISSMAN,<br />

LAURENCE R:MD<br />

PRO2390<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH, FRENCH, CRE<br />

WESELEY, PETER<br />

:MD<br />

PRO2323<br />

161-10 UNION TURNPIKE<br />

FRESH MEADOWS,NY 1136<br />

Phone: (718)380-5070<br />

Fax: (718)380-5303<br />

Languages: SPANISH<br />

JACKSON HEIGHTS<br />

SEHGAL, VISHWA<br />

N:MD<br />

PRO2512<br />

33-19 73RD ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)429-2470<br />

Fax: (718)429-5315<br />

Languages: HINDI, PUNJABI, URDU<br />

JAMAICA<br />

FOX, DONALD M:MD<br />

PRO0403<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: SPANISH<br />

KEW GARDENS<br />

LITTLE NECK<br />

ROMSAITONG,<br />

PANUS :MD<br />

PRO0087<br />

94-02 57TH AVENUE<br />

LITTLE NECK,NY 11363<br />

Phone: (718)271-4472<br />

Fax:<br />

Languages: THAI, SPANISH<br />

QUEENS VILLAGE<br />

LAROCHE, DANIEL<br />

:MD<br />

PRO2111<br />

215 43 JAMAICA AVE<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)217-0424<br />

Fax: (718)217-0459<br />

Languages: FRENCH/CREOLE/SPANIS<br />

REGO PARK<br />

GIYAUR, YULIYA :MD<br />

PRO2140<br />

97-13 64TH RD<br />

REGO PARK,NY 11374<br />

Phone: (718)676-6464<br />

Fax: (718)676-6467<br />

Languages: RAMIAH, SPANISH<br />

RICHMOND HILL<br />

FRIEDMAN, MARK<br />

J:MD<br />

PRO0405<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: SPANISH<br />

SUFFOLK<br />

AMITYVILLE<br />

MOHR, EDWARD<br />

:MD*<br />

PRO2332<br />

365 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)789-2214<br />

Fax: (631)789-2215<br />

Languages: SPANISH AND ITALIAN<br />

NUDELMAN,<br />

JEFFREY :MD*<br />

PRO2783<br />

333 BROADWAY STE 1<br />

AMITYVILLE,NY 11701<br />

Phone: (631)957-3355<br />

Fax: (631)957-4378<br />

BABYLON<br />

COLE, CRAIG NEAL:<br />

PRO2785<br />

500 WEST MAIN STREET SUITE 210<br />

BABYLON,NY 11702<br />

Phone: (631)957-3355<br />

Fax: (631)957-4378<br />

MARCUS, SERGIU<br />

:MD<br />

PRO2863<br />

500 WEST MAIN STREET SUITE 210<br />

BABYLON,NY 11702<br />

Phone: (631)957-3355<br />

Fax: (631)957-4378<br />

SUNNYSIDE<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

74


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

NATTIS, RICHARD<br />

COLE, CRAIG<br />

:MD<br />

NEAL:MD<br />

PRO2269<br />

PRO2591<br />

500 WEST MAIN STREET SUITE 210 786 MONTAUK HWY<br />

BABYLON,NY 11702<br />

WEST ISLIP,NY 11795<br />

Phone: (631)957-3355<br />

Phone: (631)661-5400<br />

Fax: (631)957-4378<br />

Fax: (631)587-0402<br />

Kwait, Philip :M.D.<br />

PRO2990<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

NUDELMAN,<br />

JEFFREY :MD*<br />

PRO2146<br />

500 WEST MAIN STREET<br />

BABYLON,NY 11702<br />

Phone: (631)957-3355<br />

Fax: (631)957-4378<br />

NUDELMAN,<br />

JEFFREY :MD*<br />

PRO2782<br />

786 MONTAUK HWY<br />

WEST ISLIP,NY 11795<br />

Phone: (631)661-5400<br />

Fax: (631)587-0402<br />

WOODBURY<br />

Blakes, Karla :M.D.<br />

PRO2959<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

LAKE RONKONKOMA<br />

IMMANUEL, DAVID<br />

:MD<br />

PRO0376<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

ROSS, LAWRENCE<br />

I:MD*<br />

PRO0293<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

PORT JEFFERSON<br />

COSSARI, ALFRED<br />

J:MD<br />

PRO2118<br />

311 BARNUM AVENUE<br />

PORT JEFFERSON,NY 1177<br />

Phone: (631)928-6400<br />

Fax: (631)928-2353<br />

Languages: ITALIAN, CZECH, SPAN<br />

WEST ISLIP<br />

Ophthalmology<br />

NASSAU<br />

HEMPSTEAD<br />

Arum, Eugene :M.D.<br />

PRO2950<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

NEW HYDE PARK<br />

Friedman, Mark :M.D.<br />

PRO2972<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Weiner, Michael :M.D.<br />

PRO2828<br />

1991 Marcus Avenue 2nd Floor<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

Naidu, Srilata :M.D.<br />

PRO2998<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

Radhakrishnan, Chitra<br />

:M.D.<br />

PRO2817<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

Weiner, Michael :M.D.<br />

PRO2830<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

QUEENS<br />

CAMBRIA HEIGHTS<br />

VALLEY STREAM<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

75


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Blakes, Karla :M.D.<br />

PRO2958<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Kwait, Philip :M.D.<br />

PRO2991<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: 7182719730<br />

Fax: 7182711775<br />

JAMAICA<br />

Friedman, Mark :M.D.<br />

PRO2971<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Gordon, Gregg :M.D.<br />

PRO2976<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Ross, Lawrence :M.D.<br />

PRO3011<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Weiner, Michael :M.D.<br />

PRO2827<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: (718)271-9730<br />

Fax: (718)271-1775<br />

FAR ROCKAWAY<br />

Haug, Stephen :M.D.<br />

PRO2981<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: 7183377000<br />

Fax: 7183278897<br />

Kwait, Philip :M.D.<br />

PRO2988<br />

169-95 A 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7189532610<br />

Kwait, Philip :M.D.<br />

PRO2989<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

ELMHURST<br />

Berman, Gary :M.D.<br />

PRO2953<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: 7182719730<br />

Fax: 7182711775<br />

Gordon, Gregg :M.D.<br />

PRO2977<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: 7182719730<br />

Fax: 7182711775<br />

Haug, Stephen :M.D.<br />

PRO2982<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: 7182719730<br />

Fax: 7182711775<br />

FOREST HILLS<br />

Berman, Gary :M.D.<br />

PRO2954<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Gordon, Gregg :M.D.<br />

PRO2978<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Hsieh, Shauyene :M.D.<br />

PRO2984<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Ross, Lawrence :M.D.<br />

PRO3010<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

SUFFOLK<br />

NORTH BABYLON<br />

Blakes, Karla :M.D.<br />

PRO2960<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

76


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Immanuel, David :M.D.<br />

PRO2985<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Rokito, Michael :OD*<br />

PRO3008<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Ashin<strong>of</strong>f, Stephen :OD<br />

PRO2951<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Radhakrishnan, Chitra<br />

:M.D.<br />

PRO2816<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Ross, Lawrence :M.D.<br />

PRO3012<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Optometry<br />

NASSAU<br />

HICKSVILLE<br />

Nus, Deanna :OD*<br />

PRO3000<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

NEW HYDE PARK<br />

Blodgett, Laura :OD*<br />

PRO2794<br />

1991 Marcus Avenue 2nd Floor<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

VALLEY STREAM<br />

MILLER, KAREN :OD*<br />

PRO0232<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Weinberger, Marcel<br />

:OD*<br />

PRO3022<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

ASTORIA<br />

Bierbrier, David :OD*<br />

PRO2957<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

ORKIN, BRUCE A:OD*<br />

PRO0236<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

CAMBRIA HEIGHTS<br />

Chin, Jesse :OD*<br />

PRO2797<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: (718)479-6600<br />

Fax: (718)217-3546<br />

Liem, Andrea :D.O.*<br />

PRO2808<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: (718)479-6600<br />

Fax: (718)217-3546<br />

ELMHURST<br />

Handler, Jessica :OD*<br />

PRO2800<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

Lul<strong>of</strong>f, Steve :OD*<br />

PRO2995<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

Rokito, Michael :OD*<br />

PRO3009<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FAR ROCKAWAY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

77


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Gailing, David :OD<br />

PRO2799<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

Muhit, Nahida :M.D.*<br />

PRO2813<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

FLUSHING<br />

Liebman, Brad :OD*<br />

PRO2993<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

JAMAICA<br />

Orkin, Bruce :OD*<br />

PRO3001<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

Silverberg, Alan :OD*<br />

PRO2823<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

SUFFOLK<br />

NORTH BABYLON<br />

Nigam, Vaishali :OD*<br />

PRO2999<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

ROSENBERG,<br />

TRACEY J:MD*<br />

PRO2836<br />

4770 SUNRISE HIGHWAY STE 201<br />

MASSAPEQUA PARK,NY 1<br />

Phone: (516)798-4143<br />

Fax: (516)798-4296<br />

Languages: SPANISH<br />

SCHARFENBERGER,<br />

PETER L:DMD<br />

PRO0131<br />

4770 SUNRISE HIGHWAY SUITE 201<br />

MASSAPEQUA PARK,NY 1<br />

Phone: (516)798-4143<br />

Fax: (516)798-4296<br />

Languages: GERMAN, SPANISH<br />

NEW HYDE PARK<br />

LESSIN, MICHAEL<br />

E:DDS*<br />

PRO1900<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-3113<br />

Fax: (718)347-3483<br />

Orkin, Bruce :OD*<br />

PRO3002<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

RICHMOND HILL<br />

Lul<strong>of</strong>f, Steve :OD*<br />

PRO2994<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

ORAL &<br />

MAXILLOFACIAL<br />

NASSAU<br />

MASSAPEQUA PARK<br />

JURMAN, DAVID :MD<br />

PRO0127<br />

7440 SUNRISE HWY STE 201<br />

MASSAPEQUA PARK,NY 1<br />

Phone: (516)798-4143<br />

Fax: (518)798-4296<br />

Languages: SPANISH<br />

1181 OLD COUNTRY ROAD SUITE 4<br />

PLAINVIEW,NY 11803<br />

MORRIS, KENNETH<br />

Phone: (516)822-7880<br />

Fax: (516)822-5010<br />

D:DMD<br />

Languages: SPANISH<br />

PRO2835<br />

4770 SUNRISE HIGHWAY SUITE 201<br />

MASSAPEQUA PARK,NY 1<br />

Phone: (516)798-4143<br />

Fax: (516)798-4296<br />

Languages: SPANISH<br />

PLAINVIEW<br />

BASS, BARRY :DDS*<br />

PRO0128<br />

1181 OLD COUNTRY ROAD SUITE 4<br />

PLAINVIEW,NY 11803<br />

Phone: (516)822-7880<br />

Fax: (516)822-5010<br />

Languages: SPANISH<br />

JURMAN, DAVID<br />

L:MD*<br />

PRO0126<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

78


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

MORRIS, KENNETH<br />

Mills, Edward :M.D.<br />

:MD*<br />

PRO2811<br />

PRO0063<br />

350 South Broadway<br />

1181 OLD COUNTRY ROAD SUITE HICKSVILLE,NY 4<br />

11801<br />

PLAINVIEW,NY 11803 Phone: (516)938-0100<br />

Phone: (516)822-7880<br />

Fax: (516)938-0120<br />

Fax: (516)822-5010<br />

Languages: SPANISH<br />

ROSENBERG,<br />

TRACEY J:MD*<br />

PRO0119<br />

1181 OLD COUNTRY RD STE 4<br />

PLAINVIEW,NY 11803<br />

Phone: (516)822-7880<br />

Fax: (516)822-5010<br />

Languages: SPANISH<br />

VALLEY STREAM<br />

Sveilich, Norman :D.O.*<br />

PRO2824<br />

260 West Sunrise Highway 200<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Khaimov, Aleksandr<br />

:D.O.<br />

PRO2803<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Mills, Edward :M.D.<br />

PRO2812<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Orthopaedic Surgery<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

An, Yuehuei :M.D.*<br />

PRO2793<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

NORTH BABYLON<br />

Dicpinigaitis, Paul<br />

:M.D.*<br />

PRO2798<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Orthopedic Surgery<br />

NASSAU<br />

HICKSVILLE<br />

QUEENS<br />

FLUSHING<br />

Khaimov, Aleksandr<br />

:D.O.<br />

PRO2802<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Mills, Edward :M.D.<br />

PRO2810<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

JAMAICA<br />

Jacob, Jesu :D.O.*<br />

PRO2801<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: (718)525-5600<br />

