PACE CNY PROVIDER NETWORK https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019 1 SPECIALITY PROVIDER NAME W/C Access New Patients Languages ACUPUNCTURE 7 TH GENERATION RUI WANG, LLC Yes Yes English Chinese 4000 Medical Center Dr., Suite 209 North East Medical Center Fayetteville, NY 13066 Phone: 315-329-7666 Fax: 315-632-4597 Wang, Rui LAc Licensed Acupuncturist ALLERGY IMMUNOLOGY ALLERGY, ASTHMA, RHEUMATOLOGY ASSOC Yes Yes English 5793 Widewaters Parkway Suite 250 Syracuse, NY 13214 Phone: 478-2339 Sheehan, Michael MD Singh, Harcharan MD ANESTHESIOLOGY AMERICAN ANESTHESIOLOGY OF NEW YORK PC Gaffney, Joseph MD Joseph, Cyriac MD Khan, Rashid MD Mostrom, James MD Santos, Kenneth DO Lubinga, Stanley N/A Yes English 725 Irving Ave, Suite 402 Syracuse, NY 13210 Phone: 315-470-8705 Fax: 315-470-5811 AUDIOLOGY SERVICES
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CARDIOVASCULAR GROUP OF SYRACUSE North Medical Cardiovascular Group d/b/a Cardiovascular Group of Syracuse
Hospital Affiliations: St. Joseph’s St. Joseph’s Medical PC
Yes Yes English
4507 Medical Center Dr Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0511
Fayetteville Office Charlamb, Mark J MD Derrick, Lauren C NP Kenien, Gregory G MD Nardone, Christopher MD Waters, Theresa, DO Weinberg, Andrew DO
5100 W Taft Rd, Suite 4J Liverpool, NY 13088 Phone: 315-701-2170 Fax: 315-701-2186
Liverpool Office Aiello, Dana MD Charlamb, Larry S MD Derrick, Lauren C NP Mendzef, Scott D NP Nayeri, Albert Nima MD O'Hern, Matthew S MD Perla, Charles MD Weinberg, Andrew DO
COMMUNITY CARDIOLOGY Upstate University at Community 5415 West Genesee St Suite 201, Camillus, NY 13031 Phone: 315-214-5788 Fax: 315-314-6416
Hospital Affiliations: Upstate University at Community Alberti, Martha NP Jaffe, Norman D MD Martinez, Jorge MD
Yes Yes English
CARDIOLOGY (cont’d)
NEW YORK HEART CENTER CARDIOVASCULAR SPECIALISTS-d/b/a New York Heart Center
Hospital Affiliations: St. Josephs Ahnan, Morcos MD El-Khally, Ziad MD Fuleihan, Daniel MD Gabris, Michael MD Lozner, Eugene MD Nayeri, Albert MD Zhang, Yi MD Kircher, Barbara MD
Yes Yes English Spanish
6221 Route 31, Suite 112 Cicero, NY 13039 Phone: 315-752-0100 Fax: 315-752-0104
1000 E Genesee St Syracuse, NY 13210 Phone: 315-471-1044 Fax: 315-474-4312
SJH Cardiac Catheterization Assoc. dba SJH CARDIOLOGY ASSOCIATES 4820 West Taft Rd. Suite 209 Liverpool, NY 13088 315-448-6215 Fax: 234-4417
Hospital Affiliations: St. Josephs Iqbal, Uzma MD Ranjbaran-Jahromi, Hooman MD Kazzaz, Nelly MD Simons, Alan MD Grady, Thomas MD Trent, Ross PA Jamal Ahmed, MD- Traian Anghel, MD – Jamie Nelson, PA Bowser, Ryan, PA Migeed, Magdy M. MD
Yes English
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Cardiovascular Specialists;
St. Joseph’s Medical PC
