New York State HIV Provider Directory The purpose of this directory is to provide information to patients living with HIV on where they can access experienced HIV clinical care providers within New York State. The following list of clinical providers have joined this voluntary directory, but other qualified providers in NYS also provide HIV care. The NYSDOH AIDS Institute is continually seeking to identify clinicians who are willing to be listed in this web-based public directory of experienced HIV care practitioners. Participation in this directory is voluntary. It is compiled through provider self-identification, and includes physicians, nurse practitioners, physician assistants, and certified nurse midwives with experience in HIV care. Please note that this list in no way constitutes credentialing or certification in a specialty. Inclusion in this list does not confer any endorsement by the New York State Department of Health. We confirm that practitioners are licensed to practice in New York State. Information for Clinical Providers: If you are interested in being listed in this directory, please follow the steps outlined below to register through our on-line registration system. You are able to withdraw your name from this directory at any time. To Register: First you must log in to the NYSDOH Health Commerce System (HCS). Please note: due to the NYS Internet System for Tracking Over-Prescribing Initiative (I-STOP), most prescribers are required to have an individual Health Commerce System (HCS) account effective August 27, 2013. If you do not already have an account or need help accessing your HCS account, please send an email to [email protected]. Step 1: Login to HCS. Step 2: Click ‘My Content’ (located on top header) -> ‘All Applications’. Step 3: Click letter ‘H’ and select ‘HIV/AIDS Provider Contact List’. Step 4: Follow the instructions as provided on the screen. Step 5: Email [email protected] with any questions or concerns.
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New York State HIV Provider Directory York State HIV Provider Directory The purpose of this directory is to provide information to patients living with HIV on where they can
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New York State HIV Provider Directory
The purpose of this directory is to provide information to patients living with HIV on where they can access experienced HIV clinical care providers within New York State. The following list of clinical providers have joined this voluntary directory, but other qualified providers in NYS also provide HIV care. The NYSDOH AIDS Institute is continually seeking to identify clinicians who are willing to be listed in this web-based public directory of experienced HIV care practitioners. Participation in this directory is voluntary. It is compiled through provider self-identification, and includes physicians, nurse practitioners, physician assistants, and certified nurse midwives with experience in HIV care. Please note that this list in no way constitutes credentialing or certification in a specialty. Inclusion in this list does not confer any endorsement by the New York State Department of Health. We confirm that practitioners are licensed to practice in New York State. Information for Clinical Providers: If you are interested in being listed in this directory, please follow the steps outlined below to register through our on-line registration system. You are able to withdraw your name from this directory at any time.
To Register: First you must log in to the NYSDOH Health Commerce System (HCS). Please note: due to the NYS Internet System for Tracking Over-Prescribing Initiative (I-STOP), most prescribers are required to have an individual Health Commerce System (HCS) account effective August 27, 2013. If you do not already have an account or need help accessing your HCS account, please send an email to [email protected]. Step 1: Login to HCS. Step 2: Click ‘My Content’ (located on top header) -> ‘All Applications’. Step 3: Click letter ‘H’ and select ‘HIV/AIDS Provider Contact List’. Step 4: Follow the instructions as provided on the screen. Step 5: Email [email protected] with any questions or concerns.