Fax: (718)527-0922<br />

Orthotics / Prosthetics<br />

NASSAU<br />

FARMINGDALE<br />

HANGER<br />

PROSTHETICS AND<br />

ORTHOTICS EAST<br />

INC, :<br />

F00000320<br />

814 FULTON ST STE D<br />

FARMINGDALE,NY 11735<br />

Phone: (516)847-0501<br />

Fax: (516)847-0518<br />

ROCKVILLE CENTRE<br />

HANGER<br />

PROSTHETICS AND<br />

ORTHOTICS EAST<br />

INC, :<br />

F00000322<br />

556 MERRICK RD<br />

ROCKVILLE CENTRE,NY 1<br />

Phone: (516)678-3650<br />

Fax: (516)678-3654<br />

WESTBURY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

79


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

HANGER<br />

PROSTHETICS AND<br />

ORTHOTICS EAST<br />

INC, :<br />

F00000317<br />

5502 BRUSH HOLLOW RD<br />

WESTBURY,NY 11590<br />

Phone: (516)338-4466<br />

Fax: (516)338-4034<br />

QUEENS<br />

FOREST HILLS<br />

HANGER<br />

NASSAU<br />

PROSTHETICS AND<br />

ORTHOTICS EAST<br />

BALDWIN<br />

INC, :<br />

KHAN, SABBIR<br />

F00000321<br />

RASHID:DO<br />

118-35 QUEENS BLVD LOBBY LEVEL<br />

PRO2611<br />

FOREST HILLS,NY 11375<br />

Phone: (718)575-5504<br />

Fax: (718)575-3728<br />

HANGER<br />

PROSTHETICS AND<br />

ORTHOTICS EAST<br />

INC, :<br />

F00000318<br />

2500 NESCONSET HWY<br />

STONY BROOK,NY 11790<br />

Phone: (631)751-6988<br />

Fax: (631)751-1937<br />

OTOLARYNGOLOG<br />

Y (ENT)<br />

865 MERRICK RD STE 203<br />

BALDWIN,NY 11510<br />

Phone: (516)377-5710<br />

Fax: (516)377-5712<br />

NASSIRI, JAVID :MD<br />

PRO2337<br />

738 FRANKLIN AVE<br />

FRANKLIN SQUARE,NY 11<br />

Phone: (516)355-0505<br />

Fax: (516)561-2152<br />

Languages: SPANISH<br />

LEVITTOWN<br />

ALLEVA, MICHAEL<br />

:MD<br />

PRO2353<br />

2870 HEMPSTEAD TURNPIKE<br />

LEVITTOWN,NY 11756<br />

Phone: (516)579-3050<br />

Fax: (516)579-6233<br />

Languages: SPANISH<br />

WARMAN, STEPHEN<br />

P:MD<br />

PRO2493<br />

2870 HEMPSTEAD TURNPIKE<br />

LEVITTOWN,NY 11756<br />

Phone: (516)579-3050<br />

Fax: (516)579-6233<br />

SUFFOLK<br />

SMITHTOWN<br />

HANGER<br />

PROSTHETICS AND<br />

ORTHOTICS EAST<br />

INC, :<br />

F00000319<br />

309 MIDDLE COUNTRY RD<br />

SMITHTOWN,NY 11787<br />

Phone: (631)360-1777<br />

Fax: (631)360-1778<br />

STONY BROOK<br />

SAIGAL, KAPIL :MD<br />

PRO2346<br />

865 MERRICK RD STE 203<br />

BALDWIN,NY 11510<br />

Phone: (516)377-5710<br />

Fax: (516)377-5712<br />

Languages: SPANISH<br />

FRANKLIN SQUARE<br />

BECKHARDT,<br />

RUSSELL N:MD<br />

PRO2487<br />

738 FRANKLIN AVE<br />

FRANKLIN SQUARE,NY 11<br />

Phone: (516)355-0505<br />

Fax: (516)561-2152<br />

MANHASSET<br />

KADKADE, PRAJOY<br />

:MD<br />

PRO1784<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4676<br />

Fax: (516)562-4642<br />

MASSAPEQUA<br />

ALLEVA, MICHAEL<br />

:MD<br />

PRO2351<br />

627 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-4171<br />

Fax: (516)541-0171<br />

Languages: SPANISH<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

80


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GREENFIELD, BARAK<br />

J:MD<br />

PRO2473<br />

627 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)541-4171<br />

Fax: (516)541-0171<br />

Languages: SPANISH AND HEBREW<br />

NEW HYDE PARK<br />

ABRAMSON, ALLAN<br />

:MD<br />

PRO1783<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-4560<br />

Fax: (718)347-2320<br />

GREENFIELD, BARAK<br />

J:MD<br />

PRO2472<br />

1300 UNION TURNPIKE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-2050<br />

Fax: (516)354-1430<br />

Languages: SPANISH AND HEBREW<br />

NASSIRI, JAVID :MD<br />

PRO2340<br />

1300 UNION TURNPIKE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-2050<br />

Fax: (516)354-1430<br />

Languages: SPANISH<br />

NYQUIST, GURSTON<br />

G:MD<br />

PRO2462<br />

1300 UNION TURNPIKE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-2050<br />

Fax: (516)354-1430<br />

SAIGAL, KAPIL :MD<br />

PRO2347<br />

1300 UNION TURNPIKE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-2050<br />

Fax: (516)354-1430<br />

Languages: SPANISH<br />

SHIKOWITZ, MARK<br />

:MD<br />

PRO1785<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7557<br />

Fax: (718)470-4514<br />

SNYDER, GARY M:MD<br />

PRO2479<br />

1300 UNION TURNPIKE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-2050<br />

Fax: (516)354-1430<br />

Languages: FRENCH AND SPANISH<br />

VAMBUTAS, ANDREA<br />

:MD<br />

PRO1786<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7955<br />

Fax: (718)470-4281<br />

ZAHTZ, GERALD<br />

D:MD<br />

PRO1787<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7554<br />

Fax: (718)470-4514<br />

PLAINVIEW<br />

GREENFIELD, BARAK<br />

J:MD<br />

PRO2471<br />

146 A MANETTO HILL RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)931-5353<br />

Fax: (516)931-4235<br />

Languages: SPANISH AND HEBREW<br />

GREENFIELD, BARAK<br />

J:MD<br />

PRO2516<br />

1300 UNION TURNPIKE<br />

PLAINVIEW,NY 11803<br />

Phone: (516)354-2050<br />

Fax: (516)354-1430<br />

Languages: SPANISH AND HEBREW<br />

LONDON,<br />

ALEXANDER L:MD<br />

PRO2469<br />

146 A MANETTO HILL RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)9315353<br />

Fax: (516)931-4235<br />

SNYDER, GARY M:MD<br />

PRO2480<br />

146 A MANETTO HILL RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)931-5353<br />

Fax: (516)931-4235<br />

Languages: FRENCH AND SPANISH<br />

VALLEY STREAM<br />

NASSIRI, JAVID :MD<br />

PRO2338<br />

76 S CENTRAL AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-6677<br />

Fax: (516)821-1061<br />

Languages: SPANISH<br />

WOODBURY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

81


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LEVY, SIMON :MD<br />

PRO0322<br />

225 FROEHLICH FARM BLVD<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

QUEENS<br />

ASTORIA<br />

ALEXANDER,<br />

STEVEN :MD<br />

PRO2361<br />

35-01 30TH AVE STE 400<br />

ASTORIA,NY 11103<br />

Phone: (718)726-7000<br />

Fax: (718)726-7111<br />

Languages: SPANISH<br />

BECKHARDT,<br />

RUSSELL N:MD<br />

PRO2492<br />

35-01 30TH AVE STE 400<br />

ASTORIA,NY 11103<br />

Phone: (718)726-7000<br />

Fax: (718)726-1111<br />

NASSIRI, JAVID :MD<br />

PRO2334<br />

35-01 30TH AVE STE 400<br />

ASTORIA,NY 11103<br />

Phone: (718)726-7000<br />

Fax: (718)726-7111<br />

Languages: SPANISH<br />

PRUFER, NEIL :MD<br />

PRO2775<br />

35-01 30TH AVE STE 400<br />

ASTORIA,NY 11103<br />

Phone: (718)726-7000<br />

Fax: (718)726-7111<br />

Languages: SPANISH<br />

BAYSIDE<br />

SNYDER, GARY M:MD<br />

PRO2478<br />

ALEXANDER,<br />

STEVEN :MD<br />

26-01 CORPORAL KENNEDY ST PRO2503<br />

BAYSIDE,NY 11360<br />

98-11 QUEENS BLVD STE 1D<br />

Phone: (718)423-4091<br />

FLUSHING,NY 11355<br />

Fax: (718)428-6667<br />

Phone: (718)228-1850<br />

Languages: FRENCH AND SPANISH Fax: (718)830-3894<br />

CAMBRIA HEIGHTS<br />

Donepudi, Sreekrishna<br />

:M.D.<br />

PRO2963<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

FLUSHING<br />

ALCARAZ, NELSON<br />

:MD<br />

PRO2355<br />

55-28 MAIN ST<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

Languages: SPANISH<br />

ALEXANDER,<br />

STEVEN :MD<br />

PRO2364<br />

35-30 FRANCIS LEWIS BLVD<br />

FLUSHING,NY 11358<br />

Phone: (718)661-4866<br />

Fax: (718)661-4868<br />

Languages: SPANISH<br />

Languages: SPANISH<br />

WARMAN, STEPHEN<br />

P:MD<br />

ALLEVA, MICHAEL<br />

PRO2494<br />

:MD<br />

26-01 CORPORAL KENNEDY ST PRO2348<br />

BAYSIDE,NY 11360<br />

35-30 FRANCIS LEWIS BLVD<br />

Phone: (718)423-4091<br />

FLUSHING,NY 11358<br />

Fax: (718)428-6667<br />

Phone: (718)661-4866<br />

Fax: (718)661-4868<br />

Languages: SPANISH<br />

KATZ, MICHAEL :MD<br />

PRO2354<br />

55-28 MAIN ST<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

Languages: SPANISH<br />

KHAN, SABBIR<br />

RASHID:DO<br />

PRO2608<br />

55-28 MAIN ST<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

PRUFER, NEIL :MD<br />

PRO2606<br />

55-28 MAIN ST<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

Languages: SPANISH<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

82


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SADRAZODI,<br />

KAMRAN :MD<br />

PRO2342<br />

55-28 MAIN STREET<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

Languages: SPANISH<br />

SAIGAL, KAPIL :MD<br />

PRO2345<br />

55-28 MAIN ST<br />

FLUSHING,NY 11355<br />

Phone: (718)445-5100<br />

Fax: (718)358-1044<br />

Languages: SPANISH<br />

FOREST HILLS<br />

ALLEVA, MICHAEL<br />

:MD<br />

PRO2352<br />

107-21 QUEENS BLVD STE 2<br />

FOREST HILLS,NY 11375<br />

Phone: (718)575-3322<br />

Fax: (718)268-1920<br />

Languages: SPANISH<br />

ARANGO, PABLO :MD<br />

PRO2359<br />

107-21 QUEENS BLVD STE 2<br />

FOREST HILLS,NY 11375<br />

Phone: (718)575-3322<br />

Fax: (718)268-1920<br />

Languages: SPANISH<br />

Donepudi, Sreekrishna<br />

:M.D.<br />

PRO2964<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

HOPPENSTAND,<br />

LUDVIKA :MD<br />

PRO0356<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: POLISH, RUSSIAN, YID<br />

MITTLEMAN, MYLES<br />

:MD<br />

PRO2848<br />

107 40 QUEENS BLVD<br />

FOREST HILLS,NY 11375<br />

Phone: (718)268-8845<br />

Fax: (718)268-0706<br />

Languages: SPANISH, HEBREW<br />

WARMAN, STEPHEN<br />

P:MD<br />

PRO2488<br />

107-21 QUEENS BLVD STE 2<br />

FOREST HILLS,NY 11375<br />

Phone: (718)575-3322<br />

Fax: (718)268-1920<br />

HOWARD BEACH<br />

ALEXANDER,<br />

STEVEN :MD<br />

PRO2362<br />

160-55 CROSS BAY BLVD<br />

HOWARD BEACH,NY 1141<br />

Phone: (718)228-1199<br />

Fax: (718)843-7305<br />

Languages: SPANISH<br />

JACKSON HEIGHTS<br />

ALCARAZ, NELSON<br />

:MD<br />

PRO2356<br />

74-11 37TH AVE<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-6100<br />

Fax: (718)424-2940<br />

Languages: SPANISH<br />

ARANGO, PABLO :MD<br />

PRO2357<br />

74-11 37TH AVE<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-6100<br />

Fax: (718)424-2940<br />

Languages: SPANISH<br />

PRUFER, NEIL :MD<br />

PRO2776<br />

74-11 37TH AVENUE<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-6100<br />

Fax: (718)424-2940<br />

Languages: SPANISH<br />

OAKLAND GARDENS<br />

MITTLEMAN, MYLES<br />

:MD<br />

PRO0083<br />

5847 FRANCIS LEWIS BLVD<br />

OAKLAND GARDENS,NY 1<br />

Phone: (718)225-5400<br />

Fax: (718)225-6527<br />

Languages: SPANISH, HEBREW<br />

SAINT ALBANS<br />

ROLLINS, DWAYNE<br />

E:MD<br />

PRO0030<br />

187-18 LINDEN BLVD<br />

SAINT ALBANS,NY 11412<br />

Phone: (718)978-5447<br />

Fax: (718)978-8752<br />

Languages: SPANISH<br />

WOODSIDE<br />

PRUFER, NEIL :MD<br />

PRO2607<br />

49-02 QUEENS BLVD<br />

WOODSIDE,NY 11377<br />

Phone: (718)249-2009<br />

Fax: (718)651-3890<br />

Languages: SPANISH<br />

SUFFOLK<br />

BABYLON<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

83


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

BECKHARDT,<br />

RUSSELL N:MD<br />

PRO2491<br />

400 W MAIN ST STE 155<br />

BABYLON,NY 11702<br />

Phone: (631)893-6070<br />

Fax: (631)893-6465<br />

NORTH BABYLON<br />

Languages: TAMIL<br />

LONDON,<br />

GREENFIELD, BARAK<br />

ALEXANDER L:MD<br />

J:MD<br />

PRO2470<br />

PEDIATRICS<br />

PRO0382<br />

400 W MAIN ST STE 155<br />

300 BAYSHORE RD<br />

BABYLON,NY 11702<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)893-6070<br />

Phone: (631)586-2700<br />

NASSAU<br />

Fax: (631)893-6465<br />

Fax: (631)586-3524<br />

HEMPSTEAD<br />

Languages: HEBREW<br />

MADAD, SAIYEDA<br />

COMMACK<br />

:MD<br />

PORT JEFFERSON<br />

PRO0348<br />

KHAN, SABBIR<br />

REZVANI, FIROOZ<br />

226 CLINTON ST<br />

RASHID:DO<br />

:MD<br />

HEMPSTEAD,NY 11550<br />

PRO2791<br />

PRO0035<br />

Phone: (516)483-2020<br />

2171 JERICHO TURNPIKE STE 205<br />

640 BELLE TERRE ROAD BUILDING Fax: J (516)560-1889<br />

COMMACK,NY 11725<br />

PORT JEFFERSON,NY 1177 Languages: SPANISH, URDU, HINDI<br />

Phone: (631)586-2700<br />

Phone: (631)928-2121<br />

Fax: (631)586-3524<br />

Fax: (631)928-2127<br />

SOKOL, SCOTT K:MD<br />

PRO0269<br />

226 CLINTON ST<br />

DEER PARK<br />

KHAN, SABBIR<br />

RASHID:DO<br />

PRO2610<br />

1550 DEER PARK AVE<br />

DEER PARK,NY 11729<br />

Phone: (631)782-3888<br />

Fax: (631)782-1944<br />

LONDON,<br />

ALEXANDER L:MD<br />

PRO2542<br />

1550 DEER PARK AVE<br />

DEER PARK,NY 11729<br />

Phone: (631)782-3888<br />

Fax: (631)782-1944<br />

SNYDER, GARY M:MD<br />

PRO2535<br />

1550 DEER PARK AVE<br />

DEER PARK,NY 11729<br />

Phone: (631)782-3888<br />

Fax: (631)782-1944<br />

Languages: FRENCH AND SPANISH<br />

PAIN<br />

MANAGEMENT<br />

NASSAU<br />

MANHASSET<br />

DUARTE, ROBERT<br />

A:MD<br />

PRO1903<br />

1554 NORTHERN BLVD<br />

MANHASSET,NY 11030<br />

Phone: (516)719-7246<br />

Fax: (516)627-3568<br />

PEDIATRIC<br />

ENDOCRINOLOGY<br />

NASSAU<br />

HICKSVILLE<br />

BALACHANDAR,<br />

VISWANATH :MD<br />

PRO0463<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)483-2020<br />

Fax: (516)560-1889<br />

HICKSVILLE<br />

CHERUVANKY,<br />

THULASI :MD<br />

PRO0432<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

84


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

McInerney-Lopez,<br />

Regina :D.O.<br />

PRO2997<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Sheikh, Shahid :M.D.<br />

PRO3014<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

TRECARTIN, SUSAN<br />

E:MD<br />

PRO0259<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

NEW HYDE PARK<br />

Higgins, Kenneth :M.D.<br />

PRO2983<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

VALLEY STREAM<br />

Bichotte-Ligonde,<br />

Sophia :M.D.<br />

PRO2956<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

ISENBERG, HOWARD<br />

W:MD<br />

PRO0378<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Lang, Ronald :M.D.<br />

PRO2992<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

SHEIKH, SHAHID :MD<br />

PRO0275<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: URDU, HINDI, PUNJABI<br />

Sokol, Scott :M.D.<br />

PRO3017<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

SYALEE, JOGESH :MD<br />

PRO0265<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: HINDI, PUNJABI<br />

Woodburn-Hourie,<br />

Karen :M.D.<br />

PRO3023<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

ASTORIA<br />

HARNETT-ROBINSON<br />

, ROY E:MD<br />

PRO0392<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

MATOS-RIVERA,<br />

IRMA M:MD<br />

PRO0323<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

Languages: SPANISH, FRENCH<br />

CAMBRIA HEIGHTS<br />

Harnett-Robinson, Roy<br />

:M.D.<br />

PRO2980<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Reejsinghani, Rosie<br />

:M.D.<br />

PRO3007<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

ELMHURST<br />

Barberis, Carl :M.D.<br />

PRO2952<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

85


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

BARBERIS, CARL<br />

L:MD<br />

PRO0465<br />

88-06 55TH AVE<br />

ELMHURST,NY 11373<br />

Phone: (718)271-9730<br />

Fax: (718)271-1775<br />

Languages: SPANISH<br />

Bhaskar, Mahesh :M.D.<br />

PRO2955<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FITZGERALD,<br />

MICHAEL P:MD<br />

PRO0429<br />

88-06 55TH AVE<br />

ELMHURST,NY 11373<br />

Phone: (718)271-9730<br />

Fax: (718)760-6535<br />

Languages: HINDI, SPANISH, CHIN<br />

LANG, RONALD J:MD<br />

PRO0355<br />

FLUSHING<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

BHASKAR, MAHESH<br />

Phone: (718)899-6600<br />

:MD<br />

Fax: (718)803-5168<br />

PRO0434<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

LAU, NINA L:MD<br />

Fax: (718)670-6479<br />

PRO2858<br />

88-06 55TH AVE<br />

ELMHURST,NY 11373<br />

Phone: (718)271-9730<br />

REEJSINGHANI,<br />

Fax: (718)271-1775<br />

ROSIE :MD<br />

Languages: CHINESE, MANDARIN, CANTONESE PRO0297<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

MIRANDA, LOUELLA<br />

Phone: (718)670-6411<br />

M:MD<br />

Fax: (718)670-6479<br />

PRO0334<br />

88-06 55TH AVE<br />

ELMHURST,NY 11373<br />

Phone: (718)271-9730<br />

FOREST HILLS<br />

Fax: (718)271-1775<br />

Languages: HINDI, SPANISH<br />

REANDELAR,<br />

FLORENDA :MD<br />

PRO0296<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)803-5168<br />

Languages: TAGALOG<br />

Syalee, Jogesh :M.D.<br />

PRO3021<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FAR ROCKAWAY<br />

WOODBURN-HOURIE,<br />

KAREN :MD<br />

PRO0201<br />

29-15 FAR ROCKAWAY BLVD<br />

FAR ROCKAWAY,NY 1169<br />

Phone: (718)337-7000<br />

Fax: (718)327-8897<br />

GOCS, DIANE M:MD<br />

PRO0413<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: SPANISH<br />

QUIJANO, EMELYN<br />

C:MD<br />

PRO0300<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: SPANISH, TAGALOG<br />

JAMAICA<br />

CHACKO,<br />

LISSIAMMA :MD<br />

PRO0450<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: SPANISH<br />

LABOARD, BARBARA<br />

A:MD<br />

PRO0363<br />

169-27 137TH AVE<br />

JAMAICA,NY 11434<br />

Phone: (718)977-0300<br />

Fax: (718)977-1230<br />

Languages: SPANISH, FRENCH, HIN<br />

RODRIGUES, ROY<br />

J:MD<br />

PRO0292<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: SPANISH, MARATHI, HI<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

86


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

RODRIGUES, MARIA<br />

L:MD<br />

PRO0291<br />

169-27 137TH AVE<br />

JAMAICA,NY 11434<br />

Phone: (718)977-0300<br />

Fax: (718)977-1230<br />

Languages: HINDI, MARATHI<br />

GURAM, MOHINDER<br />

K:MD<br />

PRO0389<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

GUNSBERGER,<br />

MAURICE :MD<br />

PRO0076<br />

2920 HEMPSTEAD TPKE<br />

LEVITTOWN,NY 11756<br />

Phone: (516)735-4949<br />

Fax: (516)735-4971<br />

SHEPPARD, BEVERLY<br />

A:MD<br />

PRO0276<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: SPANISH<br />

WANG, LINDA :MD<br />

PRO0193<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: MANDARIN, SPANISH<br />

RICHMOND HILL<br />

GREENFIELD,<br />

ELIZABETH A:MD<br />

PRO0383<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: SPANISH<br />

MCLAUGHLIN,<br />

REGINALD D:MD*<br />

PRO0328<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

WINKLER, IAN M:MD<br />

PRO0200<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Languages: SPANISH<br />

NORTH BABYLON<br />

McInerney-Lopez,<br />

Regina :D.O.<br />

PRO2996<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

THALLUR, SEETHA<br />

D:MD<br />

PRO0260<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: TAMIL, TELUGU<br />

PEDIATRICS<br />

(NON-PAR)<br />

NASSAU<br />

LEVITTOWN<br />

Physiatry<br />

NASSAU<br />

NEW HYDE PARK<br />

Familusi, Abiola :M.D.<br />

PRO2965<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

VALLEY STREAM<br />

Familusi, Abiola :M.D.<br />

PRO2966<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

Russ, Michael :M.D.<br />

PRO3013<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

FOREST HILLS<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

87


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Familusi, Abiola :M.D.<br />

PRO2969<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Familusi, Abiola :M.D.<br />