Iskander, Ayman MD Amin, Nishith MD Erich, Dennis MD Fischi, Michael MD Silverman, Russell MD
4939 Brittonfield Parkway, Suite 202 East Syracuse, NY 13057 315-634-6699
Al-Mudamgha, Ali Caputo, Ronald Simons, Alan
COLON & RECTAL SURGERY
COLON RECTAL ASSOCIATES OF CNY, LLP
Halleran, David R MD Moffa, Michael A MD Nesbitt, David A MD
301 Prospect Ave Syracuse, NY 13203 Phone: 315-448-5111
CROUSE HOSPITAL Yes Yes
736 Irving Ave Syracuse, NY 13210 Phone: 315-448-5111
ENDOCRINOLOGY
MARYA GENDZIELEWSKI, MD Gendzielewski, Marya MD Yes Yes English
104 Union Ave, Suite 801 Syracuse, NY 13203 Phone: 315-422-4983 Fax: 315-422-8072
Geeta Sangani, MD 308 W. Seneca Street Manlius, NY 13104 Phone: 315-469-3373 Fax: 315-682-2150
Sangani, Geeta MD Yes Yes English
GASTROENTEROLOGY
ASSOCIATED GASTROENTEROLOGYISTS OF CNY
Alder, Kathryn, NP Bailey, Margaret, MD Edison, Scott A MD Granato, Christine MD Hawthorne, Lisa NP Koh, Theodore MD Lee, Thomas C MD Nizam, Rayees MD Sun, John DO Tifft, James G MD Xu, Qun NP
Yes Yes English
4939 Brittonfield Pkwy, Suite 209 E Syracuse, NY 13057 Phone: 315-218-0085 Fax: 315-218-0087
5700 W Genesee St, Suite 211 N Camillus, NY 13031 Phone: 315-488-6800 Fax: 315-488-3177
Buniak, Borys MD Curreri, Carol NP Diliberto, Judy PA Epstein, Robert MD Laing, Aran MD Lee, Young MD Gosselin, Sara MD Romano, Matthew MD Romano, Thomas MD
Yes Yes English Ukrainian Russian
5000 Brittonfield Pkwy Suite A120 E. Syracuse, NY 13057 Phone: 315-452-3235 Fax: 315-452-5726
5112 W Taft Rd, Suite E Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-452-5726
Gleason-Desimone, Sarah NP Gaulke, Carolyn NP Romano, Thomas MD
EMPIRE INTERPRETING SERVICES 518 James Street Syracuse, NY 13203 Phone: 315-472-1383 Fax: 315-472-8032
Yes Yes English Albanian Arabic Azari Bosnian Brazilian Port Burmese Cambodian Cantonese Chinese Creole Croatian Czech Dari Dinka Farsi French German Guzari Haitian Creole Hebrew Hindi Indian Iranian Japanese Katchi Khmer Kirundi Laotian (Lao) Lebanese Luo Macedonian Mandarin
Mauritian Nepali Polish Portuguese Punjabi Pushto/Pashto Romanian Russian Serbian SerboCroatian Sign Language Sindhi Spanish Thai Tosk Turkish Urdu Ukrainian Vietnamese
MENTAL HEALTH SERVICES
ROGER G LEVINE, MD Levine, Roger G MD Tarallo, Hannah NP
Yes Yes English
4914 W Seneca Tnpk Syracuse, NY 13215 Phone: 315-469-2827 Fax: 888-224-8297
MARK MATLOFF, PhD Matloff, Mark PhD Doctorate in Psychology
1045 James St Syracuse, NY 13203 Phone: 315-472-4471 Fax: 315-472-1759 Credentialing Abbreviations: LCSW Lic. Clinical Social Worker LMFT Lic. Marriage & Family Therapist LMHC Lic. Mental Health Counselor MD Medical Doctor NP Nurse Practioner PhD Doctorate of Psychology LIBERTY RESOURCES BROWNELL CENTER FOR BEHAVIORAL HEALTH