CPL/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue 3rd FloorBronx, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org
ADDITIONAL FACILITY INFORMATION
Department of Medicine Faculty Practice-Montefiore Medical Center3400 Bainbridge Avenue 2nd Floor - Desk BBronx, NY 10467Phone: (866)633-8255Fax: (718)405-0610Website: www.montefiore.org
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 06/01/20102. Internal Medicine - 09/01/1990
Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue 3rd floorBronx, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org/mymontefiore
ADDITIONAL FACILITY INFORMATION
The Oval Center3230 Bainbridge Avenue Bronx, NY 10467Phone: (718)882-5482Fax: (718)882-5725Website:
CREDENTIALS
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. Adult Nurse Practitioner - 03/30/2015
PRIMARY FACILITY INFORMATION
Montefiore Medical Center3230 Bainbridge Ave Suite 4Bronx, NY 10467Phone: (718)882-5482Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Medicine - 12/02/2009
PRIMARY FACILITY INFORMATION
montefiore1055 east tremont ave bronx, NY 10460Phone: (718)842-8040Fax: (718)842-9364Website: montefiore
CREDENTIALS
DEGREES
• NP
CERTIFICATIONS
1. family health - 08/20/2013
PRIMARY FACILITY INFORMATION
Montefiore Medical Center - Family Health Center1 Fordham Plaza 5th FloorBronx, NY 10458Phone: (718)933-2400Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Family Medicine - 07/27/2007
PRIMARY FACILITY INFORMATION
Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue Bronx, NY 10467Phone: (718)920-8542Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. infectious diseases - 01/01/19882. internal medicine - 01/01/1987
PRIMARY FACILITY INFORMATION
CPL/ID Clinic - Montefiore Medical Center - The University Hospital for Albert Einstein College of Medicine3444 Kossuth Avenue New York City, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org
CREDENTIALS
• AAHIVS• AACRN
DEGREES
• NP
CERTIFICATIONS
1. Acute Care Nurse Practitioner - 02/25/2016
PRIMARY FACILITY INFORMATION
Center for Positive Living/ID Clinic -Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8542Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 05/09/20142. Infectious Diseases - 10/30/2007
Jacobi Medical Center - Adult Comprehensive Service1400 Pelham Parkway South Bronx, NY 10461Phone: (718)918-3669Fax: (718)918-7686Website: http//jacobimed.org/
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 12/31/2015
PRIMARY FACILITY INFORMATION
Center for Positive Living/ID Clinic -Montefiore Medical Center111 East 210th St Bronx, NY 10467Phone: (718)920-8542Fax: (718)654-4394Website:
CREDENTIALS
DEGREES
• PA
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
CPL/ID Clinic -Montefiore Medical Center3444 Kossuth Avenue 3rd Floor Bronx, NY 10467Phone: (718)920-8542Fax: (718)405-0610Website: www.montefiore.org
ADDITIONAL FACILITY INFORMATION
Montefiore Medical Center Medicine-Infectious Disease ClinicHutchinson Metro Center Tower II 1250 Waters Place 12th FloorBronx, NY 10461Phone: (866)633-8255Fax: (929)263-3958Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Infectious Disease - 11/12/20132. Internal Medicine - 08/07/2009
PRIMARY FACILITY INFORMATION
ID Clinic at Montefiore Medical Center344 Kossuth Ave 3rd floorBronx, NY 10467Phone: (718)920-8542Fax: Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/15/20112. Infectious Diseases - 11/12/2013
PRIMARY FACILITY INFORMATION
CPL/ID Clinic3444 Kossuth Avenue Bronx, NY 10467Phone: (718)920-8542Fax: Website:
CREDENTIALS
DEGREES
• PA
CERTIFICATIONS
1. National Certification of Physician Assitants - 07/01/2016
PRIMARY FACILITY INFORMATION
Comprehensive Family Care Center1621 Eastchest Road Bronx, NY 10461Phone: (718)405-8040Fax: (718)405-8060Website: http://www.montefiore.org/mmg-comprehensive-family-care-center