PRO2968<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

ROOT, BARRY C:MD<br />

PRO1907<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7501<br />

Fax: (516)674-5008<br />

SAPINSKI, RYSZARD<br />

K:MD<br />

PRO1908<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7500<br />

Fax: (516)674-5008<br />

GREAT NECK<br />

FAMILUSI, ABIOLA<br />

O:MD<br />

PRO0422<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

Languages: SPANISH, RUSSIAN, YO<br />

MANHASSET<br />

ORESTE, ANTHONY<br />

A:MD<br />

PRO1905<br />

1554 NORTHERN BLVD<br />

MANHASSET,NY 11030<br />

Phone: (516)627-8470<br />

Fax: (516)365-8941<br />

NORTH BABYLON<br />

Familusi, Abiola :M.D.<br />

PRO2967<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

PHYSICAL<br />

MEDICINE<br />

NASSAU<br />

GLEN COVE<br />

BELKIN, ELENA :MD<br />

PRO1904<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7500<br />

Fax: (516)674-5008<br />

QURAISHI, SHAHEDA<br />

:MD<br />

PRO1906<br />

900 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)773-7737<br />

Fax: (516)773-7751<br />

SHATZER, MATTHEW<br />

M:DO<br />

PRO1909<br />

825 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8609<br />

Fax: (516)465-8620<br />

STEIN, ADAM B:MD<br />

PRO1910<br />

825 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8609<br />

Fax: (516)465-8620<br />

Languages: SPANISH<br />

HICKSVILLE<br />

QUEENS<br />

ROCKAWAY PARK<br />

KAYLAKOV, ROBERT<br />

:MD<br />

PRO2852<br />

140 BEACH 114TH ST<br />

ROCKAWAY PARK,NY 116<br />

Phone: (718)945-4600<br />

Fax: (718)876-5969<br />

Languages: ENGLISH RUSSIAN<br />

PHYSICAL<br />

THERAPY<br />

NASSAU<br />

BELLMORE<br />

Glasser-Mayrsohn,<br />

Sherrie :PT*<br />

PRO2666<br />

2140 Bellmore Avenue<br />

BELLMORE,NY 11710<br />

Phone: 516-586-5533<br />

Fax: 516-586-5531<br />

EAST HILLS<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

88


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Glasser-Mayrsohn,<br />

Sherrie :PT*<br />

PRO2667<br />

300 Forest Drive<br />

EAST HILLS,NY 11548<br />

Phone: 516-745-8050<br />

Fax: 516-745-6766<br />

Samuels, Christine :PT*<br />

PRO2820<br />

1991 Marcus Avenue 2nd Floor<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

Greenspan, Louis :PT*<br />

PRO2749<br />

833 Central Avenue<br />

FAR ROCKAWAY,NY 1169<br />

Phone: 718-327-7670<br />

Fax: 718-327-2863<br />

GARDEN CITY<br />

Silva, Nancy :PT*<br />

PRO2748<br />

800 East Gate Boulevard<br />

GARDEN CITY,NY 11530<br />

Phone: 516-745-8050<br />

Fax: 516-745-7677<br />

NORTH MASSAPEQUA<br />

Evans, Robin :PT*<br />

PRO2679<br />

913 North Broadway<br />

NORTH MASSAPEQUA,NY<br />

Phone: 516-454-6387<br />

Fax: 516-454-6303<br />

FLUSHING<br />

Alinso, Rita :PT<br />

AP00120<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

HICKSVILLE<br />

Parpan, Vidato :PT*<br />

AP00123<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

MANHASSET<br />

Olsen, Kristin :PT*<br />

PRO2729<br />

333 East Shore Road<br />

MANHASSET,NY 11030<br />

Phone: 516-466-9730<br />

Fax: 516-466-1228<br />

MASSAPEQUA PARK<br />

Schwarz, William :PT*<br />

PRO2703<br />

5099A Merrick Road<br />

MASSAPEQUA PARK,NY 1<br />

Phone: 516-798-9605<br />

Fax: 516-798-9373<br />

VALLEY STREAM<br />

Yeung, Mariflor :PT*<br />

AP00124<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

ASTORIA<br />

Camacho, Loradel :PT*<br />

AP00121<br />

31-75 23rd Street<br />

ASTORIA,NY 11106<br />

Phone: 7189562200<br />

Fax: 7189562316<br />

CAMBRIA HEIGHTS<br />

Nair, Sneha :PT*<br />

PRO2814<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: (718)479-6600<br />

Fax: (718)217-3546<br />

Wong, Martin :PT*<br />

PRO2696<br />

41-61 Kissena Boulevard<br />

FLUSHING,NY 11355<br />

Phone: 718-463-6335<br />

Fax: 718-463-6087<br />

FOREST HILLS<br />

Cancino, Jose :PT*<br />

AP00122<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Greenspan, Louis :PT*<br />

PRO2705<br />

110-20 71st Road<br />

FOREST HILLS,NY 11375<br />

Phone: 718-263-9011<br />

Fax: 718-793-7218<br />

SUNNYSIDE<br />

NEW HYDE PARK<br />

FAR ROCKAWAY<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

89


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Tiu, Reginald :PT*<br />

PRO2738<br />

4701 Queens Boulevard<br />

SUNNYSIDE,NY 11104<br />

Phone: 718-729-5947<br />

Fax: 718-729-9168<br />

Ramasubramanian, Uma<br />

:PT*<br />

PRO2818<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Glasser-Mayrsohn,<br />

Sherrie :PT*<br />

PRO2689<br />

745 Route 25A<br />

ROCKY POINT,NY 11778<br />

Phone: 631-849-6000<br />

Fax: 631-849-6002<br />

SUFFOLK<br />

CENTEREACH<br />

Spagnoli, Robert :PT*<br />

PRO2693<br />

141 Mark Tree Road<br />

CENTEREACH,NY 11720<br />

Phone: 631-467-4235<br />

Fax: 631-467-2655<br />

COMMACK<br />

Caspe, Jared :PT*<br />

PRO2654<br />

74 Hauppauge Road<br />

COMMACK,NY 11725<br />

Phone: 631-486-6060<br />

Fax: 631-423-6369<br />

COPIAGUE<br />

Sroka, Piotr :PT*<br />

PRO2739<br />

517 Oak Street<br />

COPIAGUE,NY 11726<br />

Phone: 631-789-3789<br />

Fax: 631-789-3728<br />

ISLIP<br />

Greico, James :PT*<br />

PRO2658<br />

2221 Sunrise Highway<br />

ISLIP,NY 11751<br />

Phone: 631-277-6673<br />

Fax: 631-665-6468<br />

MASTIC<br />

Spagnoli, Robert :PT*<br />

PRO2692<br />

1133 Montauk Highway<br />

MASTIC,NY 11950<br />

Phone: 631-399-0007<br />

Fax: 631-399-2992<br />

MILLER PLACE<br />

Sroka, Piotr :PT*<br />

PRO2743<br />

595 Route 25A<br />

MILLER PLACE,NY 11764<br />

Phone: 631-476-7686<br />

Fax: 631-821-3462<br />

NESCONSET<br />

Evans, Robin :PT*<br />

PRO2678<br />

9 Browns Road<br />

NESCONSET,NY 11767<br />

Phone: 516-454-6387<br />

Fax: 516-454-6303<br />

NORTHPORT<br />

Corso, Gary :PT*<br />

PRO2643<br />

220 Fort Salonga Road<br />

NORTHPORT,NY 11768<br />

Phone: 631-757-1601<br />

Fax: 631-757-0930<br />

PHYSICAL<br />

THERAPY CENTER<br />

NASSAU<br />

BELLMORE<br />

ALLIED MEDICAL &<br />

REHABILITATION,<br />

P.C., :*<br />

F00000042<br />

2154 NEWBRIDGE RD<br />

BELLMORE,NY<br />

Phone: (516)221-0225<br />

Fax: (516)798-5652<br />

ALVIZO, P.T., P.C., :*<br />

F00000046<br />

2710 GRAND AVE<br />

BELLMORE,NY<br />

Phone: (516)781-9555<br />

Fax: (516)781-2871<br />

GARDEN CITY<br />

METRO<br />

COMPREHENSIVE<br />

PHYSICAL AND<br />

AQUATIC THERAPY,<br />

:*<br />

F00000056<br />

800 EAST GATE BLVD<br />

GARDEN CITY,NY<br />

Phone: (516)745-8050<br />

Fax: (516)745-6766<br />

LAKE RONKONKOMA<br />

ROCKY POINT<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

90


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

METROPOLITAN<br />

PHYSICAL THERAPY,<br />

:*<br />

F00000058<br />

745 ROUTE 25A<br />

GARDEN CITY,NY<br />

Phone: (631)489-6000<br />

Fax: (631)489-6002<br />

PHYSIOLOGIC<br />

PHYSICAL THERAPY,<br />

:*<br />

F00000066<br />

575 UNDERHILL BLVD #116<br />

SYOSSET,NY<br />

Phone: (516)677-1780<br />

Fax: (516)677-1782<br />

DYNAMIC PHYSICAL<br />

THERAPY SERIVES<br />

PC, :*<br />

F00000119<br />

43-43 KISSENA BLVD<br />

FLUSHING,NY<br />

Phone: (718)661-1710<br />

Fax: (718)886-1484<br />

GREAT NECK<br />

PHYSIOLOGIC<br />

PHYSICAL REHAB PC,<br />

:*<br />

F00000065<br />

98 CUTTERMILL RD STE 100<br />

GREAT NECK,NY<br />

Phone: (516)466-4118<br />

Fax: (516)466-2856<br />

WOODMERE<br />

ADVANTAGE<br />

PHYSICAL THERAPY,<br />

:*<br />

F00000045<br />

960 RAILROAD AVE<br />

WOODMERE,NY<br />

Phone: (516)374-5310<br />

Fax: (516)374-4450<br />

FOREST HILLS<br />

ANNIE BLACK PT &<br />

REHABILITATION,<br />

PC, :*<br />

F00000116<br />

108-50 71ST AVE STE LL1<br />

FOREST HILLS,NY<br />

Phone: (718)268-6072<br />

Fax: (718)268-0226<br />

MANHASSET<br />

METROPOLITAN<br />

PHYSICAL THERAPY,<br />

:*<br />

F00000057<br />

333 E SHORE RD<br />

MANHASSET,NY<br />

Phone: (516)466-9730<br />

Fax: (516)754-6766<br />

ROSLYN<br />

PHYSIOLOGIC<br />

PHYSICAL THERAPY<br />

PC, :*<br />

F00000067<br />

1044 NORTHERN BLVD STE 107<br />

ROSLYN,NY<br />

Phone: (516)484-2562<br />

Fax: (516)484-5314<br />

SYOSSET<br />

QUEENS<br />

ASTORIA<br />

ASTORIA PHYSICAL<br />

THERAPY<br />

ASSOCIATES, :*<br />

F00000117<br />

27-47 CRESCENT ST<br />

ASTORIA,NY<br />

Phone: (718)545-0700<br />

Fax: (718)545-3282<br />

BAYSIDE<br />

BELL PLAZA<br />

PHYSICAL THERAPY,<br />

:*<br />

F00000118<br />

45-62 BELL BLVD<br />

BAYSIDE,NY<br />

Phone: (718)281-2861<br />

Fax: (718)281-0173<br />

MID-NASSAU<br />

PHYSICAL THERAPY,<br />

:*<br />

F00000127<br />

108-14 72ND AVE<br />

FOREST HILLS,NY<br />

Phone: NULL<br />

Fax: NULL<br />

SUNNYSIDE<br />

EXCELLENT CHOICE<br />

PHYSICAL THERAPY,<br />

PC, :*<br />

F00000124<br />

47-01 QUEENS BLVD STE 402<br />

SUNNYSIDE,NY<br />

Phone: (718)729-5947<br />

Fax: (718)729-9168<br />

WHITESTONE<br />

FLUSHING<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

91


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

PRO-TEK PHYSICAL<br />

THERAPY, :*<br />

F00000128<br />

160-20 WILLETS POINT BLVD<br />

WHITESTONE,NY<br />

Phone: (718)279-4300<br />

Fax: (866)217-4437<br />

TLC PHYSICAL<br />

THERAPY PC, :*<br />

F00000229<br />

197 SMITHTOWN BLVD<br />

NESCONSET,NY<br />

Phone: (631)863-1290<br />

Fax: (631)863-3090<br />

O'Connor, Christopher<br />

:PA*<br />

AP00139<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

SUFFOLK<br />

HAUPPAUGE<br />

CORSO PHYSICAL<br />

THERAPY, :*<br />

F00000205<br />

521 RT 111 STE 107<br />

HAUPPAUGE,NY<br />

Phone: (631)724-9509<br />

Fax: (631)724-9549<br />

HUNTINGTON STATION<br />

CORSO<br />

REHABILITATION<br />

AND PHYSICAL<br />

THERAPY, :*<br />

F00000206<br />

2375-B NEW YORK AVE<br />

HUNTINGTON STATION,N<br />

Phone: (631)673-2933<br />

Fax: (631)673-3086<br />

EXCELLENT CHOICE<br />

PHYSICAL THERAPY,<br />

:*<br />

F00000208<br />

180 E PULASKI RD STE C<br />

HUNTINGTON STATION,N<br />

Phone: (631)396-1595<br />

Fax: (631)396-1597<br />

SAYVILLE<br />

PHYSICAL THERAPY<br />

OF WEST SAYVILLE,<br />

:*<br />

F00000218<br />

229 RAILROAD AVE STE 2<br />

SAYVILLE,NY<br />

Phone: (631)589-7088<br />

Fax: (631)589-7089<br />

Physician Assistant<br />

NASSAU<br />

HEMPSTEAD<br />

Ali-Perez, Anisa :PA*<br />

AP00126<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

Levinson, Charles :PA*<br />

AP00132<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

Twiggs, Donna Joyce<br />

:PA*<br />

AP00143<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

HICKSVILLE<br />

Ali-Perez, Anisa :PA*<br />

AP00127<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Butta, Eugene :PA*<br />

AP00130<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Kyriacou, Rose Mary<br />

:PA*<br />

AP00094<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

NESCONSET<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

92


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

O'Connor, Christopher<br />

:PA*<br />

AP00141<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Ali-Perez, Anisa :PA*<br />

AP00125<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

Youssef, Osama :PA*<br />

AP00147<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

NEW HYDE PARK<br />

O'Connor, Christopher<br />

:PA*<br />

AP00138<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Youssef, Osama :PA*<br />

AP00148<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Butta, Eugene :PA*<br />

AP00129<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

QUEENS<br />

ELMHURST<br />

Narcisse, Joseph :PA*<br />

AP00137<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FOREST HILLS<br />

O'Connor, Christopher<br />

:PA*<br />

AP00142<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Youssef, Osama :PA*<br />

AP00149<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

VALLEY STREAM<br />

O'Connor, Christopher<br />

:PA*<br />

AP00140<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

Twiggs, Donna Joyce<br />

:PA*<br />

AP00144<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

FLUSHING<br />

Levinson, Charles :PA*<br />

AP00131<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

Levy, Larisa :PA*<br />

AP00133<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

JAMAICA<br />

Narcisse, Joseph :PA*<br />

AP00136<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

RICHMOND HILL<br />

Youssef, Osama :PA*<br />

AP00146<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

WOODBURY<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

93


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Ali-Perez, Anisa :PA*<br />

AP00128<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

Mawhirt, Barbara :PA*<br />

AP00135<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

NORTH BABYLON<br />

RIVERA, CLARA :MD<br />

PRO0290<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

JAMAICA<br />

Rivera, Clara :M.D.<br />

PRO3060<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

LIVINGSTON, LEON<br />

:DPM<br />

PRO2160<br />

1685 NEWBRIDGE RD<br />

BELLMORE,NY 11710<br />

Phone: (516)826-0103<br />

Fax: (516)783-6657<br />

Languages: SPANISH<br />

LIVINGSTON,<br />

DOUGLAS :DPM<br />

PRO2161<br />

1685 NEWBRIDGE RD<br />

BELLMORE,NY 11710<br />

Phone: (516)826-0103<br />

Fax: (516)783-6657<br />

Languages: SPANISH<br />

Kyriacou, Rose Mary<br />

:PA*<br />

AP00093<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Mawhirt, Barbara :PA*<br />

AP00134<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Wharton, Peter :PA*<br />