Agheli, Aref MD Alpert, Tracy MD Cobb, Alexandria PA- Bingham, Daniel M MD Burke, Samantha NP Capria, Elsa M.L. NP Cherny, Richard T MD Colosimo, Autumn NP Conboy, Kimberly L. NP Coughlin, Alexis B NP Friedman, Jeffrey M. MD, PhD Himpler, Benjamin S MD Kirschner, Jeffrey J MD Kligerman, Olga DO Kotlove, Dennis MD Kumar, Santosh MD Leubner, Jenna, NP Loper, Bridget M NP Malone, Emily NP McNally, Lauren NP Meritz, Keith A MD Morbidini-Gaffney MD Morris, Gloria MD Niver, Kristen PA Noble, Nicole NP Pasniciuc, Silviu MD Pichoske, Jennifer Pudusseri, Anita DO Rao, Archana C MD Rayder, Alicia NP
Yes Yes English
5008 Brittonfield Pkwy, Suite 700 E Syracuse, NY 13057 Phone: 315-472-7504 Fax: 315-479-8639
Upstate at Community General Hospital 4900 Broad Rd Syracuse, NY 13215 Phone: 315-472-7504 Fax: 315-479-8639
5633 W Genesee St, Camillus, NY 13031 Phone: 315-488-1601 Fax: 315-488-0047
Druger, Robert K MD Wallen, Maureen OD
OPTHALMOLOGY (cont’d)
EYE ASSOCIATES OF CNY Geiss II, Michael MD Geiss III, Michael MD Taggart, Tina MD
Yes Yes English
2215 E Genesee St Syracuse, NY 13210 Phone: 315-472-5329 Fax: 315-472-3211
EYE CONSULTANTS OF SYRACUSE Bushinger, Scott OD DeVincentis III, Anthony F MD Dingman, Diane OD Heater, Samanatha OD Kanter, Allan MD Moore, Michael MD Spitzer, Stephen MD Teitelbaum, Charles S MD (Glaucoma Specialty) – Liegel, Katharine MD Jackowski, Mary MD- rents a space from the office of Eye Consultants. She is not part of their group. She specializes in low vision.
Yes Yes English
5792 Widewaters Plaza Syracuse, NY 13214 Phone: 315-422-4412 Fax: 315-422-4690
EYE SURGEONS OF CNY Ashlaw, Chelsea MD Dexter, Justin MD Stewart, Lawrence MD
115 Creek Circle E. Syracuse, NY 13057 Phone: 315-413-3257 Fax: 315-469-4737
Kass, Howard J. OD Yes Yes English
PAIN MANAGEMENT
NEW YORK SPINE & WELLNESS CENTER
5496 East Taft Rd N Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6768
Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD
Yes
Yes
English
5719 Widewaters Pkwy Syracuse, NY 13214 Phone: 315-703-3480 Fax: 315-703-3481
Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD
5417 West Genesee St, Suite 1 Camillus, NY 13031 Phone: 315-432-4900
Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD
PATHOLOGY
CROUSE HOSPITAL PATHOLOGY
736 Irving Ave Syracuse, NY 13210 Phone: 315-470-7396 Fax: 315-470-2806
N/A Yes
CLEARPATH DIAGNOSTICS CYTOLOGY OUTREACH PLLC
600 E Genesee St, Suite 305 Syracuse, NY 13202 Phone: 315-234-3300 Fax: 315-234-3305
N/A Yes
ST JOSEPH'S HOSPITAL PATHOLOGY
301 Prospect Ave Syracuse, NY 13203 Phone: 315-434-9309 Fax: 315-454-0136
Dr. Suzanne Lamanna, DO 792 North Main Street North Syracuse, NY 13212
Dr. Suzanne Lamanna, DO Yes Yes English
PSYCHIATRY / PSYCHOLOGY See MENTAL HEALTH
PULMONOLOGY
PULMONARY HEALTH PHYSICIANS