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/01/20152. Internal Medicine - 10/01/2013
PRIMARY FACILITY INFORMATION
Jacobi Medical Center1400 Pelham Parkway South Bronx, NY 10461Phone: (718)918-4333Fax: (718)918-7686Website:
Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8571Fax: (718)515-3509Website:
CREDENTIALS
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 07/01/2011
PRIMARY FACILITY INFORMATION
Center for Positive Living/ID Clinic -Montefiore Medical Center111 E 210th St Bronx, NY 10467Phone: (718)920-5276Fax: (718)405-0610Website: www.montefiore.org
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 07/01/20132. Internal Medicine - 07/01/2011
PRIMARY FACILITY INFORMATION
Comprehensive Family Care Center1621 Eastchester Road Bronx, NY 10461Phone: (718)405-8040Fax: (718)405-8044Website: http://www.montefiore.org/mmg-comprehensive-family-care-center
ADDITIONAL FACILITY INFORMATION
Bronx Lebanon Comprehensive Care Center1650 Selwyn Avenue 9th FloorBronx, NY 10457Phone: (718)960-2010Fax: Website:
ADDITIONAL FACILITY INFORMATION
Montefiore Center for Positive Living3444 Kossuth Avenue 3rd FloorBronx, NY 10467Phone: (718)920-8542Fax: Website: http//www.montefiore.org/hivaidscontact
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Obstetrics Gynecology - 12/31/20142. Maternal-Fetal Medicine - 12/31/2014
PRIMARY FACILITY INFORMATION
Montefiore Medical Center3444 Kossuth Ave Bronx, NY 10467Phone: (718)920-8801Fax: Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/10/20112. Infectious Disease - 10/28/2014
PRIMARY FACILITY INFORMATION
North Central Bronx Hospital Special Care ClinicNCB 3424 Kossuth Ave third floorBronx, NY 10467Phone: (718)519-3631Fax: (718)519-2034Website:
CREDENTIALS
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. AANC - 03/10/2014
PRIMARY FACILITY INFORMATION
South Bronx Health Center871 Prospect Ave Bronx, NY 10459Phone: (718)991-0605Fax: (718)991-2931Website: http://216.255.101.237/commpeds-sbhc-cchr/
Arnot Health-HIV Primary Care ClinicMadison Avenue Elmira, NY 14901Phone: (607)795-8161Fax: (607)795-8115Website:
CREDENTIALS
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
Hudson River HealthCare6 Henry Street Beacon, NY 12508Phone: (845)831-0400Fax: Website: www.hrhcare.org
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Disease - 10/06/20082. Internal Medicine - 10/06/2006
PRIMARY FACILITY INFORMATION
Hudson River Health Care Incorporated1 Webster Avenue Suite 202Poughkeepsie, NY 12601Phone: (845)790-7990Fax: (845)452-3469Website: www.hrhcare.org
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 09/30/2006
PRIMARY FACILITY INFORMATION
Buffalo General Medical Center-Liver/Subspecialty Clinic100 High Street Buffalo, NY 14203Phone: (716)859-2175Fax: (716)859-3859Website: [email protected]
University at Buffalo100 High St 617FBuffalo, NY 14203Phone: (716)898-2202Fax: Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 08/01/2007
PRIMARY FACILITY INFORMATION
ECMC462 Grider Street Buffalo, NY 14215Phone: (716)898-4119Fax: (716)898-3187Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
Samaritan Medical Center1575 Washington street Watertown, NY 13601Phone: (315)786-7300Fax: (315)786-7306Website: samaritanhealth.com
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. infectious disease - 03/17/2007
PRIMARY FACILITY INFORMATION
AIDS Healthcare Foundation Brooklyn Health Care Center475 Atlantic Avenue Second FloorBrooklyn, NY 11217Phone: (718)369-4850Fax: (718)369-4851Website: aidshelathcare.org
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Internal medicine - 03/18/19762. Infectious Diseases - 03/02/1978
PRIMARY FACILITY INFORMATION