AP00145<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Plastic &<br />

Reconstructive<br />

QUEENS<br />

FOREST HILLS<br />

PODIATRY<br />

NASSAU<br />

BALDWIN<br />

SCHEINER, DAVID<br />

M:DPM<br />

PRO2371<br />

2008 GRAND AVE<br />

BALDWIN,NY 11510<br />

Phone: (516)223-0148<br />

Fax: (516)868-3242<br />

Languages: RUSSIAN/SPANISH<br />

BELLMORE<br />

ALENCHERRY,<br />

JOSEPH :DPM*<br />

PRO2405<br />

1685 NEWBIRDGE RD<br />

BELLMORE,NY 11710<br />

Phone: (516)826-0103<br />

Fax: (516)783-6657<br />

BETHPAGE<br />

ABELES, JAY :MD*<br />

PRO0051<br />

4136 HICKSVILLE RD<br />

BETHPAGE,NY 11714<br />

Phone: (516)796-2900<br />

Fax: (516)796-2901<br />

LAROCCA, ALBERT<br />

W:DPM<br />

PRO2178<br />

2 RAEMAR COURT<br />

BETHPAGE,NY 11714<br />

Phone: (516)935-0111<br />

Fax: (516)935-0111<br />

Languages: ITALIAN, GERMAN<br />

GARDEN CITY<br />

ALONGI, MARYANNE<br />

:MD*<br />

PRO2217<br />

226 SEVENTH STREET SUITE 105<br />

GARDEN CITY,NY 11530<br />

Phone: (516)248-9680<br />

Fax: (516)248-9683<br />

HEMPSTEAD<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

94


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

MOAZEN, ALI :DPM<br />

PRO0335<br />

226 CLINTON ST<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)483-2020<br />

Fax: (516)560-1889<br />

Languages: PERSIAN<br />

HICKSVILLE<br />

BRENNER, MARC<br />

A:DPM*<br />

PRO0441<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

GROSSMAN, MYLES<br />

:DPM<br />

PRO2497<br />

2174 HEWLETT AVE STE 202<br />

MERRICK,NY 11566<br />

Phone: (516)379-2560<br />

Fax: (516)546-8845<br />

Languages: SPANISH/HEWBREW<br />

NEW HYDE PARK<br />

Fiorenza, Dominic :DPM<br />

PRO3034<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

DECICCO, JOHN<br />

:DPM<br />

PRO2511<br />

875 OLD COUNTRY RD STE 100<br />

PLAINVIEW,NY 11803<br />

Phone: (516)681-8866<br />

Fax: (516)681-8890<br />

VALLEY STREAM<br />

Moazen, Ali :DPM<br />

PRO3048<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

Caimano, Francis :DPM<br />

PRO3030<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

FIORENZA, DOMINIC<br />

:DPM*<br />

PRO0428<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

MASSAPEQUA<br />

Odinsky, Wayne :DPM<br />

PRO3055<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

OCEANSIDE<br />

WESTBURY<br />

GROSSMAN, MYLES<br />

:DPM<br />

PRO2498<br />

156 POST AVE<br />

WESTBURY,NY 11590<br />

Phone: (516)334-8208<br />

Fax: (516)333-1076<br />

Languages: SPANISH/HEWBREW<br />

FRISCIA, MARY<br />

A:DPM*<br />

WOODBURY<br />

PRO2404<br />

Fiorenza, Dominic :DPM<br />

2940 LOWER LINCOLN AVE STE 201<br />

PRO3035<br />

OCEANSIDE,NY 11572<br />

225 Froehlich Farm Blvd<br />

Phone: (516)678-3468<br />

WOODBURY,NY 11797<br />

Fax: (516)678-1045<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

BERNSTEIN, PAUL<br />

:DPM*<br />

PRO2522<br />

4200 SUNRISE HWY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)795-9030<br />

Fax: (516)798-9070<br />

MERRICK<br />

STARK, JEFFREY<br />

M:DPM<br />

PRO2177<br />

1 DUNCAN PLACE<br />

OCEANSIDE,NY 11572<br />

Phone: (516)764-3500<br />

Fax: (516)536-4236<br />

Languages: SPANISH, POLISH, ITA<br />

PLAINVIEW<br />

QUEENS<br />

ASTORIA<br />

GITLITZ, ELLIOT<br />

:DPM<br />

PRO0411<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

95


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GLASSMITH,<br />

JEROME B:MD<br />

PRO0053<br />

4105 31ST AVE<br />

ASTORIA,NY 11103<br />

Phone: (718)278-8020<br />

Fax: (718)278-8599<br />

Languages: GREEK<br />

MERMELSTEIN,<br />

STEVEN M:DPM<br />

PRO2180<br />

31-17 DITMARS BLVD<br />

ASTORIA,NY 11105<br />

Phone: (718)274-4040<br />

Fax: (718)726-6414<br />

Languages: HEBREW, SPANISH, GRE<br />

BAYSIDE<br />

SCHECHT, STEVEN<br />

:DPM*<br />

PRO2529<br />

214-02 24TH AVE<br />

BAYSIDE,NY 11360<br />

Phone: (718)423-5700<br />

Fax: (718)423-5769<br />

CAMBRIA HEIGHTS<br />

Felsenstein, Sidney<br />

:DPM<br />

PRO3033<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

Tudor, Kevin :DPM<br />

PRO3068<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

ELMHURST<br />

Gitlitz, Elliot :DPM<br />

PRO3042<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: 7182719730<br />

Fax: 7182711775<br />

MATHEWS, DANIEL<br />

D:DPM<br />

PRO2868<br />

40-35 95TH ST LOWER LEVEL<br />

ELMHURST,NY 11373<br />

Phone: (718)205-6201<br />

Fax: (718)205-5664<br />

Languages: SPANISH<br />

MATHEWS, DANIEL<br />

D:DPM<br />

PRO2869<br />

40-08 FORLEY ST<br />

ELMHURST,NY 11373<br />

Phone: (718)205-6201<br />

Fax: (718)205-5664<br />

Languages: SPANISH<br />

Moazen, Ali :DPM<br />

PRO3049<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: 7182719730<br />

Fax: 7182711775<br />

Odinsky, Wayne :DPM<br />

PRO3057<br />

88-06 55th Avenue<br />

ELMHURST,NY 11373<br />

Phone: 7182719730<br />

Fax: 7182711775<br />

FAR ROCKAWAY<br />

Odinsky, Wayne :DPM<br />

PRO3056<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: 7183377000<br />

Fax: 7183278897<br />

FLUSHING<br />

COURBIS, JEANNE<br />

M:DPM<br />

PRO0416<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

EPSTEIN,<br />

GEOFFEREY :DPM<br />

PRO2839<br />

42-60 MAIN STREET<br />

FLUSHING,NY 11355<br />

Phone: (718)886-3450<br />

Fax: (718)886-7669<br />

Languages: SPANISH<br />

WU, HENRY :DPM<br />

PRO2403<br />

133-38 41 RD STE 2L<br />

FLUSHING,NY 11355<br />

Phone: (718)886-9086<br />

Fax: (718)886-2086<br />

Languages: CHINESE AND SPANISH<br />

FOREST HILLS<br />

CHERNICK, STEPHEN<br />

B:DPM<br />

PRO2162<br />

112-41 QUEENS BLVD STE LLB<br />

FOREST HILLS,NY 11375<br />

Phone: (718)793-3223<br />

Fax: (718)793-0838<br />

Languages: SPANISH<br />

JACKSON HEIGHTS<br />

GOLDMAN,<br />

GERSHON A:DPM<br />

PRO2507<br />

87-10 37TH AVE STE D<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)457-7443<br />

Fax: (718)457-6137<br />

Languages: SPANISH, YIDDISH, HE<br />

JAMAICA<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

96


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Akram, Abid :DPM<br />

PRO3024<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

EPSTEIN, GEOFFREY<br />

C:DPM<br />

PRO0039<br />

84-75 MAIN STREET<br />

JAMAICA,NY 11435<br />

Phone: (718)657-8921<br />

Fax: (718)657-9650<br />

Languages: SPANISH<br />

TUDOR, KEVIN :DPM*<br />

PRO0256<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

MASPETH<br />

DELLACORTE,<br />

MICHAEL P:DPM<br />

PRO2159<br />

59-01 69TH STREET<br />

MASPETH,NY 11378<br />

Phone: (718)639-3338<br />

Fax: (718)639-5184<br />

ARCHER, JEAN<br />

V:MD*<br />

PRO0457<br />

125-06 101ST AVE<br />

RICHMOND HILL,NY 11419<br />

Phone: (718)849-2900<br />

Fax: (718)849-5773<br />

Languages: SPANISH<br />

Felsenstein, Sidney<br />

:DPM<br />

PRO3031<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

FELSENSTEIN,<br />

SIDNEY :DPM<br />

PRO0425<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Felsenstein, Sidney<br />

:DPM<br />

PRO3032<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Gitlitz, Elliot :DPM<br />

PRO3041<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Tudor, Kevin :DPM<br />

PRO3067<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

ROCKAWAY PARK<br />

OAKLAND GARDENS<br />

ROSEN, BARRY<br />

MILLER, SHELDON<br />

JAY:DPM<br />

:DPM<br />

PRO0133<br />

PRO2513<br />

58-47 FRANCIS LEWIS BLVD SUITE<br />

15 BEACH<br />

11<br />

105TH ST<br />

OAKLAND GARDENS,NY 1<br />

ROCKAWAY PARK,NY 116<br />

Phone: (718)225-2424<br />

Phone: (718)474-0899<br />

Fax: (718)225-2425<br />

Fax: (718)474-2033<br />

Languages: SPANISH AND YIDDISH<br />

Languages: HEBREW<br />

QUEENS VILLAGE<br />

GINSBERG, STEVEN<br />

J:DPM<br />

PRO2502<br />

218-11 JAMAICA AVE<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)464-1978<br />

Fax: (718)464-1995<br />

REGO PARK<br />

BERNSTEIN, PAUL<br />

:DPM*<br />

PRO2524<br />

94-24 63RD DR<br />

REGO PARK,NY 11374<br />

Phone: (718)268-0885<br />

Fax: (718)897-9060<br />

RICHMOND HILL<br />

WHITESTONE<br />

DITROLIO, DINO<br />

:DPM*<br />

PRO0132<br />

12-25 150TH STREET<br />

WHITESTONE,NY 11357<br />

Phone: (718)767-0202<br />

Fax: (718)767-7375<br />

Languages: ITALIAN, GREEK<br />

SUFFOLK<br />

EAST ISLIP<br />

CASSANO, MICHAEL<br />

:DPM*<br />

PRO0078<br />

369 E MAIN STREET SUITE 7<br />

EAST ISLIP,NY 11730<br />

Phone: (631)277-1700<br />

Fax: (631)277-1707<br />

Languages: SPANISH SPEAKING EMP<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

97


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

EAST SETAUKET<br />

FURST, GERARD<br />

:DPM<br />

PRO0040<br />

4 TECHNOLOGY DR STE 110<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)331-8400<br />

Fax: (631)331-8455<br />

Languages: N/A<br />

HAUPPAUGE<br />

BERNSTEIN, PAUL<br />

:DPM*<br />

PRO2523<br />

517 ROUTE 111<br />

HAUPPAUGE,NY 11788<br />

Phone: (631)265-2225<br />

Fax: (631)265-3610<br />

LAKE RONKONKOMA<br />

CAIMANO, FRANCIS<br />

X:DPM<br />

PRO0447<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Fiorenza, Dominic :DPM NASSAU<br />

PRO3036<br />

WESTBURY<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY CHEEMA, SOHAIL<br />

Phone: 6317370100<br />

IQBAL:MD<br />

Fax: 6314711000<br />

PRO2615<br />

265 POST AVENUE, SUITE 116<br />

WESTBURY,NY 11590<br />

Phone: (516)833-5627<br />

MELVILLE<br />

Fax: (516)833-5837<br />

EPSTEIN,<br />

Languages: URDU-HINDI<br />

GEOFFEREY :DPM<br />

PRO2840<br />

801 WATT WHITMAN RD (RTE 100) QUEENS<br />

MELVILLE,NY 11747<br />

Phone: (631)549-8637<br />

FOREST HILLS<br />

Fax: (631)549-8860<br />

Languages: SPANISH<br />

BREIDBART,<br />

MITCHEL J:DPM<br />

PRO0440<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Caimano, Francis :DPM<br />

PRO3029<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

PORT JEFFERSON STATION<br />

PLOTKIN, STUART<br />

:DPM*<br />

PRO2314<br />

2 MEDICAL DR STE C<br />

PORT JEFFERSON STATION<br />

Phone: (631)928-8383<br />

Fax: (631)928-8388<br />

Psychiatry<br />

RASOOL, SHAMA :MD<br />

PRO2777<br />

76-03 113TH ST<br />

FOREST HILLS,NY 11375<br />

Phone: (718)268-1100<br />

Fax: (718)263-6418<br />

Languages: ENGLISH & HINDI<br />

Pulmonary Medicine<br />

NASSAU<br />

HEMPSTEAD<br />

Butt, Laurence :M.D.<br />

PRO3027<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

HICKSVILLE<br />

Sharma, Sanjiv :M.D.<br />

PRO3062<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

VALLEY STREAM<br />

Butt, Laurence :M.D.<br />

PRO3028<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

WOODBURY<br />

Sharma, Sanjiv :M.D.<br />

PRO3061<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: 5163645400<br />

Fax: 5166773653<br />

NORTH BABYLON<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

98


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

QUEENS<br />

FLUSHING<br />

Butt, Laurence :M.D.<br />

PRO3026<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Sharma, Sanjiv :M.D.<br />

PRO3063<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

PULMONOLOGIST<br />

NASSAU<br />

GREAT NECK<br />

COMO, MICHAEL<br />

V:MD<br />

PRO0079<br />

233 E SHORE RD STE 112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

FREEBERG, GARY<br />

W:MD<br />

PRO0036<br />

233 EAST SHORE RD STE 112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

SCHECTER, ALAN<br />

J:MD<br />

PRO0019<br />

233 E SHORE RD STE 112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

SCHREIBER, ROBERT<br />

T:MD<br />

PRO0101<br />

233 E SHORE RD STE #112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

SORETT, EVAN S:MD<br />

PRO0007<br />

233 EAST SHORE RD STE 112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

WAXNER, JONATHAN<br />

M:MD<br />

PRO0057<br />

233 E SHORE RD STE 112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

WOLF, JEFFREY<br />

M:MD<br />

PRO0052<br />

233 E SHORE RD STE 112<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-7810<br />

Fax: (516)829-6887<br />

Languages: GERMAN, SPANISH<br />

HICKSVILLE<br />

BUTT, LAURENCE<br />

R:MD<br />

PRO0445<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

MANHASSET<br />

ANDERSON, JOHN<br />

F:DO<br />

PRO1911<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)570-4404<br />

Fax: (516)570-4444<br />

COLLINS, TIMOTHY<br />

P:DO*<br />

PRO1913<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2308<br />

Fax: (516)562-2385<br />

CONN, RICHARD :MD<br />

PRO1914<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4910<br />

Fax: (516)562-2574<br />

GRINKO, ANNA :MD<br />

PRO1916<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2308<br />

Fax: (516)562-2385<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

99


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

KAMHOLZ, STEPHAN<br />

L:MD<br />

PRO1917<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4310<br />

Fax: (516)562-2981<br />

KARPEL, JILL P:MD<br />

PRO1918<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

ROBERT, GEORGE<br />

:MD<br />

PRO1925<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7464<br />

Fax: (718)343-1438<br />

MYNN, PETER<br />

A:MBBS<br />

PRO1923<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2308<br />

Fax: (516)562-2385<br />

Languages: BURMESE<br />

MASSAPEQUA<br />

SORETT, EVAN S:MD<br />

PRO2849<br />

643 BROADWAY<br />

MASSAPEQUA,NY 11758<br />

Phone: (516)798-1066<br />

Fax: (516)798-7351<br />

Languages: GERMAN, SPANISH<br />

NEW HYDE PARK<br />

COHEN, RUBIN I:MD<br />

PRO1912<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

GREENBERG, HARLY<br />

E:MD<br />

PRO1915<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-3899<br />

Fax: (516)616-4124<br />

KOENIG, SETH J:MD<br />

PRO1919<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

LISKER, GITA N:MD<br />

PRO1920<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

MAYO, PAUL H:MD<br />

PRO1921<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5432<br />

Fax: (516)465-5454<br />

MULTZ, ALAN S:MD<br />

PRO1922<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

NARASIMHAN,<br />

MANGALA :DO<br />

PRO1924<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

ROSEN, MARK J:MD*<br />

PRO1926<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

RUSKIN, GREG S:MD<br />

PRO1927<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

SINGAS, EFFIE :MD<br />

PRO1928<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

STEINBERG, HARRY<br />

N:MD<br />

PRO1929<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

TAFRESHI, MEHRAN<br />

:DO<br />

PRO1930<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

100


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

TALWAR, ARUNABH<br />

:MD<br />

PRO1931<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)465-5400<br />

Fax: (516)465-5454<br />

MARTINEZ, SERGIO<br />

A:MD<br />

PRO0107<br />

40-39 JUNCTION BLVD<br />

CORONA,NY 11368<br />

Phone: (718)397-8866<br />

Fax: (718)397-8869<br />

Languages: SPANISH<br />

BHARDWAJ, RAKESH<br />

K:MD<br />

PRO2145<br />

89-45 SPRINGFIELD BLVD<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)217-2300<br />

Fax: (718)740-5374<br />

Languages: HINDI, PUNJABI, URDU<br />

WISE, WENDY J:MD<br />

PRO1932<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7270<br />

Fax: (718)470-0827<br />

PLAINVIEW<br />

BAKTIDY, VLASSI<br />

:MD*<br />

PRO2120<br />

100 MANETTO HILL RD #306<br />

PLAINVIEW,NY 11803<br />

Phone: (516)933-1088<br />

Fax: (516)933-6279<br />

Languages: GREEK<br />

FLUSHING<br />

GUMPENI,<br />

RAMMOHAN :MD<br />

PRO2454<br />

56-45 MAIN ST #WA100<br />

FLUSHING,NY 11355<br />

Phone: (718)670-1405<br />

Fax: (718)461-2943<br />

SUFFOLK<br />

AMITYVILLE<br />

DAVIDOFF, SAM :DO<br />

PRO2456<br />

221 BROADWAY STE 204<br />

AMITYVILLE,NY 11701<br />

Phone: (631)598-5864<br />

Fax: (631)598-5866<br />

Languages: RUSSIAN<br />

SHA, KENNETH :MD<br />

PRO2452<br />

KHANIJO, VINOD :MD<br />

136-20 38TH AVE STE CF-B 4TH FL<br />

PRO2365<br />

FLUSHING,NY 11354<br />

221 BROADWAY STE 204<br />

Phone: (718)358-8889<br />

AMITYVILLE,NY 11701<br />

Fax: (718)358-8890<br />

Phone: (631)598-5864<br />

Languages: CHINESE, BURMESE, AN Fax: (631)598-5866<br />

SHERMAN, WILLIAM<br />

:MD<br />

PRO2072<br />

100 MANETTO HILL RD #306<br />

PLAINVIEW,NY 11803<br />

Phone: (516)933-1088<br />

Fax: (516)933-6279<br />

WEIL, PETER A:MD<br />

PRO2119<br />

100 MANETTO HILL RD #306<br />

PLAINVIEW,NY 11803<br />

Phone: (516)933-1088<br />

Fax: (516)933-6279<br />

QUEENS<br />

CORONA<br />

FOREST HILLS<br />

HOFFMAN, MARTIN<br />

S:MD<br />

PRO0380<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

JACKSON HEIGHTS<br />

MARTINEZ, SERGIO<br />

A:MD<br />

PRO2264<br />

37-11 88TH STREET<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)397-8866<br />