7250 Janus Park Dr Liverpool, NY 13088 Phone: 315-475-8402 Fax: 315-475-4778 546 Towne Dr. Fayetteville, NY 13066 Phone: 234-0800 Medical Center West 5700 West Genesee St Suite 225 Camillus, NY 13031 Phone: 475-8401 Fax: 475-0824
Liverpool Office: Aiello, Brianne MD Aiello, Thomas R MD Downing, Edward T MD El Bayadi, Sherif G MD Flintrop, Michael J MD Sun, Xiwu (John) MD Fayetteville Office: Downing, Edward T MD El Bayadi, Sherif G MD Flintrop, Michael J MD Sun, Xiwu (John) MD Medical Center West: Aiello, Brianne MD Aiello, Thomas R MD Flintrop, Michael J MD
Yes Yes English
CROUSE LUNG PARTNERS RT SERVICES
Various Respiratory Therapists from Crouse Hospital will be working part time hours at both clinics
5794 Widewaters Parkway Syracuse, NY 13214 Phone: 315-422-1513 Fax: 315-476-5950
Abdulky, Mary MD Hyla, James F MD Khairallah, Ramzi MD Machovec, Heather PA Mcilvain, Lynne PA Modjinou, Dogi Mtanos, George MD Riccardi, Patrick MD Rybinski, Jane Spink-Palmieri, Sheri PA Slavech, Jeff PA
Yes Yes English
SKILLED NURSING FACILITY
LORETTO HEALTH & REHAB
700 E Brighton Ave Syracuse, NY 13205 Phone: 315-469-5570 Fax: 315-469-4737
Yes Yes
VAN DUYN HOME & HOSPITAL
5075 W Seneca Tnpk Syracuse, NY 13215 Phone: 315-435-7884 Fax: 315-435-5520
Yes Yes
SPEECH THERAPY
FRANCISCAN HEALTH SUPPORT
333 Butternut Dr., Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
Farsaci, Amy SLP Speech Language Pathologist Leclair, Amy SLP Speech Language Pathologist
739 Irving Ave., Suite 450 Syracuse, NY 13210 Phone: 315-470-7364 Fax: 315-470-7495
Ahmed, Akbar MD Anderson, Brian P MD Congelli, Tammy J MD Cooper, Kenneth A DO DeSimone, Jeffrey M MD Hartzheim, Thomas S MD Leary, Brandie NP Mendel, Herbert E MD Sadowitz, Benjamin MD Sartori, James MD Schu, William E MD Tyler, David B MD Walker, Tracy NP
Yes Yes English
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Surgical Services
Certo, Thomas MD Dentes, Evan MD Silvakuman, Balasurbramanian “Kumar” MD Oliva, Anthony MD Kort, Kara MD Maini, Atul MD Stevens, Carol MD Webb, Travis MD
4117 Medical Center Drive, Suite 117 Fayetteville, NY 13066 315-634-3399 5100 W. Taft Road, Suite 2E Liverpool, NY 13088 315-634-3399
Leavitt, Gary MD Newman, P James MD Noble Jr, Edward R MD Riggs, Cassandra MD
4115 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7600 Fax: 315-329-7608
Fayetteville Axelrod, Glenn B MD Fatti, Christopher J MD Greenky, Brett B MD Greenky, Seth S MD Lampert, Mary Anne PA Merluzzi, Jill PA Murphy, Daniel J MD Parker, John F MD Smart, L Ryan MD
SYRACUSE ORTHOPEDIC SPECIALISTS PC (S0S) (con’t) 5496 E Taft Rd, Suite C N Syracuse, NY 13212 Phone: 315-883-5881 Fax: 315-449-9923
N Syracuse Bianco, Aaron MD Cullinan, Melissa PA DiStefano, Richard MD Duggal, Naven MD Fatti, Christopher J DPM Hanafin, Craig PA Lake, Kevin PA Lampert, Mary Anne PA Lemley, Frederick MD LoVallo, Sean PA Marcinkowski, Amy MD Merluzzi, Jill PA Parmeter, Kristin NP Schielke, Jodie DO VanArnam, Thomas PA Verrette, Kristin PA Wnorowski, Daniel C MD Wulff , Warren E MD
Yes
English French Spanish
Airport Business Park 5801 East Taft Rd Syracuse, NY 13212 Phone: 315-418-4140
Airport Business Park Axelrod, Glenn B MD Dambrosio, Nicholas MD Fedors, Nathan H MD
Fax: 315-928-7797 Greenky, Brett B MD Greenky, Seth S MD Hook, Stephanie R DPM Lampert, Mary Anne PA Leverich, Steven James MD Marcinkowski, Amy MD Murphy, Daniel J Jr MD Naim, Farah MD Parker, John F MD Sharma, Aaron MD Sherwood, James W MD Smart, L. Ryan MD Sojewicz, Joseph PA Sullivan, Anne Marie MD Viola, Ronald MD
5000 W Seneca Turnpike Syracuse, NY 13215 Phone: 315-492-3636 Fax: 315-492-8787
Syracuse Ames, Sarah PA Bogosian, Stephen P MD Butler, Melissa NP Clarke, Michael T MD Cullinan, Melissa PA Duggal, Naven MD Everding, Nathan MD Fatti, Christopher J DPM Hook, Stephanie R DPM Keyes, David PA Lemley, Frederick MD Lisick, Daria PA LoVallo, Sean PA Newman, P James MD Sharkey, Janice NP Short, Walter H MD Vella, I Michael MD
Yes
5719 Widewaters Pkwy Dewitt, NY 13214 Phone: 315-251-3100 Fax: 315-251-3272
Widewaters All Providers Listed Above Including: Balmir, Marvin PA Callahan, Adam PA Coffey, Joseph PA Colaneri, Mark W PA
Connor, Benjamin PA Dinh, Khanh PA DiStefano, Richard MD Goff, Linda NP Groat, Lindsay PA Harris, Helen PA Hood, Matthew D PA Izzo, Nicole PA Jennings, Julian PA Jones, Nicole PA Kibby, David A PA Kieb, Steven PA Kopko, Kevin MD LoVallo, Hannah PA Marcinkowski, Amy MD Marshall, Todd A PA Masterson, Bryan PA Munson-Burke, Michael PA Pflugh, Deborah NP Riggs, Cassandra MD Schielke, Jodie DO Scioscia, Charles F MD Scozzari, Mary Anne PA Sharma, Aaron MD Sherwood,James W MD Smart, Lawson Ryan MD Sojewicz, Joseph PA Verrette, Kristin PA Weaver, Brandon PA Wolfenden, Brandon PA
475 Irving Avenue, Suite 418 Syracuse, NY 13210 Phone: 315-475-3999 Fax: 315-475-4014
Ambulatory Surgicial Center Raphael, Bradley MD Raphael, Irving MD
8324 Oswego Rd, Suite B Liverpool, NY 13090 Phone: 315-418-4188
Ames, Sarah A. (PAC) Axelrod, Glenn B (MD) Battaglia, Todd C (MD) Bogosian, Stephen P (MD) Butler, Melissa R (NP-C) Cullinan, Melissa A (PA) Everding, Nathan G. (MD) Fatti, Christopher J. (DPM) Fitzgerald, Michael G. (MD) Greenky, Seth S (MD) Izant, Timothy H (MD) Kopko, Kevin A (MD) Lake, Kevin C. (RPA-C) Lemley, James Alan (MD) Mahon, Lisa Doyle (PA) Newman, P. James (MD) Parker, John F (MD) Pflugh, Deborah B. (NP) Raphael, Bradley S. (MD) Raphael, Irving G. (MD) Riccelli, James P (PT) Riggs, Cassandra MD Scozzari, Mary K (RPA-C) VanArnam, Thomas W (PA) Weaver, Brandon M (PA) Wnorowski, Daniel C. (MD)