Maimonides Medical Center4802 101th Avenue Brooklyn, NY 11219Phone: (718)283-5912Fax: (718)283-8813Website: www.maimonidesmed.org
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 09/15/20122. Internal Medicine - 09/15/1988
PRIMARY FACILITY INFORMATION
SUNY Downstate Medical Center470 Clarkson Ave Suite J Brooklyn, NY 11203Phone: (718)270-2471Fax: (718)270-4244Website: www.starprogram.nyc
SUNY Downstate Medical Center STAR Clinic450 Clarkson Ave MSC-1240Brooklyn, NY 11203Phone: (718)270-3745Fax: (718)270-4244Website: http://www.starprogram.nyc/
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 10/01/20122. Infectious Diseases - 11/01/2013
PRIMARY FACILITY INFORMATION
Brightpoint Health803 Sterling Place Brooklyn, NY 11216Phone: (855)681-8700Fax: Website: https//brightpointhealth.org/
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 12/31/20122. Infectious Diseases - 12/31/2005
PRIMARY FACILITY INFORMATION
Wyckoff Heights Medical Center1610 Dekalb avenue Brooklyn, NY 11237Phone: (718)240-5395Fax: (718)907-4956Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. ABIM - 12/30/2013
PRIMARY FACILITY INFORMATION
Bedford Stuyvesant Family Health Center1456 Fulton St Brooklyn, NY 11216Phone: (718)636-4500Fax: (347)296-8310Website: www.bsfhc.org
ADDITIONAL FACILITY INFORMATION
Broadway Family Health Center1238 Broadway Brooklyn, NY 11221Phone: (718)443-2428Fax: Website:
CREDENTIALS
• AACRN
DEGREES
• NP
CERTIFICATIONS
1. FNP-BC - 06/01/2015
PRIMARY FACILITY INFORMATION
Kenneth A Mercer MD MPH302 Broadway Brooklyn, NY 11211Phone: (718)384-0010Fax: (718)599-4632Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. ABIM-Geriatric Medicine - 07/01/20152. ABIM-Internal Medicine - 07/01/2015
PRIMARY FACILITY INFORMATION
The Brooklyn Hospital Center121 DeKalb Ave Brooklyn, NY 11201Phone: (718)250-6141Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 01/02/19842. Internal Medicine - 01/01/1980
PRIMARY FACILITY INFORMATION
MedCare LLC468 Lafayette Ave Brooklyn, NY 11205Phone: (718)399-6234Fax: (718)399-3516Website:
dlc comprehensive medical pllc979 fulton st BROOKLYN, NY 11238Phone: (718)857-1200Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. abim - 12/31/2015
PRIMARY FACILITY INFORMATION
Pierre toussaint family Health/ Kingsbrook Jewish medical1110 eastern Parkway Brooklyn, NY 11213Phone: (718)735-1900Fax: (719)735-4531Website: kingsbrookjewish.org
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 11/25/2009
ADDITIONAL FACILITY INFORMATION
Gastroenterology/Hepatology Clinic374 Stockholm Street Brooklyn, NY 11237Phone: (718)963-7618Fax: Website: www.wyckoffhospital.org
ADDITIONAL FACILITY INFORMATION
Vijaypal Arya220A St Nicholas Ave Brooklyn, NY 11237Phone: (718)326-0400Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Gastroenterology - 12/20/2015
PRIMARY FACILITY INFORMATION
Rochester Regional Unity Infectious Disease89 Genesee street Rochester, NY 14610Phone: (585)368-3506Fax: Website:
ADDITIONAL FACILITY INFORMATION
Rochester Regional Unity Infectious Disease1555 Long Pond road Rochester, NY 14621Phone: (585)368-3506Fax: Website:
CREDENTIALS
DEGREES
• NP
CERTIFICATIONS
1. AANP- FNP - 07/09/2014
PRIMARY FACILITY INFORMATION
Anthony Jordan Health Center480 Genesee St Rochester, NY 14611Phone: (585)436-3040Fax: (585)328-3812Website: http//jordanhealth.org/
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Family Medicine - 04/09/2013
PRIMARY FACILITY INFORMATION
Anthony L Jordan Health Center82 Holland St Rochester, NY 14605Phone: (585)423-2879Fax: (585)423-2869Website:
Trillium Health259 Monroe Ave Rochester, NY 14607Phone: (585)545-7200Fax: Website: www.trilliumhealth.org
CREDENTIALS
DEGREES
• DO
CERTIFICATIONS
1. Infectious Diseases - 12/01/2006
PRIMARY FACILITY INFORMATION