Fax: (718)397-8869<br />

Languages: SPANISH<br />

QUEENS VILLAGE<br />

SINGH, NARENDRA<br />

:MD<br />

PRO2397<br />

221 BROADWAY STE 204<br />

AMITYVILLE,NY 11701<br />

Phone: (631)598-5864<br />

Fax: (631)598-5866<br />

Languages: HINDI AND SPANISH<br />

HUNTINGTON<br />

ANSELMI,<br />

CHRISTOPHER :MD<br />

PRO2526<br />

175 E MAIN ST STE 104<br />

HUNTINGTON,NY 11743<br />

Phone: (631)424-3787<br />

Fax: (631)424-5868<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

101


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

ANWAR, JALIL :MD<br />

PRO2528<br />

175 E MAIN ST STE 104<br />

HUNTINGTON,NY 11743<br />

Phone: (631)424-3787<br />

Fax: (631)424-5868<br />

BERGMAN, MARION<br />

J:MD*<br />

PRO2107<br />

285 SILLS RD BLDG 7 STE B<br />

PATCHOGUE,NY 11772<br />

Phone: (631)654-4577<br />

Fax: (631)654-3391<br />

CIRRONE, JOSEPH<br />

S:MD<br />

PRO2870<br />

285 SILLS ROAD BUILDING 17<br />

PATCHOGUE,NY 11772<br />

Phone: (631)207-2801<br />

Fax: (631)207-2805<br />

BERNARDINI, DENNIS<br />

:MD<br />

PRO2525<br />

175 E MAIN ST STE 104<br />

HUNTINGTON,NY 11743<br />

Phone: (631)424-3787<br />

Fax: (631)424-5868<br />

VOMERO, ERNEST<br />

:MD<br />

PRO2527<br />

175 E MAIN ST STE 104<br />

HUNTINGTON,NY 11743<br />

Phone: (631)424-3787<br />

Fax: (631)424-5868<br />

GILLERAN,<br />

RADIOLOGY<br />

STEPHANIE N:DO<br />

PRO2110<br />

285 SILLS ROAD BUILDING 7 SUITE B<br />

NASSAU<br />

PATCHOGUE,NY 11772<br />

Phone: (631)654-4577<br />

GLEN COVE<br />

Fax: (631)654-3391<br />

BASRA,<br />

GURBHUSHAN S:MD<br />

PRO1933<br />

MATTOO, ANIL :MD*<br />

101 ST ANDREWS LN<br />

PRO2106<br />

GLEN COVE,NY 11542<br />

285 SILLS RD BLDG 7 STE B Phone: (516)674-7566<br />

PATCHOGUE,NY 11772 Fax: (516)674-7546<br />

Phone: (631)654-4577<br />

Fax: (631)654-3391<br />

NORTH BABYLON<br />

SHARMA, SANJIV :MD<br />

PRO0268<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

PATCHOGUE<br />

AFZAL, QAZI Q:MD*<br />

PRO2108<br />

285 SILLS RD BLDG 7 STE B<br />

PATCHOGUE,NY 11772<br />

Phone: (613)654-4577<br />

Fax: (631)654-3391<br />

RADIATION<br />

ONCOLOGY<br />

SUFFOLK<br />

EAST SETAUKET<br />

CIRRONE, JOSEPH<br />

S:MD<br />

PRO2871<br />

181 N BELLE MEAD ROAD<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)689-6776<br />

Fax: (631)675-2001<br />

PATCHOGUE<br />

CHANG, JERRY S:MD<br />

PRO1937<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7540<br />

Fax: (516)674-7546<br />

Languages: MANDARIN<br />

GEORGE, GRACE<br />

T:MD<br />

PRO1948<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7540<br />

Fax: (516)674-7546<br />

KING, STEVEN J:MD<br />

PRO1959<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7540<br />

Fax: (516)674-7546<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

102


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

LAMARCA,<br />

ANTHONY J:MD<br />

PRO1960<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7566<br />

Fax: (516)674-7546<br />

LEVINE, MARLA<br />

R:MD<br />

PRO1965<br />

935 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)829-4414<br />

Fax: (516)829-5286<br />

TRIKHA, SUNITA :MD<br />

PRO1976<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8268<br />

Fax: (516)734-8270<br />

MANNINO, THOMAS<br />

F:MD<br />

PRO1966<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7540<br />

Fax: (516)674-7546<br />

WECK, STEVEN D:MD<br />

PRO1981<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7540<br />

Fax: (516)674-7546<br />

HICKSVILLE<br />

BITTER, JASON J.:MD<br />

PRO0437<br />

350 S BROADWAY<br />

HICKSVILLE,NY 11801<br />

Phone: (516)938-0100<br />

Fax: (516)938-0120<br />

Languages: SPANISH<br />

Singh, Jatinder :M.D.<br />

PRO3065<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

VIOLA, LOUISA I:MD<br />

PRO1978<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8258<br />

Fax: (516)734-8620<br />

WECKSELL, ALAN<br />

:MD<br />

PRO1982<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8268<br />

Fax: (516)734-8270<br />

GREAT NECK<br />

DINTENFASS, NANCY<br />

J:DO<br />

PRO1944<br />

935 NORTHERN BLVD.<br />

GREAT NECK,NY 11021<br />

Phone: (516)829-4414<br />

Fax: (516)829-5286<br />

LAKE SUCCESS<br />

BEN-LEVI, ERAN :MD<br />

PRO1934<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8600<br />

Fax: (516)734-8683<br />

LAWRENCE,<br />

FEIT, JERROLD<br />

LORETTA P:MD<br />

S:MD*<br />

PRO1962<br />

PRO1946<br />

450 LAKEVILLE RD<br />

NORTH SHORE - LIJ RADIOLOGY LAKE SERVICES, SUCCESS,NY PC 11042<br />

GREAT NECK,NY 11021 Phone: (516)734-8268<br />

Phone: (516)829-4414<br />

Fax: (516)734-8270<br />

Fax: (516)829-7754<br />

MANHASSET<br />

BURKE, BRIAN J:MD<br />

PRO1935<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4796<br />

Fax: (516)562-4793<br />

CAPLIN, DREW<br />

M:MD*<br />

PRO1936<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2819<br />

Fax: (516)562-4793<br />

CHUSID, JESSE :MD*<br />

PRO1940<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4362<br />

Fax: (516)562-4793<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

103


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

COOPERSMITH,<br />

HELISE R:MD*<br />

PRO1941<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-3560<br />

Fax: (516)562-3561<br />

NAIDICH, JAMES<br />

B:MD<br />

PRO1967<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4797<br />

Fax: (516)562-4793<br />

VILLANI, ROBERT<br />

:MD<br />

PRO1977<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4800<br />

Fax: (516)562-4794<br />

D'AGOSTINO,<br />

CATHERINE A:MD<br />

PRO1942<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4796<br />

Fax: (516)562-4793<br />

PELLERITO, JOHN<br />

S:MD<br />

PRO1970<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4796<br />

Fax: (516)562-4793<br />

WALZ, DANIEL :MD<br />

PRO1979<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4800<br />

Fax: (516)562-4794<br />

EVANS, ADAM L:MD<br />

PRO1945<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-3560<br />

Fax: (516)562-3561<br />

PUTTERMAN,<br />

DANIEL M:MD<br />

PRO1971<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2819<br />

Fax: (516)562-4793<br />

WARSHAWSKY,<br />

ROBIN J:MD<br />

PRO1980<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4796<br />

Fax: (516)562-4794<br />

GOLDMAN,<br />

MITCHELL A:MD<br />

PRO1949<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4800<br />

Fax: (516)562-4794<br />

SHAH, PRIYA :MD<br />

PRO1973<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4796<br />

Fax: (516)562-4793<br />

WOLDENBERG,<br />

RONA F:MD<br />

PRO1983<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4800<br />

Fax: (516)562-4794<br />

LEVENBROWN, JACK<br />

:MD<br />

PRO1964<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4795<br />

Fax: (516)562-4794<br />

SHAH, RAKESH D:MD<br />

PRO1974<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-2819<br />

Fax: (516)562-4793<br />

ZIPRKOWSKI, MICHA<br />

N:MD<br />

PRO1985<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4795<br />

Fax: (516)562-4794<br />

NEW HYDE PARK<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

104


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

CHOI ROSEN,<br />

JEANNE S:MD<br />

PRO1938<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7175<br />

Fax: (718)343-3893<br />

HOFMAN, JOSHUA<br />

:MD<br />

PRO1954<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7160<br />

Fax: (718)343-7463<br />

LEE, TRACY J:MD<br />

PRO1963<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7175<br />

Fax: (718)343-7463<br />

DAVIS, LAWRENCE<br />

P:MD<br />

PRO1943<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7235<br />

Fax: (718)343-3893<br />

Ismailer, Ida :M.D.<br />

PRO3044<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

NAIDICH, JASON<br />

J:MD<br />

PRO1968<br />

450 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)734-8600<br />

Fax: (516)734-8620<br />

FRIEDMAN, BARAK<br />

:MD<br />

PRO1947<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7175<br />

Fax: (718)343-7463<br />

HINES, JOHN :MD<br />

PRO1952<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7178<br />

Fax: (718)343-7463<br />

JOHNSON, ALAN<br />

A:MD<br />

PRO1955<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7175<br />

Fax: (718)343-7463<br />

KANZER, BARRY<br />

F:MD<br />

PRO1956<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7144<br />

Fax: (718)343-7463<br />

NGUYEN, VINH T:MD<br />

PRO1969<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7175<br />

Fax: (718)343-7463<br />

RAHMANI, NAVID<br />

:MD<br />

PRO1972<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7175<br />

Fax: (718)343-3893<br />

Languages: PERSIAN<br />

HOFFMAN, JANET<br />

C:MD<br />

PRO1953<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7144<br />

Fax: (718)343-7463<br />

KHAN, ARFA :MD<br />

PRO1957<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7144<br />

Fax: (718)343-7463<br />

KIM, SAMUEL :MD*<br />

PRO1958<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7175<br />

Fax: (718)343-7463<br />

SUNG, CHRIS :MD<br />

PRO1975<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-4143<br />

Fax: (718)343-7463<br />

Languages: KOREAN<br />

XENOPHON, LUCILLE<br />

C:MD<br />

PRO1984<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7144<br />

Fax: (718)343-7463<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

105


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SYOSSET<br />

CHU, WILLIAM<br />

O:MD*<br />

PRO1939<br />

221 JERICHO TURNPIKE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-6426<br />

Fax: (516)496-6499<br />

HEIMOWITZ,<br />

HOWARD :MD<br />

PRO1951<br />

221 JERICHO TPKE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-6426<br />

Fax: (516)496-6499<br />

LASTIG, STEPHEN<br />

W:MD*<br />

PRO1961<br />

221 JERICHO TURNPIKE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-6426<br />

Fax: (516)496-6499<br />

VALLEY STREAM<br />

Bitter, J. Jason :M.D.<br />

PRO3025<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

HEDAYATI, REZA<br />

:MD*<br />

PRO1950<br />

900 FRANKLIN AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)256-6201<br />

Fax: (516)256-6230<br />

QUEENS<br />

ELMHURST<br />

Ismailer, Ida :M.D.<br />

PRO3045<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

Leadon, Joseph :M.D.<br />

PRO3047<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

PACIS, ANDRESITO<br />

B:MD<br />

PRO0314<br />

86-15 QUEENS BLVD<br />

ELMHURST,NY 11373<br />

Phone: (718)899-6600<br />

Fax: (718)943-2615<br />

Languages: TAGALOG<br />

FAR ROCKAWAY<br />

Singh, Jatinder :M.D.<br />

PRO3064<br />

29-15 Far Rockaway Blvd<br />

FAR ROCKAWAY,NY 1169<br />

Phone: 7183377000<br />

Fax: 7183278897<br />

FOREST HILLS<br />

Ismailer, Ida :M.D.<br />

PRO3046<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Pacis, Andresito :M.D.<br />

PRO3059<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Spak, Mary :M.D.<br />

PRO3066<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

JAMAICA<br />

Ismailer, Ida :M.D.<br />

PRO3043<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Pacis, Andresito :M.D.<br />

PRO3058<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

SUFFOLK<br />

NORTH BABYLON<br />

SINGH, JATINDER<br />

:MD<br />

PRO0274<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: FOREIGN LANGUAGE/ASL<br />

Reproductive<br />

Endocrinology<br />

QUEENS<br />

ELMHURST<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

106


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Wen<strong>of</strong>, Michael :M.D.<br />

PRO3069<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

STEIN, BRUCE S:MD*<br />

PRO0266<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Modi, Anang :D.O.<br />

PRO3050<br />

226 Clinton Street<br />

HEMPSTEAD,NY 11550<br />

Phone: 5164832020<br />

Fax: 5165601889<br />

RHEUMATOLOGIST<br />

NASSAU<br />

LAKE SUCCESS<br />

GOLDBERG, AVRAM<br />

Z:MD<br />

PRO1986<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2550<br />

Fax: (516)708-2597<br />

GREENWALD,<br />

ROBERT A:MD<br />

PRO1987<br />

2800 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)708-2550<br />

Fax: (516)708-2597<br />

QUEENS<br />

FOREST HILLS<br />

GERTSBERG,<br />

MARIANNA :MD<br />

PRO0408<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

Languages: RUSSIAN<br />

REGO PARK<br />

GEORGESCU, LIVIU<br />

:MD*<br />

PRO0068<br />

6321 ALDERTON ST<br />

REGO PARK,NY 11374<br />

Phone: (718)651-7302<br />

Fax: (718)651-7735<br />

Languages: ROMANIAN, SPANISH<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

MODI, ANANG :DO<br />

PRO0336<br />

640 HAWKINS AVE<br />

LAKE RONKONKOMA,NY<br />

Phone: (631)737-0100<br />

Fax: (631)471-1000<br />

Languages: GUJARATI, SOME SPANI<br />

NORTH BABYLON<br />

MORANO, PLACIDO<br />

A:MD<br />

PRO0337<br />

300 BAYSHORE RD<br />

NORTH BABYLON,NY 1170<br />

Phone: (631)586-2700<br />

Fax: (631)586-3524<br />

Languages: SPANISH, ITALIAN<br />

Rheumatology<br />

NASSAU<br />

HEMPSTEAD<br />

HICKSVILLE<br />

Modi, Anang :D.O.<br />

PRO3053<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Morano, Placido :M.D.<br />

PRO3054<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

VALLEY STREAM<br />

Modi, Anang :D.O.<br />

PRO3051<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

QUEENS<br />

ELMHURST<br />

Gertsberg, Marianna<br />

:M.D.<br />

PRO3040<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FLUSHING<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

107


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Gertsberg, Marianna<br />

:M.D.<br />

PRO3037<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

JAMAICA<br />

Gertsberg, Marianna<br />

:M.D.<br />

PRO3038<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Gertsberg, Marianna<br />

:M.D.<br />

PRO3039<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

SUFFOLK<br />

NORTH BABYLON<br />

Modi, Anang :D.O.<br />

PRO3052<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Social Work<br />

Brown, Caroline :CSW*<br />

AP00152<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

FLUSHING<br />

Terio, Steve :CSW<br />

AP00153<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

Vilfranc, Jenifer<br />

:L.M.S.W.*<br />

AP00155<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

JAMAICA<br />

Brown, Caroline :CSW*<br />

AP00150<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Brown, Caroline :CSW*<br />

AP00151<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Speech/Language<br />

Pathology<br />

NASSAU<br />

FARMINGDALE<br />

Domingo, Robert :SLP*<br />

PRO2621<br />

399 Conklin Street<br />

FARMINGDALE,NY 11735<br />

Phone: 516-249-5477<br />

Fax: 516-777-2821<br />

HICKSVILLE<br />

Sussman, Karen :SLP*<br />

PRO2681<br />

184 West Nicholai Street<br />

HICKSVILLE,NY 11801<br />

Phone: 516-433-1822<br />

Fax: 516-433-1840<br />

LONG BEACH<br />

Shklyar, Beatrice :SLP*<br />

PRO2713<br />

165 West Walnut Street<br />

LONG BEACH,NY 11561<br />

Phone: 516-729-4880<br />

Fax:<br />

MANHASSET<br />

Amato Jr., John :SLP*<br />

PRO2671<br />

1165 Northern Boulevard<br />

MANHASSET,NY 11030<br />

Phone: 516-627-3036<br />

Fax: 516-627-6741<br />

QUEENS<br />

CAMBRIA HEIGHTS<br />

Terio, Steve :CSW<br />

AP00154<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

SYOSSET<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

108


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

Podwall, Arthur :SLP*<br />

PRO2694<br />

175 Jericho Turnpike<br />

SYOSSET,NY 11791<br />

Phone: 516-364-1234<br />

Fax: 516-364-3132<br />

Podwall, Arthur :SLP*<br />

PRO2625<br />

267 East Main Street<br />

SMITHTOWN,NY 11787<br />

Phone: 631-360-3222<br />

Fax: 631-360-7477<br />

CALIENDO, FRANK<br />

J:MD<br />

PRO2007<br />

900 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)730-2100<br />

Fax: (516)730-2121<br />

WEST HEMPSTEAD<br />

Weinstein-Brown, Mindi<br />

:SLP*<br />

PRO2702<br />

300 Hempstead Turnpike<br />

WEST HEMPSTEAD,NY 115<br />

Phone: 516-505-2200<br />

Fax: 516-505-5416<br />

STONY BROOK<br />

Gordon, Ann :SLP*<br />

PRO2624<br />

207 Hallock Road<br />

STONY BROOK,NY 11790<br />

Phone: 631-751-3838<br />

Fax: 631-751-3767<br />

DRING, ROBERT<br />

J:MD*<br />

PRO2008<br />

310 E SHORE RD<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-8657<br />

Fax: (516)829-0002<br />

QUEENS<br />

FLUSHING<br />

Jimenez, Gladys :SLP*<br />

PRO2708<br />

142-22 Booth Memorial Avenue<br />

FLUSHING,NY 11355<br />

Phone: 718-445-2696<br />

Fax: 718-445-2697<br />

Uhl, Carrie :SLP*<br />

PRO2626<br />

41-54 149th Place<br />

FLUSHING,NY 11355<br />

Phone: 718-445-2696<br />

Fax: 718-445-2697<br />

SURGERY -<br />

CARDIOVASCULAR<br />

NASSAU<br />

MANHASSET<br />

HARTMAN, ALAN<br />

R:MD<br />

PRO1993<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4970<br />

Fax: (516)562-3786<br />

Languages: SPANISH<br />

SURGERY - COLON<br />

& RECTAL<br />

SERUR, ANNA :MD<br />

PRO2009<br />

900 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)730-2100<br />

Fax: (516)730-2121<br />

Languages: RUSSIAN<br />

SUFFOLK<br />

EAST SETAUKET<br />

LEIBOFF, ARNOLD<br />

R:MD*<br />

PRO0013<br />

3400 NESCONSET HIGHWAY SUITE 100<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)689-2600<br />

Fax: (631)689-2943<br />

FOREST HILLS<br />

Boardman, Diane :SLP*<br />

PRO2695<br />

73-20 Austin St<br />

FOREST HILLS,NY 11375<br />

Phone: 718-261-4079<br />

Fax:<br />

NASSAU<br />

GREAT NECK<br />

ANGEL, LUZ P:MD<br />

PRO2006<br />

900 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)730-2100<br />

Fax: (516)730-2121<br />

SURGERY -<br />

GENERAL<br />

NASSAU<br />

SUFFOLK<br />

SMITHTOWN<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

109


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

GOHIL, BAIJU C:MD*<br />

PRO2020<br />

GADALETA,<br />

DOMINICK :MD<br />

SYOSSET HOSPITAL-DEPT OF SURGERY PRO2016<br />

,NY 11791<br />

310 E SHORE RD<br />

Phone: (516)496-6467<br />

GREAT NECK,NY 11023<br />

Fax: (516)496-2771<br />

Phone: (516)482-8657<br />

Languages: SPANISH<br />

Fax: (516)829-0002<br />

NADJARI, HOWARD<br />

I:MD<br />

PRO2028<br />

310 E SHORE RD<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-8657<br />

Fax: (516)829-0002<br />

GLEN COVE<br />

GALVIN, DANIEL<br />

E:DO<br />

PRO2017<br />

10 MEDICAL PLAZA<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-0608<br />

Fax: (516)674-0250<br />

GELLMAN, LARRY<br />

E:MD<br />

PRO2019<br />

310 E SHORE RD<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-8657<br />

Fax: (516)829-0002<br />

PROCACCINO,<br />

ANGELO J:MD*<br />

PRO2032<br />

310 E SHORE RD<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-8657<br />

Fax: (516)829-0002<br />

PINARD, BRIAN E:MD<br />

PRO2030<br />

10 MEDICAL PLAZA<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7580<br />

Fax: (516)674-7588<br />

GREENWALD, MARC<br />

L:MD*<br />

PRO2021<br />

310 E SHORE RD<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-8657<br />

Fax: (516)829-0002<br />

ZAIDI, RAZA M:MD*<br />

PRO2035<br />

600 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)487-9454<br />

Fax: (516)487-2745<br />

GREAT NECK<br />

BUCHIN, DAVID :MD<br />

PRO2012<br />

1000 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)466-5260<br />

Fax: (516)466-5266<br />

Languages: RUSSIAN<br />

KADISON, ALAN<br />

S:MD*<br />

PRO2022<br />

600 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)487-9454<br />

Fax: (516)487-2745<br />

LAKE SUCCESS<br />

KLEIN, JONATHAN<br />

D:MD<br />

PRO2023<br />

1999 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)233-3645<br />

Fax: (516)233-3733<br />

FILARDI, DOMINIC<br />

A:MD*<br />

PRO2015<br />

310 E SHORE RD<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-8657<br />

Fax: (516)829-0002<br />

KURTZ, LEWIS<br />

M:MD*<br />

PRO2024<br />

310 E SHORE RD<br />

GREAT NECK,NY 11023<br />

Phone: (516)482-8657<br />

Fax: (516)829-0002<br />

TUTELA, ROCCO<br />

R:MD<br />

PRO2033<br />

1999 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)233-3601<br />

Fax: (516)233-3605<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

110


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

ZEMON, HARRY :MD<br />

PRO2036<br />

1999 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)233-3645<br />

Fax: (516)233-3733<br />

COOPERSTONE,<br />

LESTER M:MD<br />

PRO2014<br />

221 JERICHO TURNPIKE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-6548<br />

Fax: (516)496-2771<br />

BERMAN, EVAN N:MD<br />

PRO0452<br />

31-75 23RD ST<br />

ASTORIA,NY 11106<br />

Phone: (718)956-2200<br />

Fax: (718)956-2316<br />

Languages: SPANISH<br />

MANHASSET<br />

MOLMENTI,<br />

ERNESTO P:MD*<br />

PRO2027<br />

1554 NORTHERN BLVD<br />

MANHASSET,NY 11030<br />

Phone: (516)472-5800<br />

Fax: (516)472-5805<br />

NEW HYDE PARK<br />

AL-GEBORY, FARIS<br />

A:MD*<br />

PRO2010<br />

LIJMC-DEPT OF SURGERY<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-4526<br />

Fax: (718)343-3429<br />

Languages: ARABIC<br />

WARD, B. MARIE :MD<br />

PRO2034<br />

1300 UNION TURNPIKE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)488-2743<br />

Fax: (516)488-6249<br />

PLAINVIEW<br />

MANSOURI, MEHRAN<br />

:MD<br />

PRO2025<br />

25 CENTRAL PARK RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)719-3060<br />

Fax: (516)719-3061<br />

SYOSSET<br />

GEISS, ALAN C:MD<br />

PRO2018<br />

221 JERICHO TURNPIKE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-2752<br />

Fax: (516)496-2763<br />

POWERS, COLIN<br />

J:MD<br />

PRO2031<br />

221 JERICHO TURNPIKE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-2752<br />

Fax: (516)496-2763<br />

VALLEY STREAM<br />

LUNDIE, JOHN :MD<br />

PRO0346<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: ITALIAN<br />

PERSICO, MICHAEL<br />

G:MD<br />

PRO0302<br />

260 W SUNRISE HWY<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

Languages: ITALIAN, SPANISH<br />

QUEENS<br />

ASTORIA<br />

BELLEROSE<br />

CHARDAVOYNE,<br />

RASHMAE :MD<br />

PRO0011<br />

251-15 UNION TURNPIKE<br />

BELLEROSE,NY 11426<br />

Phone: (718)343-1616<br />

Fax: (718)343-4272<br />

Languages: ENGLISH, HINDI, URDU<br />

FLUSHING<br />

PAUL, JOSE T:MD<br />

PRO0303<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: FOREIGN LANGUAGE/ASL<br />

FOREST HILLS<br />

AMETRANO, JOSEPH<br />

A:MD*<br />

PRO2011<br />

102-01 66TH RD<br />

FOREST HILLS,NY 11375<br />

Phone: (718)830-4093<br />

Fax: (718)830-1149<br />

COOMARASWAMY,<br />

MICHAEL A:MD<br />

PRO2013<br />

70- 10 AUSTIN ST<br />

FOREST HILLS,NY 11375<br />

Phone: (718)830-4093<br />

Fax: (718)830-1149<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

111


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

MEDWICK,<br />

MATTHEW B:MD*<br />

PRO2026<br />

102-01 66TH RD<br />

FOREST HILLS,NY 11375<br />

Phone: (718)830-4093<br />

Fax: (718)830-1149<br />

HOLLIS<br />

SATTERFIELD,<br />

JAMES E:MD<br />

PRO0006<br />

8990 188TH ST<br />

HOLLIS,NY 11423<br />

Phone: (718)297-3788<br />

Fax: (718)297-3711<br />

SURGERY - ORTHO<br />

HAND<br />

QUEENS<br />

FLUSHING<br />

GUPTA, SALIL :MD<br />

PRO0387<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: SPANISH<br />

SURGERY -<br />

ORTHOPAEDIC<br />

GREAT NECK<br />

LEMENTOWSKI,<br />

PETER :MD<br />

PRO2042<br />

825 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8660<br />

Fax: (516)465-8666<br />

MILLS, EDWARD<br />

L:MD<br />

PRO2044<br />

833 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-7945<br />

Fax: (516)498-9385<br />

JAMAICA<br />

BLACKMAN, NOEL<br />

:MD<br />

PRO2152<br />

172-29 BROCHER RD<br />

JAMAICA,NY 11434<br />

Phone: (631)940-1120<br />

Fax: (631)940-3109<br />

SOLTANI, JAHANGIR<br />

:MD*<br />

PRO0270<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

SUFFOLK<br />

HUNTINGTON<br />

PHILLIP, DENNIS<br />

ROGER :MD*<br />

PRO2029<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (631)351-2000<br />

Fax: (631)952-5751<br />

NASSAU<br />

LONG, WILLIAM :MD<br />

PRO2043<br />

210 E 64TH ST<br />

, 10065<br />

Phone: (212)434-4450<br />

Fax: (212)434-4404<br />

EAST MEADOW<br />

DIMAIO, FRANK<br />

R:MD<br />

PRO2039<br />

801 MERRICK AVE<br />

EAST MEADOW,NY 11554<br />

Phone: (516)393-8996<br />

Fax: (516)393-8870<br />

GLEN COVE<br />

LOPEZ, JOSEPH<br />

I:MD*<br />

PRO0060<br />

10 MEDICAL PLAZA STE 103<br />

GLEN COVE,NY 11542<br />

Phone: (516)671-4110<br />

Fax: (516)759-4069<br />

MORRISON, JOHN<br />

E:MD*<br />

PRO2045<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)918-6300<br />

Fax: (516)918-6363<br />

ROKITO, STEVEN<br />

E:MD<br />

PRO1902<br />

825 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8660<br />

Fax: (516)465-8666<br />

SEGAL, AYAL :MD<br />

PRO2047<br />

833 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)622-7900<br />

Fax: (516)498-9385<br />

Languages: HEBREW<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

112


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

SILBER, JEFF S:MD<br />

PRO2048<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)918-6300<br />

Fax: (516)918-6363<br />

SCOTT, NORMAN<br />

W:MD*<br />

PRO2046<br />

210 E 64TH ST<br />

NEW YORK,NY 10021<br />

Phone: (212)434-4301<br />

Fax: (212)434-4404<br />

REDDY, KUMAR S:MD<br />

PRO1901<br />

68-60 AUSTIN ST<br />

FOREST HILLS,NY 11375<br />

Phone: (718)925-6200<br />

Fax: (718)925-6251<br />

NEW HYDE PARK<br />

ENKER, PAUL I:MD<br />

PRO0421<br />

1991 MARCUS AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)354-1600<br />

Fax: (516)941-4672<br />

Languages: FRENCH, SPANISH, ITA<br />

HANDELSMAN, JOHN<br />

E:MD<br />

PRO2040<br />

269-01 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-3570<br />

Fax: (718)470-3472<br />

LAPLAZA,<br />

FRANCISCO :MD<br />

PRO2041<br />

269-01 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-3570<br />

Fax: (718)470-3472<br />

NEW YORK<br />

CUSHNER, FRED<br />

D:MD*<br />

PRO2038<br />

210 E 64TH ST<br />

NEW YORK,NY 10021<br />

Phone: (212)434-4312<br />

Fax: (212)434-4313<br />

PLAINVIEW<br />

BAEZ, JORGE :MD*<br />

PRO2496<br />

651 OLD COUNTRY RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)681-8822<br />

Fax: (516)681-3332<br />

Languages: ITALIAN, SPANISH, GR<br />

KESCHNER,<br />

MITCHELL :MD*<br />

PRO2396<br />

651 OLD COUNTRY RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)651-8822<br />

Fax: (516)681-3332<br />

Languages: SPANISH, POLISH, GRE<br />

SILVERBERG, SCOTT<br />

:MD*<br />

PRO2391<br />

651 OLD COUNTRY RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)681-8822<br />

Fax: (516)681-3332<br />

Languages: SPANISH, POLISH, GRE<br />

ZITNER, DAVID :MD*<br />

PRO2331<br />

651 OLD COUNTRY RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)681-8822<br />

Fax: (516)681-3332<br />

Languages: POLISH, SPANISH, GRE<br />

SELDES, RICHARD<br />

M:MD<br />

PRO0283<br />

96-10 METROPOLITAN AVE<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

SUFFOLK<br />

BAY SHORE<br />

BRANDENSTEIN,<br />

DANIEL :DO<br />

PRO2037<br />

SOUTHSIDE HOSPITAL-DEPT OF ORTHOPAEDIC SUR<br />

BAY SHORE,NY 11706<br />

Phone: (631)968-3919<br />

Fax: (631)675-4206<br />

SURGERY -<br />

ORTHOPAEDIC/SPI<br />

NASSAU<br />

GREAT NECK<br />

BRANDOFF, JARED<br />

F:MD*<br />

PRO2049<br />

865 NORTHERN BLVD<br />

GREAT NECK,NY 11021<br />

Phone: (516)918-6300<br />

Fax: (516)918-6363<br />

QUEENS<br />

FOREST HILLS<br />

SURGERY -<br />

PLASTIC<br />

QUEENS<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

113


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

JAMAICA<br />

GHEEWALA, ANUP<br />

R:MD<br />

PRO0409<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: HINDI<br />

SURGERY -<br />

THORACIC<br />

QUEENS<br />

FLUSHING<br />

GUINTO, ROY B:MD<br />

PRO0385<br />

140-15 SANFORD AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)670-6411<br />

Fax: (718)670-6479<br />

Languages: PHILIPPINE (OTHER),<br />

SURGERY -<br />

VASCULAR<br />

NASSAU<br />

GREAT NECK<br />

PURTILL, WILLIAM<br />

A:MD<br />

PRO0121<br />

560 NORTHERN BLVD STE 209<br />

GREAT NECK,NY 11021<br />

Phone: (516)466-0485<br />

Fax: (516)304-5394<br />

KRISHNASASTRY,<br />

KAMBHAMPATY<br />

V:MD<br />

PRO2051<br />

1999 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)233-3600<br />

Fax: (516)233-3605<br />

SCHUTZER, RICHARD<br />

W:MD<br />

PRO2052<br />

1999 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)233-3701<br />

Fax: (516)233-3605<br />

PLAINVIEW<br />

SAHA, CHANCHAL<br />

:MD*<br />

PRO2329<br />

754 OLD COUNTRY RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)931-0182<br />

Fax: (516)681-2312<br />

Languages: HINDI<br />

SUFFOLK<br />

SMITHTOWN<br />

KHAN, RASHID J:MD<br />

PRO0096<br />

48 ROUTE 25A STE 102<br />

SMITHTOWN,NY 11787<br />

Phone: (631)862-3635<br />

Fax: (631)979-9115<br />

Babalola, John :M.D.<br />

PRO3071<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Lundie, John :M.D.<br />

PRO3082<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

Persico, Michael :M.D.<br />

PRO3093<br />

350 South Broadway<br />

HICKSVILLE,NY 11801<br />

Phone: 5169380100<br />

Fax: 5169380120<br />

NEW HYDE PARK<br />

Berman, Evan :M.D.<br />

PRO3074<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

Parikh, Sandip :M.D.<br />

PRO3088<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

LAKE SUCCESS<br />

KISSIN, MARK :MD<br />

PRO2050<br />

1999 MARCUS AVE<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)233-3701<br />

Fax: (516)233-3605<br />

Surgery, General<br />

NASSAU<br />

HICKSVILLE<br />

VALLEY STREAM<br />

Babalola, John :M.D.<br />

PRO3070<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

114


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

QUEENS<br />

CAMBRIA HEIGHTS<br />

Soltani, Jahangir :M.D.<br />

PRO3094<br />

206-20 Linden Blvd<br />

CAMBRIA HEIGHTS,NY 11<br />

Phone: 7184796600<br />

Fax: 7182173546<br />

ELMHURST<br />

Paul, Jose :M.D.<br />

PRO3091<br />

86-15 Queens Blvd<br />

ELMHURST,NY 11373<br />

Phone: 7188996600<br />

Fax: 7188035168<br />

FLUSHING<br />

Parikh, Sandip :M.D.<br />

PRO3085<br />

140-15 Sanford Avenue<br />

FLUSHING,NY 11355<br />

Phone: 7186706411<br />

Fax: 7186706479<br />

FOREST HILLS<br />

Berman, Evan :M.D.<br />

PRO3075<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Parikh, Sandip :M.D.<br />

PRO3089<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

Soltani, Jahangir :M.D.<br />

PRO3095<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

JAMAICA<br />

Berman, Evan :M.D.<br />

PRO3073<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

Parikh, Sandip :M.D.<br />

PRO3086<br />

169-59 137th Avenue<br />

JAMAICA,NY 11434<br />

Phone: 7185255600<br />

Fax: 7185270922<br />

Parikh, Sandip :M.D.<br />

PRO3087<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

RICHMOND HILL<br />

Parikh, Sandip :M.D.<br />

PRO3084<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

Paul, Jose :M.D.<br />

PRO3090<br />

125-06 101st Avenue<br />

RICHMOND HILL,NY 11419<br />

Phone: 7188492900<br />

Fax: 7188495773<br />

SUFFOLK<br />

LAKE RONKONKOMA<br />

Babalola, John :M.D.<br />

PRO3072<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

Lundie, John :M.D.<br />

PRO3083<br />

640 Hawkins Avenue<br />

LAKE RONKONKOMA,NY<br />

Phone: 6317370100<br />

Fax: 6314711000<br />

NORTH BABYLON<br />

Lundie, John :M.D.<br />

PRO3081<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Persico, Michael :M.D.<br />

PRO3092<br />

300 Bayshore Road<br />

NORTH BABYLON,NY 1170<br />

Phone: 6315862700<br />

Fax: 6315863524<br />

Surgery, Thoracic<br />

NASSAU<br />

NEW HYDE PARK<br />

Guinto, Roy :M.D.<br />

PRO3078<br />

1991 Marcus Avenue<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

Fax: 5169414672<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

115


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

VALLEY STREAM<br />

Guinto, Roy :M.D.<br />

PRO3079<br />

260 West Sunrise Highway<br />

VALLEY STREAM,NY 1158<br />

Phone: 5168253600<br />

Fax: 5168232096<br />

ESPOSITO, RICK<br />

A:MD<br />

PRO1988<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4970<br />

Fax: (516)562-3786<br />

GRAVER, L. M:MD<br />

PRO1991<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7461<br />

Fax: (718)343-1438<br />

QUEENS<br />

FOREST HILLS<br />

Guinto, Roy :M.D.<br />

PRO3080<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: 7184590400<br />

Fax: 7182863863<br />

JAMAICA<br />

Guinto, Roy :M.D.<br />

PRO3077<br />

180-05 Hillside Avenue<br />

JAMAICA,NY 11432<br />

Phone: 7185266300<br />

Fax: 7182863863<br />

SURGERY-CARDIO<br />

VASCULAR &<br />

NASSAU<br />

GREAT NECK<br />

ZELTSMAN, VADIM<br />

D:MD<br />

PRO2005<br />

225 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)918-4388<br />

Fax: (516)918-4387<br />

Languages: RUSSIAN<br />

HALL, MICHAEL<br />

H:MD<br />

PRO1992<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4970<br />

Fax: (516)562-3786<br />

KALIMI, ROBERT<br />

:MD<br />

PRO1995<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4970<br />

Fax: (516)562-3786<br />

POGO, GUSTAVE<br />

J:MD<br />

PRO2000<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-4970<br />

Fax: (516)562-3786<br />

NEW HYDE PARK<br />

GLASSMAN,<br />

LAWRENCE R:MD<br />

PRO1990<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)470-7520<br />

Fax: (516)470-4347<br />

HYMAN, KEVIN<br />

M:MD<br />

PRO1994<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)470-7520<br />

Fax: (516)470-4347<br />

MANETTA, FRANK<br />

:MD<br />

PRO1996<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7460<br />

Fax: (718)343-1438<br />

PALAZZO, ROBERT<br />

:MD<br />

PRO1997<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7499<br />

Fax: (718)343-1438<br />

PALUMBO, FRANK<br />

S:MD<br />

PRO1998<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-5320<br />

Fax: (718)343-1438<br />

MANHASSET<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

116


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

PARNELL, VINCENT<br />

A:MD<br />

PRO1999<br />

269-01 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-3580<br />

Fax: (718)343-8368<br />

FALLON, BRIAN<br />

C:MD*<br />

PRO1989<br />

301 E MAIN ST<br />

BAY SHORE,NY 11706<br />

Phone: (631)968-3844<br />

Fax: (631)675-4503<br />

KAVOUSSI, LOUIS<br />

R:MD<br />

PRO2054<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8500<br />

Fax: (516)734-8535<br />

SCHEINERMAN, S<br />

J:MD*<br />

PRO2001<br />

270-05 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7460<br />

Fax: (718)343-1438<br />

VATSIA, SHEEL K:MD<br />

PRO2003<br />

269-01 76TH AVE<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-3580<br />

Fax: (516)562-3786<br />

YUN, JAIME :MD<br />

PRO2004<br />

410 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)470-7520<br />

Fax: (516)470-4347<br />

Languages: CHINESE<br />

PLAINVIEW<br />

TENTI, FRANCESCO<br />

:MD*<br />

PRO2002<br />

25 CENTRAL PARK RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)719-3090<br />

Fax: (516)719-3091<br />

UROLOGIST<br />

NASSAU<br />

FREEPORT<br />

MCCALLY, DANIEL<br />

:MD<br />

PRO2330<br />

155 W MERRICK RD STE 204<br />

FREEPORT,NY 11520<br />

Phone: (516)867-0102<br />

Fax: (516)867-1857<br />

Languages: SPANISH, ITALIAN AND<br />

RING, STANLEY :MD<br />

PRO2398<br />

155 W. MERRICK RD STE 204<br />

FREEPORT,NY 11520<br />

Phone: (516)867-0102<br />

Fax: (516)867-1857<br />

Languages: SPANISH, ITALIAN AND<br />

HEMPSTEAD<br />

FINAMORE, PETER<br />

:MD<br />

PRO2581<br />

1 FULTON AVE<br />

HEMPSTEAD,NY 11550<br />

Phone: (516)663-8878<br />

Fax: (516)663-2013<br />

LAKE SUCCESS<br />

OKEKE, ZEPH :MD<br />

PRO2055<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8500<br />

Fax: (516)734-8535<br />

RICHSTONE, LEE :MD<br />

PRO2056<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8500<br />

Fax: (516)734-8535<br />

SMITH, ARTHUR<br />

D:MD<br />

PRO2057<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8500<br />

Fax: (516)734-8535<br />

VIRA, MANISH A:MD*<br />

PRO2059<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8500<br />

Fax: (516)734-8537<br />

MANHASSET<br />

SUFFOLK<br />

BAY SHORE<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

117


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

BADILLO, FELIX<br />

:MD*<br />

PRO0123<br />

535 PLANDOME ROAD STE 3<br />

MANHASSET,NY 11030<br />

Phone: (516)627-6188<br />

Fax: (516)627-9397<br />

Languages: SPANISH<br />

GIRARDI, SARAH<br />

:MD*<br />

PRO0105<br />

535 PLANDOME ROAD STE 3<br />

MANHASSET,NY 11030<br />

Phone: (516)627-6188<br />

Fax: (516)627-9397<br />

Languages: SPANISH<br />

GOLDBERG, GARY<br />

D:MD*<br />

PRO0037<br />

535 PLANDOME ROAD STE 3<br />

MANHASSET,NY 11030<br />

Phone: (516)627-6188<br />

Fax: (516)627-9397<br />

Languages: SPANISH<br />

MONDSCHEIN,<br />

LEONARD :MD*<br />

PRO0066<br />

535 PLANDOME ROAD STE 3<br />

MANHASSET,NY 11030<br />

Phone: (516)627-6188<br />

Fax: (516)627-9397<br />

Languages: SPANISH<br />

MINEOLA<br />

FINAMORE, PETER<br />

:MD<br />

PRO2580<br />

120 MINEOLA BLVD STE 100<br />

MINEOLA,NY 11501<br />

Phone: (516)663-3010<br />

Fax: (516)663-3026<br />

NEW HYDE PARK<br />

ATALLA, MOHAMED<br />

A:MD<br />

PRO2053<br />

450 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)734-8500<br />

Fax: (516)734-8535<br />

Languages: ARABIC<br />

STECKEL, JOPH :MD<br />

PRO2058<br />

450 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)734-8557<br />

Fax: (516)734-8537<br />

Languages: FRENCH<br />

WEISS, GARY H:MD<br />

PRO2060<br />

450 LAKEVILLE RD<br />

NEW HYDE PARK,NY 1104<br />

Phone: (516)734-8500<br />

Fax: (516)734-8535<br />

WOODBURY<br />

VIRA, MANISH A:MD<br />

PRO3096<br />

225 FROEHLICH FARM BLVD<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

Languages: CHINESE, SPANISH<br />

OSTAD, EDWARD :MD<br />

PRO0033<br />

37-39 75TH STREET<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)505-1177<br />

Fax: (718)505-2025<br />

Languages: SPANISH, RUSSIAN, HI<br />

OSTAD, MICHAEL<br />

:MD<br />

PRO0081<br />

37-39 75TH STREET<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)505-1177<br />

Fax: (718)505-2064<br />

Languages: SPANISH, RUSSIAN, HI<br />

JAMAICA<br />

CORUJO, MARLENE<br />

:MD<br />

PRO2158<br />

180-05 HILLSIDE AVE<br />

JAMAICA,NY 11432<br />

Phone: (718)526-6300<br />

Fax: (718)286-3863<br />

Languages: SPANISH<br />

Urology<br />

NASSAU<br />

NEW HYDE PARK<br />

Corujo, Marlene :M.D.<br />

QUEENS<br />

PRO3076<br />

1991 Marcus Avenue<br />

BAYSIDE<br />

NEW HYDE PARK,NY 1104<br />

Phone: 5163541600<br />

NADELSON, ELLIOT<br />

Fax: 5169414672<br />

J:MD*<br />

PRO2844<br />

23-83 BELL BLVD UPPER LAVEL<br />

BAYSIDE,NY 11360<br />

VALLEY STREAM<br />

Phone: (718)428-5450<br />

Schwartz, Michael :M.D.<br />

Fax: (212)924-8870<br />

PRO2821<br />

Languages: SPANISH<br />

260 West Sunrise Highway 200<br />

VALLEY STREAM,NY 1158<br />

JACKSON HEIGHTS<br />

Phone: (516)825-3600<br />

Fax: (516)823-2096<br />

SPECIALIST<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

118


Sección 2 - Listado de Proveedores del Plan : SPECIALIST<br />

WOODBURY<br />

Rastinehad, Ardeshir<br />

:D.O.*<br />

PRO2819<br />

225 Froehlich Farm Blvd<br />

WOODBURY,NY 11797<br />

Phone: (516)364-5400<br />

Fax: (516)677-3653<br />

NASSAU UNIVERSITY<br />

MEDICAL CENTER,<br />

:*<br />

F00000261<br />

2201 HEMPSTEAD TURNPIKE<br />

EAST MEADOW,NY 11554<br />

Phone: NULL<br />

Fax: NULL<br />

SOUTH NASSAU<br />

COMMUNITIES<br />

HOSPITAL, :<br />

F00000242<br />

ONE HEALTHY WAY<br />

OCEANSIDE,NY 11572<br />

Phone: (516)632-3000<br />

Fax: (516)632-3485<br />

QUEENS<br />

FOREST HILLS<br />

Taff, Joseph :M.D.<br />

PRO2825<br />

96-10 Metropolitan Avenue<br />

FOREST HILLS,NY 11375<br />

Phone: (718)459-0400<br />

Fax: (718)286-3863<br />

HOSPITALS 78<br />

Acute Care Hospital<br />

NASSAU<br />

ALBERTSON<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000314<br />

201 I.U. WILLETS RD<br />

ALBERTSON,NY 11507<br />

Phone: (516)739-4900<br />

Fax: (516)739-4909<br />

BETHPAGE<br />

ST JOSEPH<br />

HOSPITAL, :<br />

F00000238<br />

4295 HEMPSTEAD TURNPIKE<br />

BETHPAGE,NY 11714<br />

Phone: (516)520-2259<br />

Fax: (516)579-6739<br />

GLEN COVE<br />

GLEN COVE<br />

HOSPITAL, :<br />

F00000260<br />

101 ST ANDREWS LN<br />

GLEN COVE,NY 11542<br />

Phone: (516)674-7300<br />

Fax: (516)674-5010<br />

MANHASSET<br />

NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL, :<br />

F00000262<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-0100<br />

Fax: NULL<br />

MINEOLA<br />

WINTHROP<br />

UNIVERSITY<br />

HOSPITAL, :*<br />

F00000246<br />

259 FIRST ST<br />

MINEOLA,NY 11501<br />

Phone: (516)663-0333<br />

Fax:<br />

OCEANSIDE<br />

PLAINVIEW<br />

NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL<br />

PLAINVIEW, :<br />

F00000263<br />

800 OLD COUNTRY RD<br />

PLAINVIEW,NY 11803<br />

Phone: (516)719-3000<br />

Fax: NULL<br />

ROCKVILLE CENTRE<br />

MERCY MEDICAL<br />

CENTER, :<br />

F00000237<br />

1000 N VILLAGE AVE<br />

ROCKVILLE CENTRE,NY 1<br />

Phone: (516)705-2525<br />

Fax: (631)465-6516<br />

ROSLYN<br />

SAINT FRANCIS<br />

HOSPITAL - THE<br />

HEART CENTER, :<br />

F00000241<br />

100 PORT WASHINGTON BLVD<br />

ROSLYN,NY 11576<br />

Phone: (516)562-6000<br />

Fax: (516)705-6608<br />

EAST MEADOW<br />

HOSPITALS<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

119


Sección 2 - Listado de Proveedores del Plan : HOSPITALS<br />

ST. FRANCIS, :*<br />

LONG ISLAND<br />

F00000245<br />

JEWISH MEDICAL<br />

100 PORT WASHINGTON BLVD CENTER, :<br />

ROSLYN,NY 11576<br />

F00000266<br />

Phone: (516)562-6670<br />

270-05 76TH AVE<br />

Fax: (516)562-6671<br />

NEW HYDE PARK,NY 1104<br />

Phone: (718)470-7000<br />

Fax: (718)470-9247<br />

SYOSSET<br />

NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL SYOSSET,<br />

:<br />

F00000264<br />

221 JERICHO TURNPIKE<br />

SYOSSET,NY 11791<br />

Phone: (516)496-6400<br />

Fax:<br />

VALLEY STREAM<br />

FRANKLIN<br />

HOSPITAL, :<br />

F00000270<br />

900 FRANKLIN AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)256-6000<br />

Fax: NULL<br />

QUEENS<br />

FOREST HILLS<br />

FOREST HILLS<br />

HOSPITAL, :<br />

F00000265<br />

102-01 66TH RD<br />

FOREST HILLS,NY 11375<br />

Phone: (718)830-4000<br />

Fax: (718)275-7806<br />

SUFFOLK<br />

BAY SHORE<br />

SOUTHSIDE<br />

HOSPITAL, :<br />

F00000271<br />

301 E MAIN ST<br />

BAY SHORE,NY 11706<br />

Phone: (631)968-3000<br />

Fax: (631)675-4503<br />

CENTEREACH<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000304<br />

2100 MIDDLE COUNTRY RD<br />

CENTEREACH,NY 11720<br />

Phone: (631)580-2526<br />

Fax: (631)580-2530<br />

EAST SETAUKET<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000311<br />

3 TECHNOLOGY DR STE 400<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)751-8000<br />

Fax: (631)751-8030<br />

HUNTINGTON<br />

HOSPITAL, :<br />

F00000269<br />

270 PARK AVE<br />

HUNTINGTON,NY 11743<br />

Phone: (626)397-5000<br />

Fax: NULL<br />

MELVILLE<br />

GOOD SAMARITAN<br />

HOME HEALTH, :<br />

F00000298<br />

245 OLD COUNTRY RD<br />

MELVILLE,NY 11747<br />

Phone: (631)376-3000<br />

Fax: (631)465-6533<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000305<br />

1895 WALT WHITMAN RD<br />

MELVILLE,NY 11747<br />

Phone: (631)577-3400<br />

Fax: (631)577-3409<br />

PATCHOGUE<br />

BROOKHAVEN<br />

MEMORIAL<br />

HOSPITAL MEDICAL<br />

CENTER HEALTH<br />

CENTER WEST, :<br />

F00000296<br />

365 MAIN ST<br />

PATCHOGUE,NY 11772<br />

Phone: (516)338-5300<br />

Fax: (516)333-1075<br />

NEW HYDE PARK<br />

HUNTINGTON<br />

HOSPITALS<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

120


Sección 2 - Listado de Proveedores del Plan : HOSPITALS<br />

BROOKHAVEN<br />

MEMORIAL<br />

HOSPITAL MEDICAL<br />

CENTER HOME<br />

CARE, :<br />

F00000234<br />

101 HOSPITAL RD<br />

PATCHOGUE,NY 11772<br />

Phone: (631)654-7100<br />

Fax: (631)654-7786<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000310<br />

77 ROUTE 112<br />

PATCHOGUE,NY 11772<br />

Phone: (631)207-2370<br />

Fax: (631)758-1748<br />

PORT JEFFERSON<br />

JOHN T MATHER<br />

MEMORIAL<br />

HOSPITAL, :<br />

F00000236<br />

75 N COUNTRY RD<br />

PORT JEFFERSON,NY 1177<br />

Phone: (631)473-1320<br />

Fax: (631)473-3091<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000240<br />

200 BELLE TERRE RD<br />

PORT JEFFERSON,NY 1177<br />

Phone: (631)474-6000<br />

Fax: (631)474-6761<br />

ST. CHARLES, :*<br />

F00000244<br />

200 BELLE TERRE RD<br />

PORT JEFFERSON,NY 1177<br />

Phone: (631)474-6000<br />

Fax: (631)474-6761<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000312<br />

806 E MAIN ST<br />

RIVERHEAD,NY 11901<br />

Phone: (631)369-4440<br />

Fax: (631)369-4444<br />

RONKONKOMA<br />

ST. CATHERINE OF<br />

ST CHARLES<br />

SIENNA MEDICAL<br />

HOSPITAL, :<br />

CENTER, :*<br />

F00000313<br />

F00000243<br />

3279 VETERANS MEMORIAL HWY 50 ROUTE 25A<br />

RONKONKOMA,NY 11779 SMITHTOWN,NY 11787<br />

Phone: (631)580-8720<br />

Phone: (631)862-3000<br />

Fax: (631)580-8727<br />

Fax: (631)862-3105<br />

SHIRLEY<br />

BROOKHAVEN<br />

MEMORIAL<br />

HOSPITAL MEDICAL<br />

CENTER HEALTH<br />

CENTER EAST, :<br />

F00000297<br />

550 MONTAUK HWY<br />

SHIRLEY,NY 11967<br />

Phone: (516)338-5300<br />

Fax: (516)333-1075<br />

SMITHTOWN<br />

ST CATHERINE OF<br />

SIENA MEDICAL<br />

CENTER, :<br />

F00000239<br />

50 ROUTE 25A<br />

SMITHTOWN,NY 11787<br />

Phone: (631)862-3000<br />

Fax: (631)862-3105<br />

ST CHARLES<br />

HOSPITAL, :<br />

F00000315<br />

240 MIDDLE COUNTRY RD<br />

SMITHTOWN,NY 11787<br />

Phone: (631)382-4550<br />

Fax: (631)382-4559<br />

WEST ISLIP<br />

GOOD SAMARITAN<br />

HOSPITAL MEDICAL<br />

CENTER, :<br />

F00000235<br />

1000 MONTUAK HWY<br />

WEST ISLIP,NY 11795<br />

Phone: (631)376-3000<br />

Fax: (631)376-3431<br />

AMBULATORY<br />

SURGERY CENTER<br />

NASSAU<br />

LAKE SUCCESS<br />

NORTH SHORE-LIJ<br />

AMBULATORY<br />

SURGERY CENTER,<br />

:*<br />

F00000280<br />

450 LAKEVILLE RD<br />

LAKE SUCCESS,NY 11042<br />

Phone: (516)734-8000<br />

Fax: (516)734-8015<br />

RIVERHEAD<br />

MANHASSET<br />

HOSPITALS<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

121


Sección 2 - Listado de Proveedores del Plan : HOSPITALS<br />

ALVIN AND<br />

DOROTHY<br />

SCHWARTZ<br />

AMBULATORY<br />

SURGERY CENT, :*<br />

F00000279<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8628<br />

Fax:<br />

DIAGNOSTIC<br />

IMAGING CENTER<br />

NASSAU<br />

HEWLETT<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000010<br />

1137 BROADWAY<br />

HEWLETT,NY 11557<br />

Phone: (516)791-9600<br />

Fax: (516)791-9605<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000011<br />

1184 BROADWAY<br />

HEWLETT,NY 11557<br />

Phone: (516)569-8885<br />

Fax: (516)791-4317<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000088<br />

1137 BROADWAY<br />

HEWLETT,NY 11557<br />

Phone: (516)791-9600<br />

Fax: (516)791-9605<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000089<br />

1184 BROADWAY<br />

HEWLETT,NY 11557<br />

Phone: (516)569-8885<br />

Fax: (516)791-4317<br />

ROCKVILLE CENTER<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000090<br />

165 N VILLAGE AVE<br />

ROCKVILLE CENTER,NY 1<br />

Phone: (516)255-8521<br />

Fax: (516)763-4325<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000012<br />

165 N VILLAGE AVE<br />

ROCKVILLE CENTER,NY 1<br />

Phone: (516)255-8521<br />

Fax: (516)763-4325<br />

SYOSSET<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000013<br />

100 LAFAYETTE DR<br />

SYOSSET,NY 11791<br />

Phone: (516)364-4600<br />

Fax: (516)364-4646<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000091<br />

100 LAFAYETTE DR<br />

SYOSSET,NY 11791<br />

Phone: (516)364-4600<br />

Fax: (516)364-4646<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000184<br />

100 LAFAYETTE DR<br />

SYOSSET,NY 11791<br />

Phone: (516)364-4600<br />

Fax: (516)364-4646<br />

QUEENS<br />

FLUSHING<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000146<br />

43-55 147TH ST<br />

FLUSHING,NY 11355<br />

Phone: (718)762-0900<br />

Fax: (718)886-5659<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000144<br />

147-05 ELM AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)888-1568<br />

Fax: (718)888-1569<br />

HOSPITALS<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

122


Sección 2 - Listado de Proveedores del Plan : HOSPITALS<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000092<br />

147-05 ELM AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)888-1568<br />

Fax: (718)888-1569<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000094<br />

43-55 147TH ST<br />

FLUSHING,NY 11355<br />

Phone: (718)762-0900<br />

Fax: (718)886-5659<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000014<br />

147-05 ELM AVE<br />

FLUSHING,NY 11355<br />

Phone: (718)888-1568<br />

Fax: (718)888-1569<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000016<br />

43-55 147TH ST<br />

FLUSHING,NY 11355<br />

Phone: (718)762-0900<br />

Fax: (718)886-5659<br />

JACKSON HEIGHTS<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000015<br />

37-15 76TH ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-1400<br />

Fax: (718)424-1490<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000093<br />

37-15 76TH ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-1400<br />

Fax: (718)424-1490<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000145<br />

37-15 76TH ST<br />

JACKSON HEIGHTS,NY 113<br />

Phone: (718)424-1400<br />

Fax: (718)424-1490<br />

KEW GARDENS<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000147<br />

80-02 KEW GARDEN RD STE L1<br />

KEW GARDENS,NY 11415<br />

Phone: (718)544-5151<br />

Fax: (718)544-5401<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000095<br />

80-02 KEW GARDEN RD STE L1<br />

KEW GARDENS,NY 11415<br />

Phone: (718)544-5151<br />

Fax: (718)544-5401<br />

DOSHI DIAGNOSTIC<br />

IMAGING SERVICES,<br />

P.C., :*<br />

F00000017<br />

80-02 KEW GARDEN RD STE L1<br />

KEW GARDENS,NY 11415<br />

Phone: (718)544-5151<br />

Fax: (718)544-5401<br />

SUFFOLK<br />

AMITYVILLE<br />

BAB NUCLEAR<br />

RADIOLOGY, P.C., :*<br />

F00000193<br />

355 BROADWAY<br />

AMITYVILLE,NY 11701<br />

Phone: (631)229-3100<br />

Fax: (631)789-2452<br />

BAY SHORE<br />

BAB NUCLEAR<br />

RADIOLOGY, P.C., :*<br />

F00000189<br />

160 BRENTWOOD RD<br />

BAY SHORE,NY 11706<br />

Phone: (631)666-7040<br />

Fax: (631)666-9168<br />

COMMACK<br />

BAB NUCLEAR<br />

RADIOLOGY, P.C., :*<br />

F00000192<br />

763 LARKFIELD RD STE 103<br />

COMMACK,NY 11725<br />

Phone: (631)489-5000<br />

Fax: (631)858-1990<br />

EAST SETAUKET<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000185<br />

23 TECHNOLOGY DR<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)689-7300<br />

Fax: (631)941-4215<br />

HOSPITALS<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

123


Sección 2 - Listado de Proveedores del Plan : HOSPITALS<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000019<br />

23 TECHNOLOGY DR<br />

EAST SETAUKET,NY 11733<br />

Phone: (631)689-7300<br />

Fax: (631)941-4215<br />

HAUPPAUGE<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000020<br />

679 WHISKEY RD<br />

RIDGE,NY 11961<br />

Phone: (631)744-0444<br />

Fax: (631)744-6720<br />

RIVERHEAD<br />

NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL -<br />

WALDBAUM OP<br />

DIALYSIS CTR., :*<br />

F00000281<br />

125 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8250<br />

Fax: NULL<br />

BAB NUCLEAR<br />

RADIOLOGY, P.C., :*<br />

F00000191<br />

521 RTE 111<br />

HAUPPAUGE,NY 11788<br />

Phone: (631)265-9645<br />

Fax: (631)265-5589<br />

HUNTINGTON<br />

BAB NUCLEAR<br />

RADIOLOGY, P.C., :*<br />

F00000188<br />

175 E MAIN ST<br />

HUNTINGTON,NY 11743<br />

Phone: (631)427-6344<br />

Fax: (631)424-1177<br />

RIDGE<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000187<br />

679 WHISKEY RD<br />

RIDGE,NY 11961<br />

Phone: (631)744-0444<br />

Fax: (631)744-6720<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

IMAGING, P.C., :*<br />

F00000018<br />

205 OSBORNE AVE<br />

RIVERHEAD,NY 11901<br />

Phone: (631)727-6025<br />

Fax: (631)727-6044<br />

LYNBROOK<br />

DAVITA OF NEW<br />

YORK, INC., :*<br />

F00000039<br />

147 SCRANTON AVE<br />

LYNBROOK,NY 11563<br />

Phone: (800)424-6589<br />

Fax: (516)596-4290<br />

LONG ISLAND<br />

DIAGNOSTIC<br />

QUEENS<br />

IMAGING, P.C., :*<br />

F00000186<br />

BROOKLYN<br />

205 OSBORNE AVE<br />

RIVERHEAD,NY 11901 DAVITA OF NEW<br />

Phone: (631)727-6025<br />

YORK, INC., :*<br />

Fax: (631)727-6044<br />

F00000115<br />

1305 UTICA AVE<br />

BROOKLYN,NY 11203<br />

Phone: (800)424-6589<br />

SHIRLEY<br />

Fax: (718)629-6315<br />

BAB NUCLEAR<br />

RADIOLOGY, P.C., :*<br />

F00000190<br />

FLUSHING<br />

1500 WILLIAM FLOYD PKWY STE 201<br />

SHIRLEY,NY 11967<br />

DAVITA OF NEW<br />

Phone: (631)205-0800<br />

YORK, INC., :*<br />

Fax: (631)205-5588<br />

F00000114<br />

7112 PARK AVE<br />

FLUSHING,NY 11365<br />

Phone: (800)424-6589<br />

DIALYSIS CENTER Fax: NULL<br />

NASSAU<br />

QUEENS VILLAGE<br />

GREAT NECK<br />

HOSPITALS<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

124


Sección 2 - Listado de Proveedores del Plan : HOSPITALS<br />

DAVITA OF NEW<br />

YORK, INC., :*<br />

F00000040<br />

22202 HEMPSTEAD AVE<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (800)424-6589<br />

Fax: (718)217-4191<br />

SUFFOLK<br />

BAY SHORE<br />

QUEENS<br />

QUEENS VILLAGE<br />

LONG ISLAND<br />

JEWISH DIALYSIS<br />

CENTER, :*<br />

F00000282<br />

220-22 HILLSIDE AVE<br />

QUEENS VILLAGE,NY 1142<br />

Phone: (718)979-1300<br />

Fax: NULL<br />

THE NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL STERN<br />

FAMILY CENTER FOR<br />

EXTENDED CARE<br />

AND<br />

REHABILITATION, :<br />

F00000278<br />

330 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8065<br />

Fax:<br />

DAVITA OF NEW<br />

YORK, INC., :*<br />

F00000170<br />

929 SUNRISE HWY<br />

BAY SHORE,NY 11706<br />

Phone: (800)424-6589<br />

Fax: NULL<br />

WEST ISLIP<br />

DAVITA OF NEW<br />

YORK, INC., :*<br />

F00000169<br />

1000 MONTAUK HWY<br />

WEST ISLIP,NY 11795<br />

Phone: (800)424-6589<br />

Fax: NULL<br />

OUTPATIENT<br />

DIALYSIS CENTER<br />

NASSAU<br />

GREAT NECK<br />

NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL-WALDBAU<br />

M CENTER, :*<br />

F00000283<br />

125 COMMUNITY DR<br />

GREAT NECK,NY 11021<br />

Phone: (516)465-8250<br />

Fax: NULL<br />

SKILLED<br />

NURSING<br />

FACILITY<br />

Skilled Nursing<br />

Facility<br />

NASSAU<br />

BALDWIN<br />

SOUTH NASSAU<br />

COMMUNITIES<br />

HOSPITAL HOME<br />

CARE, :<br />

F00000254<br />

2277 GRAND AVE<br />

BALDWIN,NY 11510<br />

Phone: (516)377-5000<br />

Fax: (516)632-3485<br />

BELLMORE<br />

BELAIR CARE<br />

CENTER, :<br />

F00000329<br />

2478 JERUSALEM AVE<br />

BELLMORE,NY 11710<br />

Phone: (516)826-1160<br />

Fax: (516)826-1163<br />

MANHASSET<br />

28<br />

THE NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL STERN<br />

FAMILY CENTER FOR<br />

EXTENDED CARE<br />

AND<br />

REHABILITATION, :<br />

F00000276<br />

330 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8065<br />

Fax:<br />

THE NORTH SHORE<br />

UNIVERSITY<br />

HOSPITAL STERN<br />

FAMILY CENTER FOR<br />

EXTENDED CARE<br />

AND<br />

REHABILITATION, :<br />

F00000273<br />

330 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8065<br />

Fax:<br />

SKILLED NURSING FACILITY<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

125


Sección 2 - Listado de Proveedores del Plan : SKILLED NURSING FACILITY<br />

THE STERN FAMILY<br />

CENTER FOR<br />

EXTENDED CARE<br />

AND<br />

REHABILITATION, :<br />

F00000272<br />

300 COMMUNITY DR<br />

MANHASSET,NY 11030<br />

Phone: (516)562-8070<br />

Fax: NULL<br />

THE ORZAC CENTER<br />

FOR EXTENDED<br />

CARE &<br />

REHABILITATION, :<br />

F00000274<br />

900 FRANKLIN AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)256-6700<br />

Fax:<br />

MPR CARE CORP, :<br />

F00000078<br />

378 SYOSSET WOODBURY RD<br />

WOODBURY,NY 11797<br />

Phone: NULL<br />

Fax: NULL<br />

QUEENS<br />

NORTH BELLMORE<br />

BELAIR CARE<br />

CENTER, INC., :<br />

F00000077<br />

2478 JERUSALEM AVE<br />

NORTH BELLMORE,NY 117<br />

Phone: (516)826-1160<br />

Fax: (516)826-1163<br />

THE ORZAC CENTER<br />

FOR EXTENDED<br />

CARE &<br />

REHABILITATION, :<br />

F00000275<br />

900 FRANKLIN AVE<br />

VALLEY STREAM,NY 1158<br />

Phone: (516)256-6700<br />

Fax:<br />

FLUSHING<br />

FLUSHING MANOR<br />

CARE CENTER, INC.,<br />

:<br />

F00000133<br />

139-62 35 AVE<br />

FLUSHING,NY 11354<br />

Phone: (718)961-5300<br />

Fax:<br />

PORT WASHINGTON<br />

AGMA, INC., :<br />

F00000076<br />

REHABILITATION, :<br />

1440 PORT WASHINGTON BLVD<br />

PORT WASHINGTON,NY 11<br />

F00000277<br />

Phone: (516)767-2320<br />

900 FRANKLIN AVE<br />

Fax:<br />

VALLEY STREAM,NY 1158<br />

SANDS POINT<br />

CENTER FOR<br />

NURSING AND<br />

REHABILITATION, :<br />

F00000324<br />

VALLEY STREAM<br />

THE ORZAC CENTER<br />

FOR EXTENDED<br />

CARE &<br />

Phone: (516)256-6700<br />

Fax:<br />

WOODBURY<br />

COLD SPRING HILLS<br />

CENTER FOR<br />

1440 PORT WASHINGTON BLVDNURSING AND<br />

PORT WASHINGTON,NY 11 REHABILITATION, :<br />

Phone: (516)719-9400<br />

F00000328<br />

Fax: (516)719-9500<br />

378 SYOSSET WOODBURY RD<br />

WOODBURY,NY 11797<br />

Phone: (516)921-3900<br />

Fax: (516)622-7870<br />

FLUSHING MANOR<br />

GERIATRIC CENTER,<br />

INC., :<br />

F00000132<br />

36-17 PARSONS BLVD<br />

FLUSHING,NY 11354<br />

Phone: (718)888-5200<br />

Fax:<br />

JAMAICA ESTATES<br />

HILLSIDE MANOR<br />

REHABILITATION<br />

AND EXTENDED<br />

CARE CENTER LLC, :<br />

F00000134<br />

182-15 HILLSIDE AVE<br />

JAMAICA ESTATES,NY 114<br />

Phone: (718)291-8200<br />

Fax:<br />

SUFFOLK<br />

BAY SHORE<br />

SKILLED NURSING FACILITY<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

126


Sección 2 - Listado de Proveedores del Plan : SKILLED NURSING FACILITY<br />

NURSING SISTERS<br />

HOME CARE, :<br />

F00000302<br />

15 PARK AVE<br />

BAY SHORE,NY 11706<br />

Phone: (877)227-4641<br />

Fax: (631)940-3419<br />

MEDFORD<br />

NURSING SISTERS<br />

HOME CARE, :<br />

F00000300<br />

3249 ROUTE 112 STE 1<br />

MEDFORD,NY 11763<br />

Phone: (631)696-1002<br />

Fax: (631)940-3419<br />

GOOD SAMARITAN<br />

NURSING HOME, :<br />

F00000247<br />

101 ELM ST<br />

SAYVILLE,NY 11782<br />

Phone: (631)244-2400<br />

Fax: (631)244-2405<br />

BRENTWOOD<br />

ROSS HEALTH CARE<br />

CENTER, :<br />

F00000325<br />

839 SUFFOLK AVE<br />

BRENTWOOD,NY 11717<br />

Phone: (631)273-4700<br />

Fax: (631)273-9734<br />

ROSS HEALTH CARE<br />

CENTER, INC., :<br />

F00000230<br />

839 SUFFOLK AVE<br />

BRENTWOOD,NY 11717<br />

Phone: (631)273-4700<br />

Fax:<br />

HAUPPAUGE<br />

NURSING SISTERS<br />

HOME CARE, :<br />

F00000301<br />

15 POWER DR<br />

HAUPPAUGE,NY 11788<br />

Phone: (877)227-4641<br />

Fax: (631)940-3419<br />

HUNTINGTON<br />

HILAIRE FARM<br />

SKILLED LIVING &<br />

REHABILITATION<br />

CENTER, LLC, :<br />

F00000232<br />

9 HILAIRE DR<br />

HUNTINGTON,NY 11743<br />

Phone: (631)427-0254<br />

Fax:<br />

MELVILLE<br />

EAST NORTHPORT<br />

RESIDENTIAL<br />

HEALTH CARE<br />

FACILITY, INC., :<br />

F00000231<br />

400 SOUTH SERVICE RD<br />

MELVILLE,NY 11747<br />

Phone: (631)439-3000<br />

Fax:<br />

HUNTINGTON HILLS<br />

CENTER FOR<br />

HEALTH AND<br />

REHABILITATION, :<br />

F00000326<br />

400 SOUTH SERVICE RD<br />

MELVILLE,NY 11747<br />

Phone: (631)439-3000<br />

Fax: (631)439-3001<br />

NESCONSET<br />

NESCONSET<br />

ACQUISITION, LLC, :<br />

F00000233<br />

100 SOUTHERN BLVD<br />

NESCONSET,NY 11767<br />

Phone: (631)361-8800<br />

Fax:<br />

SAYVILLE<br />

SMITHTOWN<br />

ST CATHERINE OF<br />

SIENA NURSING<br />

HOME, :<br />

F00000248<br />

50 ROUTE 25A<br />

SMITHTOWN,NY 11787<br />

Phone: (631)862-3900<br />

Fax: Pending<br />

SKILLED NURSING FACILITY<br />

* No aceptan Medicaid ***Sólo pacientes actuales<br />

127

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