University of Rochester Medical Center/Strong Memorial Hospital601 Elmwood Avenu Box 689Rochester, NY 14642Phone: (585)275-0526Fax: (585)273-1055Website:
CREDENTIALS
DEGREES
• PA
CERTIFICATIONS
1. NCCPA - 06/27/2015
PRIMARY FACILITY INFORMATION
Northwell Health Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Ste 101Great Neck, NY 11021Phone: (516)622-5070Fax: (516)622-5060Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
ADDITIONAL FACILITY INFORMATION
Northwell Health Long Island Jewish Medical Center and Cohen Children's Medical Center of New York270-05 76th Avenue New Hyde Park, NY 11040Phone: (718)484-2005Fax: Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
CREDENTIALS
• AAHIVS
DEGREES
• DO
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
North Shore LIJ Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Suite 101Great Neck, NY 11021Phone: (516)622-5070Fax: Website:
CREDENTIALS
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
North Shore University Hospital - Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website:
North Shore University Hospital - Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website:
CREDENTIALS
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
1. NCCPA - 06/18/20122. AAHIVS - 01/01/2016
PRIMARY FACILITY INFORMATION
Lenox Hill Hospital Retroviral Disease Center210 E 64th St 1st Floor New York, NY 10065Phone: (212)434-4251Fax: (212)434-2287Website: http//www.lenoxhillhospital.org/rdc
CREDENTIALS
DEGREES
• NP
CERTIFICATIONS
1. Acute Care Nurse Practitioner - 10/09/2011
PRIMARY FACILITY INFORMATION
chelsy village medical155 west 19 street 4th floorNew York, NY 10016Phone: (212)929-2629Fax: (212)929-4971Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. american wound care association - 03/19/2015
PRIMARY FACILITY INFORMATION
Brightpoint Health71 West 23rd Street - 8th Floor New York, NY 10010Phone: (718)681-8700Fax: (212)206-2506Website: www.brightpointhealth
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. NYS Hepatitis C certification - 11/03/2015
PRIMARY FACILITY INFORMATION
New York Presbyterian Hospital - Project Stay622 West 168th Street VC4New York, NY 10032Phone: (212)305-5000Fax: (212)305-7400Website: nyp.org
CREDENTIALS
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. ANCC - 06/16/20142. AAHIVS - 12/31/2014
PRIMARY FACILITY INFORMATION
Mount Sinai Roosevelt Hospital1000 Tenth Avenue Suite T2NEW YORK, NY 10019Phone: (212)523-6500Fax: (212)523-7182Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/24/20072. Infectious Diseases - 10/05/2011
Aids Healthcare Foundation30 West 60th street Suite A-N New York, NY 10023Phone: (212)582-5006Fax: (646)478-8829Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 11/04/2015
PRIMARY FACILITY INFORMATION
Jack Martin Fund Clinic at Mount Sinai Medical Centerseventeen east one hundred second street 3rd floorNew York, NY 10029Phone: (212)241-7968Fax: Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Diplomate American Board of Internal Medicine September 1989 indefinite - 09/29/19892. Diplomate Infectious Diseases American Board of Internal Medicine - 09/28/2007
PRIMARY FACILITY INFORMATION
Boriken Neighborhood Health Center2263 Third Avenue New York, NY 10035Phone: (212)289-6650Fax: (212)360-6149Website: Boriken.org
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Internal Medicine - 10/01/2011
PRIMARY FACILITY INFORMATION
family health center of harlem1824 madison ave new york, NY 10035Phone: (212)423-4500Fax: (646)770-8405Website: institute.org
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. american board of family medicine - 07/01/20152. american academy of HIV medicine - 01/01/2016
PRIMARY FACILITY INFORMATION
David Perlman10 union square east suite 3f New York, NY 10003Phone: (212)844-8549Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Infectious diseases - 02/09/1989
PRIMARY FACILITY INFORMATION
Mount Sinai St Lukes Hospital1111 Amsterdam Ave New York, NY 10025Phone: (212)523-6500Fax: Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 10/01/20142. Internal Medicine - 10/01/2011
Mount Sinai Medical CenterDept Liver Diseases 5 East 98 Street 11th FloorNew York, NY 10029Phone: (212)241-7270Fax: Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/24/20092. Infectious Disease - 10/11/2012
PRIMARY FACILITY INFORMATION
Mount Sinai St Luke's and Mount Sinai Roosevelt1000 10th Avenue Suite 2TNew York, NY 10036Phone: (212)523-6500Fax: Website: http//www.mountsinaihealth.org/patientcare/infectiousdiseases
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. American Board of ObGyn - MOC - 11/28/2014
PRIMARY FACILITY INFORMATION
Mount Sinai1111 Amsterdam Avenue New York, NY 10025Phone: (212)523-6500Fax: (212)636-4896Website:
CREDENTIALS
• AAHIVS• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. Infectious Diseases - 12/15/20142. Internal Medicine - 11/18/2013
PRIMARY FACILITY INFORMATION
Mount Sinai St Luke's Hospital/Ryan Network1111 Amsterdam Ave 110 West 97th StreetNew York, NY 10025Phone: (347)575-8587Fax: Website:
CREDENTIALS
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
1. NCCPA - 12/31/2015
PRIMARY FACILITY INFORMATION
APICHA400 Broadway New York, NY 10013Phone: (212)334-6029Fax: (212)334-7957Website: www.apicha.org
New York Cardiovascular Associates PLLC275 7th Avenue 3rd FloorNew York, NY 10001Phone: (646)660-9999Fax: (646)778-3485Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 01/01/2011
PRIMARY FACILITY INFORMATION
Mount Sinai Comprehensive Health275 Seventh Avenue 12th Floor 12th floorNew York, NY 10001Phone: (212)604-1701Fax: (212)604-1750Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. ID - 12/01/2006
PRIMARY FACILITY INFORMATION
New York Presbyterian Hospital - Weill Cornell Medical Center53 West 23rd Street 6th FloorNew York, NY 10010Phone: (212)746-7200Fax: (212)746-7166Website:
CREDENTIALS
• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. ABIM--Infectious Diseases - 12/31/20142. ABIM--Internal Medicine - 09/30/2014
PRIMARY FACILITY INFORMATION
Columbia Presbyterian Medical Center Division of Infectious Diseases180 Fort Washington Avenue New York, NY 10032Phone: (212)305-3174Fax: Website:
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Internal Medicine - 08/01/20112. Infectious Diseases - 10/01/2014
PRIMARY FACILITY INFORMATION
Mount Sinai275 7th Avenue 12th FloorNew York, NY 10011Phone: (212)604-1701Fax: (212)604-1750Website:
st barnabas hospital4422 third ave Bronx, NY 10457Phone: (718)960-6205Fax: (718)960-3218Website: sbhny.org
CREDENTIALS
• AAHIVS• HIVMA
DEGREES
• MD
CERTIFICATIONS
1. infectious diseases - 04/15/20102. internal medicine - 09/02/1987
PRIMARY FACILITY INFORMATION
Comprehensive Family Care Center1621 Eastchester Road Bronx, NY 10461Phone: (718)405-8040Fax: (718)405-8044Website: http://www.montefiore.org/mmg-comprehensive-family-care-center
ADDITIONAL FACILITY INFORMATION
Bronx Lebanon Comprehensive Care Center1650 Selwyn Avenue 9th FloorBronx, NY 10457Phone: (718)960-2010Fax: Website:
ADDITIONAL FACILITY INFORMATION
Montefiore Center for Positive Living3444 Kossuth Avenue 3rd FloorBronx, NY 10467Phone: (718)920-8542Fax: Website: http//www.montefiore.org/hivaidscontact
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Obstetrics Gynecology - 12/31/20142. Maternal-Fetal Medicine - 12/31/2014
PRIMARY FACILITY INFORMATION
North Central Bronx Hospital Special Care ClinicNCB 3424 Kossuth Ave third floorBronx, NY 10467Phone: (718)519-3631Fax: (718)519-2034Website:
CREDENTIALS
• AAHIVS
DEGREES
• NP
CERTIFICATIONS
1. AANC - 03/10/2014
PRIMARY FACILITY INFORMATION
Bronx-Lebanon Hospital - Center for Comprehensive Care1650 Sewyn Avenue Bronx, NY 10457Phone: (718)960-1010Fax: Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Pediatric Infectious Diseases - 06/15/2010
PRIMARY FACILITY INFORMATION
ECMC462 Grider Street Buffalo, NY 14215Phone: (716)898-4119Fax: (716)898-3187Website:
HEAT Program/SUNY Downstate Medical Center760 Parkside Avenue Room 308Brooklyn, NY 11226Phone: (718)467-4446Fax: (718)467-1718Website: www.heatprogram.org
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Pediatrics - 12/14/2015
PRIMARY FACILITY INFORMATION
Bedford Stuyvesant Family Health Center1456 Fulton St Brooklyn, NY 11216Phone: (718)636-4500Fax: (347)296-8310Website: www.bsfhc.org
ADDITIONAL FACILITY INFORMATION
Broadway Family Health Center1238 Broadway Brooklyn, NY 11221Phone: (718)443-2428Fax: Website:
CREDENTIALS
• AACRN
DEGREES
• NP
CERTIFICATIONS
1. FNP-BC - 06/01/2015
PRIMARY FACILITY INFORMATION
MedCare LLC468 Lafayette Ave Brooklyn, NY 11205Phone: (718)399-6234Fax: (718)399-3516Website:
CREDENTIALS
• AAHIVS
DEGREES
• DO
CERTIFICATIONS
1. Family Practice - 05/21/2013
PRIMARY FACILITY INFORMATION
Anthony Jordan Health Center480 Genesee St Rochester, NY 14611Phone: (585)436-3040Fax: (585)328-3812Website: http//jordanhealth.org/
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. American Board of Family Medicine - 04/09/2013
PRIMARY FACILITY INFORMATION
Northwell Health Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Ste 101Great Neck, NY 11021Phone: (516)622-5070Fax: (516)622-5060Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
ADDITIONAL FACILITY INFORMATION
Northwell Health Long Island Jewish Medical Center and Cohen Children's Medical Center of New York270-05 76th Avenue New Hyde Park, NY 11040Phone: (718)484-2005Fax: Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
CREDENTIALS
• AAHIVS
DEGREES
• DO
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
North Shore LIJ Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Suite 101Great Neck, NY 11021Phone: (516)622-5070Fax: Website:
Bronx-Lebanon Hospital - Center for Comprehensive Care1650 Sewyn Avenue Bronx, NY 10457Phone: (718)960-1010Fax: Website:
CREDENTIALS
• AAHIVS
DEGREES
• MD
CERTIFICATIONS
1. Pediatric Infectious Diseases - 06/15/2010
PRIMARY FACILITY INFORMATION
HEAT Program/SUNY Downstate Medical Center760 Parkside Avenue Room 308Brooklyn, NY 11226Phone: (718)467-4446Fax: (718)467-1718Website: www.heatprogram.org
CREDENTIALS
DEGREES
• MD
CERTIFICATIONS
1. Pediatrics - 12/14/2015
PRIMARY FACILITY INFORMATION
MedCare LLC468 Lafayette Ave Brooklyn, NY 11205Phone: (718)399-6234Fax: (718)399-3516Website:
CREDENTIALS
• AAHIVS
DEGREES
• DO
CERTIFICATIONS
1. Family Practice - 05/21/2013
PRIMARY FACILITY INFORMATION
Northwell Health Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Ste 101Great Neck, NY 11021Phone: (516)622-5070Fax: (516)622-5060Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
ADDITIONAL FACILITY INFORMATION
Northwell Health Long Island Jewish Medical Center and Cohen Children's Medical Center of New York270-05 76th Avenue New Hyde Park, NY 11040Phone: (718)484-2005Fax: Website: https//www.northshorelij.com/findcare/locations/centeryoungadultadolescentandpediatrichiv
CREDENTIALS
• AAHIVS
DEGREES
• DO
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
North Shore LIJ Center for Young Adult Adolescent and Pediatric HIV865 Northern Blvd Suite 101Great Neck, NY 11021Phone: (516)622-5070Fax: Website:
CREDENTIALS
• AAHIVS
DEGREES
• PA
CERTIFICATIONS
PRIMARY FACILITY INFORMATION
North Shore University Hospital - Center for AIDS Research and Treatment400 Community Drive Manhasset, NY 11030Phone: (516)562-4280Fax: Website: