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Welcome to the 11th edition of ent & Allergy AssociAtes’ “medicine for the 21st century” mAgAzine.

ENT & Allergy is designed and published by Custom Medical Design Group • 1.800.246.1637 • www.CustomMedicalMagazine.com. To advertise in an upcoming issue please contact Dave Lewcon at 508.278.6521 • This publication may not be reproduced in part or whole without the express written consent of Custom Medical Design Group.Medical

It is, once again, our privilege to share what we believe is clinically valuable and relevant information that you can use in your practice now.

As I’m sure you would agree, the past year has flown by! But we used the time to continue to grow our Practice footprint—bringing aboard more of the best and the brightest otolaryngologists and related sub-specialists, allergists and hearing care professionals—and to further augment our state-of-the-art technology, all with the singular goal of helping you best serve the deserving patients in our many communities.

We recognize that as primary caregivers, your skill, training and insight are the keys to better outcomes for your patients. And we, at ENT and Allergy Associates LLP (ENTA), are

gratified that you have chosen to send so many of them to us for specialized care. You have our commitment that we will always strive to deliver the highest quality medical care to each and every one of those patients…with compassion, expertise and respect.

Over the past 12 months, ENTA has sought out even better ways to help. We broadened our geographic offerings to include new offices on Long Island and in the Hudson Valley; we deepened our clinical affiliation with the Mount Sinai Hospital to ensure even faster referral from our offices to tertiary care in their academic facilities; we initiated a pediatric affiliation with Montefiore Medical Center; and we enhanced our partnership with the American Cancer Society. At the same time, we continue to be most proud of our relationships with the many fine local medical institutions in the communities where we are privileged to serve.

In our offices, as always, your patients will experience a warm, caring environment. In fact, at ENTA they are visiting a physician who lives in the neighborhood, just like you. A person who sends their kids to the same schools as you, and has the same personal stake in the well-being of the community.

And, in our continuing effort to provide as much convenience and accessibility as possible, this past year we began offering patients same day appointment capabilities, as well as greatly expanded evening and Saturday hours.

But while a number of things have changed, what will never vary is our commitment to our fellow physicians. As always, we pledge to stand side-by-side with you to provide the best medical care for your patients despite this rapidly changing health care environment.

We send our sincerest gratitude to our sponsors for helping us make this educational magazine possible, and encourage you to consider their superior products and services, as we ourselves do.

And most importantly, we want to once again thank all of you, our valued colleagues, for your continued partnership as we strive to serve our mutual patients with the finest medical care possible. Please feel free to email me at [email protected] with any comments, questions, or suggestions you might have about the magazine or our services.

We sincerely hope you enjoy the physician authored articles that follow.

Warm Regards,

Robert P. Green, MD, FACSPresident ENT and Allergy Associates, LLP

Robert P. Green, M.D., F.A.C.S.

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Dr. Neal Seltzer and Dr. Jeffrey S. Rein have been treating patients who suffer from Obstructive Sleep Apnea (OSA) successfully for almost 25 years. Their knowledge in the use of the vast array of oral appliances currently available has helped make them one of the most experienced dental offices in the country.

The field of Continuous Open Airway Therapy (COAT) has moved rapidly into the forefront of treatment for Obstructive Sleep Apnea. Over 125 appliances are currently available for effective treatment. It takes experience to select and monitor the correct choice for each patient’s individual needs.

At Long Island Dental Sleep Medicine we are available to support, guide and work as a team with your office.

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Bay Ridge - East802 64th Street, Suite 3A-EBrooklyn, NY 11220(718) 748-5225

Bay Ridge - West7333 6th AvenueBrooklyn, NY 11209(718) 833-0515

Bay Shore375 East Main Street, #17Bay Shore, NY 11706(631) 665-2430

Bayside210-33 26th Ave., Ground FloorBayside, NY 11360(718) 631-8899

Bridgewater245 Route 22, 3rd FloorBridgewater, NJ 08807(908) 722-1022

Brooklyn Heights300 Cadman Plaza West(1 Pierrepont Plaza)Suite 1301, Brooklyn, NY 11201(718) 208-4449

Bronx1200 Waters Place, Suite 110Bronx, NY 10461(718) 863-4366

Carmel670 Stoneleigh AvenueBuilding #665 Suite 205Carmel, NY 10512(845) 279-9500

East Patchogue240 Patchogue-Yaphank Road, Suite 1East Patchogue, NY 11772(631) 654-0550

East Side - NYC210 East 86th Street, 9th FloorNew York, NY 10028(212) 722-5570

Englewood177 North Dean StreetSouth PenthouseEnglewood, NJ 07631(201) 567-2771

Fifth Avenue - NYC261 5th Avenue, Suite 901New York, NY 10016(212) 679-3499

Fishkill200 Westage Business CenterSuite 224Fishkill, NY 12524(845) 896-1809

Garden City990 Stewart AvenueSuite 610Garden City, NY 11530(516) 222-1881

Hackensack385 Prospect Avenue2nd FloorHackensack, NJ 07601(201) 883-1062

Hoboken79 Hudson StreetSuite 303Hoboken, NJ 07030(201) 792-1109

Lake Success3003 New Hyde Park RoadSuite 409Lake Success, NY 11042(516) 775-2800

Middletown75 Crystal Run RoadBuilding B, Suite 220Middletown, NY 10941(888) 350-1368

New Rochelle145 Huguenot Street, Suite 610New Rochelle, NY 10801(914) 235-1888

New Windsor103 Executive Drive 3rd Floor, Suite 500New Windsor, NY 12553(845) 562-0760

Old BridgeThe Renaissance Plaza 3663 Route 9 NorthSuite 102Old Bridge, NJ 08857(732) 679-7575

Oradell690 Kinderkamack RoadSuite 101Oradell, NJ 07649(201) 722-9850

Parsippany3219 Route 46 EastSuite 203Parsippany, NJ 07054(973) 394-1818

Port Jefferson251 East Oakland AvenuePort Jefferson, NY 11777(631) 928-0188

Poughkeepsie21 Reade PlaceSuite 3200Poughkeepsie, NY 12601(845) 471-4086

Purchase3020 Westchester AvenueSuite 303Purchase, NY 10577(914) 253-8070

Riverhead292 Shade Tree LaneAquebogue, NY 11931(631) 727-8050

Shrewsbury1131 Broad StreetShrewsbury, NJ 07702(732) 389-3388

Sleepy Hollow358 North BroadwaySuite 203Sleepy Hollow, NY 10591(914) 631-3053

Smithtown300 East Main StreetSmithtown, NY 11787(631) 265-3727

Southampton365 County Road, 39ABenton PlazaUnit #3Southampton, NY 11968(631) 283-1142

Staten Island1 Teleport DriveSuite 200Staten Island, NY 10314(718) 370-0072

Tuckahoe1 Elm Street, Suite 2ATuckahoe, NY 10707(914) 961-2515

Wall Street - NYC150 Broadway, Suite 1015New York, NY 10038(212) 571-0355

Wayne1211 Hamburg TurnpikeSuite 205Wayne, NJ 07470(973) 633-0808

O u r L O c at i O n s

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West Nyack1 Crosfield AvenueSuite 201West Nyack, NY 10994(845) 727-1370

West Side - NYC620 Columbus Avenue2nd FloorNew York, NY 10024(212) 600-9411

White Plains75 South Broadway3rd FloorWhite Plains, NY 10601(914) 949-3888

Woodbridge (Iselin)485 Route 1 SouthBuilding B, Suite 350Iselin, NJ 08830(732) 549-3934

Yonkers984 North BroadwaySuite 400Yonkers, NY 10701(914) 963-8588

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Corporate Office560 White Plains Road, Suite 615, Tarrytown, NY 10591

(914)333-5800

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Using advanced technology they are helping to detect still-harmless precancerous cells before they become cancer.

ENTA doctors herald a new era in the fight against oral cancer. It starts, innocently enough, with a thorough oral exam. Common white and red oral tissue spots are painlessly “brushed” with the OralCDx BrushTest. Samplesare analyzed in labs with advanced 3D computer-assisted technology.

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Acid reflux, traditionally thought of as a disease presenting as heartburn, is finally being recogniz-ed as a condition that can show up not only with stomach issues, but with throat problems too.

Acid reflux occurs when stomach acid goes the wrong way, that is, backwards up into the esophagus and throat (the esophagus is the tube that connects the throat to the stomach). There are seven things you should be aware of when it comes to this malady.

1. Acid reflux everywhere60 million Americans have acid reflux. What was once thought of as a disease of overweight, middle-aged, white men now cuts across all body types, generations, races and genders.

2. It’s not just heartburnThere are two types of acid reflux disease, “Heartburn Reflux” where the main complaint is heartburn, and “Throatburn Reflux” where the main complaints are “ccchuching” symptoms (that guttural throat sound which we all know what it sounds like, but try spelling it), such as chronic cough, frequent throat clearing, hoarseness, sore throat, and/or a lump-like sensation in your throat. With Throatburn Reflux, you have acid reflux without having that heartburn feeling.

3. Who cares about a little heartburn?Untreated, or insufficiently treated, acid reflux disease can lead to severe inflammation in the esophagus, stomach, lungs, vocal cords and throat which can cause ulcers, pneumonia, vocal cord polyps and breathing problems.

4. What’s the worst that can happen?In some cases, untreated acid reflux can even progress to esophageal cancer, the fastest growing cancer in America and Europe since the mid 1970’s.

5. The acid reflux “dirty dozen”There are 12 commonly consumed “foods” that cause acid reflux, either indirectly by having effects on the stomach, or directly because they are so acidic. The half dozen that are not very acidic, but that allow acid to fly up from the stomach are: Caffeine, chocolate, alcohol, mint, onion,

and garlic (yes, your 6 favorite food groups). The half dozen that are very acidic, and can directly inflame the throat, and everything around it, are: Sugary soda, bottled ice tea, white wine, citrus, tomato and vinegar.

6. Creative in the kitchen: Acidic food can be neutralizedHealthy, acidic foods such as berries can have their acidity neutralized by buffering them with more alkaline (less acidic) foods. For example, strawberries, blueberries and raspberries can become safe for people with acid reflux by adding almond milk to the berries in a smoothie. Almost every smoothie store offers an almond milk option.

7. Don't touch me there: The latest, and safest, in diagnosisThere is a new method to diagnose acid reflux which doesn’t require any type of sedation, thereby avoiding it’s potential complications. The alternative is called TransNasal Esophagoscopy (TNE), where an ultrathin camera, the size and softness of cooked spaghetti, is used to examine the esophagus with the patient wide awake, in a doctor’s office. As no sedation is necessary, TNE is safer, and less expensive, than the traditional exam of the esophagus. So the next time you are discussing sedation during endoscopy with your doctor, ask: Are there alternatives?

7 surprising fActs About Acid reflux

J o n a t h a n E . A v i v , M . D . , F . A . C . S .O t o l a r y n g o l o g y & H e a d a n d N e c k S u r g e r y

E N T a n d A l l e r g y A s s o c i a t e s , L L P

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Clinical research is a branch of healthcare science that determines the safety and effectiveness of medications, devices, diagnostic products and treatment regimens intended for human use.

These may be used for prevention, treatment, diagnosis or for relieving symptoms of a disease. Clinical Research is different from clinical practice; in clinical practice one uses established treatments while in clinical research evidence is collected to establish a treatment. Many clinicians at ENT and Allergy Associates, LLP participate in clinical research. Currently, there are approximately 20 clinical trials underway by ENT and Allergy physicians. Here is a sample of what we are doing:

Allergy and Asthma TrialsPatients who experience food, seasonal and/or perennial allergy and asthma symptoms can contact us to discuss inclusion criteria for one of our allergy trials. We are recruiting for both pediatric and adult trials. Some of the

current allergy trials include cow’s milk allergy, new cat peptide immunotherapy and a new inhaler for treatment of chronic persistent asthma.

Ear TubesWe have a topical antibiotic clinical trial enrolling candi-dates needing ear tubes. This study involves administration of a FDA approved topical antibiotic post surgically.

TinnitusA phase 3 clinical trial for a new topical medication to treat acute-onset tinnitus is ongoing. The tinnitus can be the result of any acute traumatic event such as head trauma, noise exposure, barotrauma, or middle ear infection.

Eustachian Tube Dysfunction.Patient recruitment is underway for a randomized clinical study of safety and efficacy of balloon dilation procedure for adults with chronic Eustachian Tube Dysfunction.

c l i n i c A l r e s e A r c h A t e n t A n d A l l e r g y A s s o c i A t e s , l l p

K e v i n B r a a t , M . D .O t o l a r y n g o l o g y , H e a d & N e c k S u r g e r y


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Quick appointments! Both centers are open Monday-Saturday with early morning and late evening time slots available during the work week.

• Nationally recognized radiology team.

• Speak with your radiologist in person between the hours of 9 A.M. - 4 P.M. Monday through Friday about your Digital Mammography and get results in as little as 20 minutes!

• Breast Biopsies offered on site for faster results.

• IV sedation appointments are available for claustrophobic and pediatric patients.

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HACKENSACK RADIOLOGY GROUPproviding the highest quality patient care to help you make all the right decisions

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All imaging is not the same. You have taken great care to select the right primary care doctor or specialist, now consider your radiologist. We have more than 30 radiologists who are Board Certified, Sub-Specialty trained and ready to meet your imaging needs from head to toe.

Alpha-Gal/Mammalian Meat AllergySince the discovery of a new meat allergy was identified in regions of the country endemic with ticks, many of the allergists have been busy testing and treating patients for this condition. One of our allergists, Dr. Erin McGintee, is working with researchers at The University of Virginia School of Medicine gathering data for a large multi-center case series report to increase awareness of atypical signs and symptoms of tick borne illnesses. Patients with suspected alpha-gal allergy should contact our Clinical Research team for referral to one of our allergy specialists.

Obstructive Sleep ApneaDr. Ofer Jacobowitz is investigating a new device for patients with Obstructive Sleep Apnea. This phase 2 study is collecting data to determine the safety and efficacy of a surgically implanted hypoglossal nerve stimulator. This device is designed to reduce or eliminate sleep apnea episodes. Qualified individuals have a diagnosis of Obstructive Sleep Apnea and have not received lasting benefit from CPAP or other treatments.

SinusitisENTA is currently seeking participants for a clinical re-search study evaluating the safety and effectiveness of the investigational dilation system for frontal and sphenoid sinus treatment.

Laryngeal PainResearch into throat/neck pain with phonation, known as odynophonia, is lacking. We are conducting a retro-spective study to determine whether correlations exists between laryngeal pathology and odynophonia, sidedness of the pain with the particular laryngeal pathology and whether improvement in laryngeal pathology results in improvement in pain.

Pipeline studies include propel use in office, cocaine as an anesthetic for office procedures, a different and new sinus dilation device and a thyroid FNA genomic signature study.

The physicians of ENT and Allergy Associates are dedicated to providing each and every one of our patients with the best care possible ... today and tomorrow. We believe that actively participating in clinical research trials and protocols—which can help identify newer and better health care solutions—is a smart and necessary part of this. We welcome your interest and inquiries, and thank you for your trust and loyalty. For additional information on Clinical Research @ ENTA or to refer a patient for enroll-ment in one of our trials, contact our Clinical Research team @ 845-562-5941.

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Marjorie Lang, Regional ManagerBusiness & Professional [email protected]

mtb.com ©2015 M&T Bank. Member FDIC.

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HACKENSACK RADIOLOGY GROUP, P.A.

NEWMAN STREET IMAGING30 South Newman Street • Hackensack • NJ

NEW CENTURY IMAGING555 Kinderkamack Road • Oradell • NJ

Board Certified and Sub-Specialty Trained in:• PET/CT • MRI • Digital Mammography• CT • Breast MRI • Fluoroscopy• Nuclear Medicine • Brain Spectroscopy • Bone Density• Ultrasound • Prostate Spectroscopy • Digital X-Ray

Quick appointments! Both centers are open Monday-Saturday with early morning and late evening time slots available during the work week.

• Nationally recognized radiology team.

• Speak with your radiologist in person between the hours of 9 A.M. - 4 P.M. Monday through Friday about your Digital Mammography and get results in as little as 20 minutes!

• Breast Biopsies offered on site for faster results.

• IV sedation appointments are available for claustrophobic and pediatric patients.

• Ultra low dose CT scans and digital x-ray with both reducing radiation dose 50% - 80% per exam.

• New wide bore 3T MRI minimizes patient claustrophobia while providing the latest technology.

• PICC Line Insertion.

HACKENSACK RADIOLOGY GROUPproviding the highest quality patient care to help you make all the right decisions

201.488.2660 • www.hrgimaging.com

All imaging is not the same. You have taken great care to select the right primary care doctor or specialist, now consider your radiologist. We have more than 30 radiologists who are Board Certified, Sub-Specialty trained and ready to meet your imaging needs from head to toe.

As allergy season has been get-ting progressively worse each year, the number of people afflicted by seasonal allergies,

or allergic rhinitis and conjunctivitis, seems to be growing. Furthermore, those patients who have had minor symptoms in past years are presenting with more severe symptoms now. With up to one quarter of the population being affect-ed by allergies in developed countries, every primary care provider is sure to see patients with these complaints.

The mainstays of treatment for seasonal allergies continue to be allergen avoid-ance and pharmacotherapy; however, complete allergen avoidance is virtually impossible when the allergen is pollen, which is present every time a patient steps outside or opens their front door. This is especially difficult for patients who work outdoors and for those who work in buildings without air condition-ing. Pharmacotherapy most commonly includes oral antihistamines and leu-kotriene inhibitors, as well as intranasal corticosteroids and intranasal antihis-tamines. While these medications work very well for many people, there are treatment failures due to poor compli-ance, improper technique when using nasal sprays, and unresponsiveness to medications even when used properly. For patients who fail medical manage-ment, who require medications for many months of the year, or who do not wish to be taking medications, immunothera-py is another option to consider.

Immunotherapy, most commonly known as allergy shots, changes the course of the disease and can induce long-term remission for allergy sufferers. While both allergen avoidance and pharmacotherapy can improve the symptoms that patients experience with allergic rhinitis and conjunctivitis, once the patients are exposed to their allergens again, the symptoms will recur.

Immunotherapy, most commonly known as allergy shots, changes the course of the disease and can induce long-term remission for allergy sufferers. For patients who had difficulty this spring with their allergies, now is the time to refer them to a board certified allergist so they can consider starting immunotherapy and reap the benefits by next spring season!

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s e A s o n A l A l l e r g i e s : h o W c A n W e h e l p o u r p A t i e n t s f e e l b e t t e r ?

J i l l i a n H o c h f e l d e r , M . D .A l l e r g y , A s t h m a a n d I m m u n o l o g y



In recent years, we have observed an increased pre-valence of food allergy. Based on a recent review of various published studies, food allergy is estimated to affect between 1% and 10% of the population,

reflecting a growing public awareness and concern for food allergy. Although there are several ideas proposed to account for the increased prevalence of food allergy, such as hygiene hypothesis (increased hygiene leading to a shift in immune system towards allergic pathway), vitamin D (vitamin D deficiency being associated with increased food sensitization), dietary fat (reduced consumption of omega-3 fatty acids leading to increased food sensitization), reduced consumption of antioxidants found in fresh fruits and vegetables (diet low in antioxidant and high in processed foods leading to higher susceptibility to allergy), obesity (leading to inflammatory state), and food processing (various food preparation methods affecting allergenicity of foods), none has been conclusive in elucidating observed

pattern of increased food allergy prevalence. Some of the more common food allergens responsible for a relatively high proportion of food allergy are cow’s milk, hen’s egg, soy, wheat, peanut, tree nuts, fish, and shellfish. As these foods are all very commonly found and contained in our diet, there exists a significant challenge for food allergic individuals as they try to maintain an appropriate diet free of relevant food allergens.

Another challenge that is frequently encountered in dealing with food allergy is the issue of food sensitivity. Food sensitivity merely indicates the presence of IgE antibodies (“allergic antibody”) to a food, often in the absence of adverse symptoms or “reactions.” When patients with food sensitivity demonstrate an adverse response upon ingestion of a food to which they are sensitized, they can be more accurately categorized as having food allergy. Given an increased awareness of food allergy in recent years, patients

f o o d A l l e r g y :t h e c h A l l e n g e s f A c i n g t h e p A t i e n t s

J o o n H . P a r k , M . D . A l l e r g y , A s t h m a a n d I m m u n o l o g y


undergo food allergy testing more commonly now than ever before for various medical reasons, and it is not uncommon that food sensitivity is discovered in asymptomatic patients. An important question then arises: should they start avoiding certain foods based on positive test results alone? What are the risks involved in continuing to ingest those foods in question? Should they carry epinephrine? What should they do when they dine out or travel internationally? For children, how should this be addressed in their school? The list goes on and on.

There are many intricacies involved in the accurate diagnosis and management of food allergy, and it is also important to distinguish food allergy from food sensitivity. Diagnosis of food allergy affects patients’ lives in a myriad of ways: from altering their dietary habits, to being prepared to appropriately deal with allergic reactions, to educating family members, to name a few. In children especially, food allergy can also have negative psychosocial effects, including bullying. On the other hand, a subset of patients with food sensitivity can still tolerate the food in question; however, this determination should be made only after a proper evaluation and consultation with an expert in food allergy. This is an important decision to make, however, as it can have a tremendous implication on a patient’s quality of life, including avoiding unnecessary dietary elimination. With growing public awareness for food allergy, it is likely that we will discover more patients who will be left with positive test results for foods. The answer is not always avoidance, especially if it represents a mere sensitization without clinically significant food allergy. Board-certified allergists can help these patients find the right answer so that they can receive proper treatment plans tailored to their specific clinical scenario. As we further our knowledge about food allergy with ongoing, active research studies, now is the time to face the challenges of food allergy with more confidence!

Dr. Joon H. Park is a board-certified allergist/immunologist who has an extensive experience in diagnosing and treating food allergy. During his fellowship training at Mount Sinai Medical Center, he has also participated in food allergy re-search under the mentorship of world-renowned food allergists. He practices in our Middletown office in NY.

As we further our knowledge about food allergy with ongoing, active research studies, now is the time to face the challenges of food allergy with more confidence!

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[email protected]

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Year after year, new physicians join ENT and Allergy Associates and the Practice continues to grow. We pride ourselves on delivering the best quality care to all of our patients and maintaining great relationships with those who continue to refer their patients to us. Beginning in the summer of 2015 and continuing through 2016, the following changes will be in effect at certain of our office locations:

• As of August 1, 2015, Drs. Robert Gargano, Todd Campbell, Eric Bergson, Joseph Bonafede and Thomas O’Donnell joined ENTA and are working out of our new Bay Shore office (375 East Main Street) and East Patchogue office (240 Patchogue Yaphank Road).

• As of September 1, 2015, Drs. Ed Lipinsky, Ron Gottlieb and Anna Stern join ENTA and will be working out of our new Smithtown office (300 East Main St.).

• As of November 1, 2015, Otolaryngologist and Facial Plastic Surgeon Agata K. Brys, MD will become a member of ENTA’s Parsippany office located at 3219 Route 46 East, Suite 203.

• At the end of 2015, we are relocating and con-solidating our Englewood and Hackensack offices into one brand new, state-of-the-art clinical office in Hackensack at the Continental Plaza, 433 Hackensack Avenue.

• In January 2016, we are opening a brand new Suffolk County office in Hauppauge, New York. The 16,000 sf, 28-exam room State-of-the-Art medical suite is located on the 2nd floor of the former Met Life Building, located at 2929 Expressway Drive. The Bay Shore and Smithtown physicians will work out of this new office location.

• Effective first quarter 2016, otologist/neurotologist George Poulos, DO will practice out of our new location in Hauppauge.

• Effective first quarter 2016, allergist and immunolo-gist Laura C. Helfner, MD will practice out of our new location in Hauppauge.

• Otolaryngologist Jason B. Wasserman, MD will become a member of ENTA’s Bayside, New York office located at 210-33 26th Avenue, effective September 1, 2016.


e n t A n d A l l e r g y A s s o c i A t e s c o n t i n u e s t o g r o W

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Robin M. Brody, M.D.Otolaryngology & Head and Neck Surgery

Englewood and Hackensack

Paul A. Bell, M.D.Otolaryngology & Head and Neck Surgery

Garden City

Ryan Borress, M.D.Otolaryngology & Head and Neck Surgery

Poughkeepsie

Jonathan Aviv, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

East Side

Anna Aronzon, M.D.Otolaryngology & Head and Neck Surgery

Wall Street

Bradley Block, M.D.Otolaryngology & Head and Neck Surgery

Garden City

Carol G. Baum, M.D., M.B.A., F.A.C.P., F.A.A.A.A.I.

Allergy, Asthma and Immunology West Side

Kevin Braat, M.D.Otolaryngology & Head and Neck Surgery

Riverhead and Southampton

Ricardo Arayata, M.D., F.A.C.A.A.I. Allergy, Asthma and Immunology

New Rochelle

Andrew L. Blank, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Bayside

Dennis A. Burachinsky, D.O. Otolaryngology & Head and Neck Surgery

Bridgewater

Michael Bergstein, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Yorktown and Sleepy Hollow

Patrick M. Ambrosio, D.O., F.A.C.A.A.I.Allergy, Asthma and Immunology

Woodbridge and Old Bridge

Vito Brunetti, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Wayne

I. David Bough, Jr., M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Oradell and West Nyack

Andrew Azer, M.D.Otolaryngology & Head and Neck Surgery


Marie M. Camacho-Halili, M.D.Allergy, Asthma and Immunology

Bridgewater

John A. Cece, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Wayne

Mark E. Carney, M.D.Otolaryngology & Head and Neck Surgery

Staten Island

Won-Taek Choe, M.D. Otolaryngology & Head and Neck Surgery

East Side and Englewood

Dorothy Chau, M.D.Allergy, Asthma and Immunology

Staten Island

Ajay E. Chitkara, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Port Jefferson and East Patchogue

Nitin Bhatia, M.D.Otolaryngology & Head and Neck Surgery

White Plains

Leon Chen, M.D.Otolaryngology & Head and Neck Surgery

Bronx

* Indicates New Doctors to the Practice

Russell Beckhardt, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Astoria and Garden City

Todd W. Campbell, M.D.*Otolaryngology & Head and Neck Surgery

Bay Shore and East Patchogue

Joseph P. Bonafede, M.D.*Otolaryngology & Head and Neck Surgery


Eric J. Bergson, M.D.*Otolaryngology & Head and Neck Surgery


Agata K. Brys, M.D.*Otolaryngology & Head and Neck Surgery

Parsippany

Stephen Abrams, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Wayne


Tahl Y. Colen, M.D. Otolaryngology & Head and Neck SurgeryBay Ridge East , Bay Ridge West and

Brooklyn Heights

Robert Cusumano, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Oradell

Jay N. Dolitsky, M.D., F.A.A.P.Otolaryngology & Head and Neck Surgery

Fifth Avenue and Garden City

Richard DeMaio, M.D.Otolaryngology & Head and Neck Surgery

Fishkill and New Windsor

Jason P. Cohen, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Poughkeepsie

Jeffrey N. Cousin, M.D.Otolaryngology & Head and Neck Surgery

Yonkers and Tuckahoe

Shawn C. Ciecko, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Staten Island

Paul Davey, M.D.Otolaryngology & Head and Neck Surgery


Michael A. D’Anton, M.D.Otolaryngology & Head and Neck Surgery

Wayne

Wayne Chung, M.D.Otolaryngology & Head and Neck Surgery

Bay Ridge East

John County, M.D., F.A.A.A.A.I.Allergy, Asthma and Immunology Yorktown and Sleepy Hollow

Mark S. Driver, M.D.Otolaryngology & Head and Neck Surgery

Middletown

Farhad R. Chowdhury, D.O. Otolaryngology & Head and Neck Surgery


Steven I. Goldstein, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Bronx

Steven M. Gold, M.D.Otolaryngology & Head and Neck Surgery

Englewood

Daniel Gold, M.D.Otolaryngology & Head and Neck Surgery

White Plains

David A. Godin, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Fifth Avenue

Harrison J. Glassman, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Bronx

Aylon Y. Glaser, M.D.Otolaryngology & Head and Neck Surgery

Hoboken

Mark L. Fox, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Tuckahoe

Wayne Eisman, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

White Plains

Moshe Ephrat, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Lake Success

Gary S. Fishman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Carmel and West Side

Virginia E. Feldman, M.D.Otolaryngology & Head and Neck Surgery

Middletown

Lee D. Eisenberg, M.D., M.P.H., F.A.C.S.

Otolaryngology & Head and Neck SurgeryEnglewood and Hackensack

Joseph Feghali, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Bronx

Jennifer Diaz, M.D.Allergy, Asthma and Immunology

Port Jefferson


John P. Dodaro, M.D.Otolaryngology & Head and Neck Surgery

Staten Island and Old Bridge

Paul Gittelman, M.D., F.A.C.S.*Otolaryngology & Head and Neck Surgery

Purchase and New Rochelle

Robert M. Gargano, M.D.*Otolaryngology & Head and Neck Surgery



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Douglas Leventhal, M.D.Otolaryngology & Head and Neck Surgery

Oradell

Jeffrey H. Jablon, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery


Ofer Jacobowitz, M.D., Ph.D., F.A.A.S.M., F.A.A.O.A.

Otolaryngology & Head and Neck SurgeryFifth Avenue and Middletown

Alexis H. Jackman, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Purchase

Francis M. Jampol, M.D.Otolaryngology & Head and Neck Surgery

Parsippany

Steven B. Kase, M.D. Otolaryngology & Head and Neck Surgery

White Plains

Cynthia Jerome, M.D., F.A.A.A.A.I., F.A.C.A.A.I.

Allergy, Asthma and ImmunologyWhite Plains

Natasha Keenan, M.D. Otolaryngology & Head and Neck Surgery

West Side

Matthew J. Kates, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

New Rochelle

Paul E. Kelly, M.D.Otolaryngology & Head and Neck Surgery


Mitchell T. Kolker, M.D.Otolaryngology & Head and Neck Surgery

New Windsor and Fishkill

David B. Lawrence, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Purchase

Sergey Koyfman, D.O., F.A.A.O.A.Otolaryngology & Head and Neck Surgery

New Windsor and Middletown

Jonathan A. Lesserson, M.D. Otolaryngology & Head and Neck Surgery

Hackensack and Oradell

Amy D. Lazar, M.D.Otolaryngology & Head and Neck Surgery

Bridgewater

Brian L. Lebovitz, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Parsippany

Jennifer S. Lee, M.D.Allergy, Asthma and Immunology

Bay Ridge East and Astoria


Michael Hugh, M.D.Allergy, Asthma and Immunology

Carmel and Poughkeepsie

John J. Huang, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Oradell and West Nyack

Anastasiya Kleva, M.D.*Allergy, Asthma and Immunology

Bronx

Jillian Hochfelder, M.D.Allergy, Asthma and Immunology

Purchase and Tuckahoe

Adrianna M. Hekiert, M.D.Otolaryngology & Head and Neck Surgery

Bridgewater

Darren Hirsch, M.D.*Allergy, Asthma and ImmunologyRiverhead and East Patchogue

Laura C. Helfner, M.D.*Allergy, Asthma and Immunology

Hauppauge

Lynelle C. Granady, M.D.Allergy, Asthma and Immunology

East Side

Robert P. Green, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

East Side

Daniel Grinberg, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

West Nyack

Ramez Habib, M.D., F.A.C.S.Otolaryngology & Head and Neck SurgeryBay Ridge West and Brooklyn Heights

Ron D. Gottlieb, M.D.*Otolaryngology & Head and Neck Surgery

Smithtown

Michael A. Gordon, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Garden City


Marc J. Levine, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

West Nyack

Peter LoGalbo, M.D., F.A.A.A.A.I.Allergy, Asthma and Immunology

West Nyack

Guy Lin, M.D.Otolaryngology & Head and Neck Surgery

East Side

Scott B. Markowitz, M.D.Otolaryngology & Head and Neck Surgery

East Side

Robert J. Marchlewski, M.D., F.A.A.P., F.A.C.A.A.I.

Allergy, Asthma and Immunology Garden City

Dan Moskowitz, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

White Plains

Sheldon Palgon, M.D.Otolaryngology & Head and Neck Surgery

Wall Street, Bay Ridge Eastand Brooklyn Heights

Ron Mitzner, M.D.Otolaryngology & Head and Neck Surgery

Lake Success

Eric A. Munzer, D.O.Otolaryngology & Head and Neck Surgery

Fishkill and New Windsor

Krzysztof M. Nowak, M.D., M.B.A.Allergy, Asthma and Immunology

Yonkers

Scott R. Messenger, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Yorktown

Michael G. Mendelsohn, M.D.,F.A.C.S., F.A.A.P.

Otolaryngology & Head and Neck SurgeryGarden City

Vishvesh M. Mehta, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery


Erin McGintee, M.D.Allergy, Asthma and Immunology

Southampton

Phillip L. Massengill, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Middletown

Archana Mehta, M.D.Allergy, Asthma and Immunology

Parsippany

Prashant Ponda, M.D., F.A.A.A.A.I, F.A.C.A.A.I.

Allergy, Asthma and ImmunologyNew Windsor and Fishkill

George Pazos, M.D.Otolaryngology & Head and Neck Surgery

Carmel and Yorktown

Joel E. Portnoy, M.D.Otolaryngology & Head and Neck Surgery

Lake Success and Riverhead

Rami Payman, M.D.Otolaryngology & Head and Neck Surgery

Poughkeepsie

George A. Poulos, D.O.Otolaryngology & Head and Neck Surgery

Wall Street and Astoria

Craig Litman, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery


Richard S. Litman, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Port Jefferson

Harshna Mehta, M.D.Allergy, Asthma and Immunology

Hoboken

Sima Mithani, M.D.Allergy, Asthma and Immunology

Hackensack and Englewood

Joon H. Park, M.D.Allergy, Asthma and Immunology

Middletown

Philip J. Passalaqua, M.D.Otolaryngology & Head and Neck Surgery

Shrewsbury

Vin Prabhat, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Shrewsbury


Thomas R. O’Donnell, M.D.*Otolaryngology & Head and Neck Surgery


Edward J. Lipinsky, M.D.*Otolaryngology & Head and Neck Surgery

Smithtown


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Christopher Song, M.D., F.A.C.S.Otolaryngology & Head and Neck SurgeryBay Ridge West and Brooklyn Heights

Charles M. Schultz, M.D.Otolaryngology & Head and Neck Surgery

Parsippany

Frank G. Shechtman, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

White Plains

Gangadhar Sreepada, M.D.Otolaryngology & Head and Neck Surgery

Wayne

Michael Shohet, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

West Side

Justin M. Skripak, M.D.Allergy, Asthma and Immunology

Oradell

Jonathan C. Smith, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Bronx

Theresa Sohn, M.D.Allergy, Asthma and Immunology

Wayne

Abraham I. Sinnreich, M.D.Otolaryngology & Head and Neck Surgery

Staten Island

Lee M. Shangold, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery


Derek Soohoo, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

New Rochelle and Yonkers

William H. Sher, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Port Jefferson

B. Todd Schaeffer, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Lake Success

John J. Scheibelhoffer, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Wayne

Daniel A. Scher, M.D.Otolaryngology & Head and Neck Surgery

Wayne

Darsit Shah, M.D.Otolaryngology & Head and Neck Surgery

Shrewsbury

Robert Sporter, M.D.Allergy, Asthma and Immunology

Fifth Avenue


Eric T. Scarbrough, M.D.Otolaryngology & Head and Neck Surgery

Riverhead

Zarina S. Sayeed, M.D.Otolaryngology & Head and Neck Surgery

Parsippany

Anna Stern, M.D.*Otolaryngology & Head and Neck Surgery

Smithtown

Eric Roffman, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

West Nyack

Hyman Ryback, M.D.,F.R.C.S., F.A.C.S.

Otolaryngology & Head and Neck Surgery White Plains

Richard A. Rosenberg, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

White Plains

Steven H. Sacks, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

East Side

Brian Safier, M.D.Allergy, Asthma and Immunology

Bayside and Lake Success

Hector P. Rodriguez, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

West Side and Poughkeepsie

Debra S. Reich, M.D.Otolaryngology & Head and Neck Surgery

Yorktown

Edward Rhee, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

West Nyack

Jay Rechtweg, M.D.Otolaryngology & Head and Neck Surgery

Garden City

Roheen Raithatha, M.D.Otolaryngology Head and Neck Surgery

Fifth Avenue



Hale Yarmohammadi, M.D., MPHAllergy, Asthma and Immunology

Wall Street

Irene Yu, M.D.Otolaryngology & Head and Neck Surgery


Richard T. Yung, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

White Plains

Warren H. Zelman, M.D., F.A.C.S., F.A.A.P.

Otolaryngology & Head and Neck Surgery Garden City

Jill F. Zeitlin, M.D.Otolaryngology & Head and Neck Surgery

Sleepy Hollow

Lauren S. Zaretsky, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery


Tamekia Wakefield, M.D.Otolaryngology & Head and Neck Surgery

Bayside and Astoria

Jared M. Wasserman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Englewood and Hackensack

Karen Wirtshafter, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Parsippany

Stanley Yankelowitz, M.D., F.R.C.S.Otolaryngology & Head and Neck Surgery

Bronx

Francisca Yao, M.D.Otolaryngology & Head and Neck SurgeryBay Ridge West and Brooklyn Heights

Joshua Weissman, M.D. Otolaryngology & Head and Neck Surgery

Yonkers and Tuckahoe

Milo F. Vassallo, M.D., Ph.D.Allergy, Asthma and Immunology

Bay Ridge West and Brooklyn Heights

Raj Tandon, M.D.Otolaryngology & Head and Neck Surgery

Hoboken

Michael B. Tom, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery

Yonkers

Michael Tavill, M.D., F.A.C.S.*Otolaryngology & Head and Neck Surgery

Shrewsbury

A. Paul Vastola, M.D., F.A.C.S.Otolaryngology & Head and Neck SurgeryBrooklyn Heights and Staten Island

Mark D. Very, M.D.Otolaryngology & Head and Neck Surgery

Poughkeepsie

Jason Surow, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery

Oradell

Gerald D. Suh, M.D.Otolaryngology & Head and Neck Surgery

New Rochelle and Bayside

John P. Sugrue, M.D., F.A.C.S.Otolaryngology & Head and Neck Surgery


Katherine Szema, M.D.Allergy, Asthma and Immunology

Shrewsbury

Salvatore Taliercio, M.D.Otolaryngology & Head and Neck Surgery

Sleepy Hollow

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Stephanie Adler, Au.D., CCC-A Bayside

Rohima Badri, Ph.D. Woodbridge

Kristin Barringer Rich, Au.D. New Windsor

Sara Beckerman, Au.D., CCC-A, F-AAA Fifth Avenue

Rebecca Bieker, Au.D., CCC-A Bronx

Sue Bloom, M.S., CCC-A, F-AAA Woodbridge

Marcia Brucculeri, Au.D. East Patchogue, Bay Shore

Emily Bunce, Au.D. Southampton

Diane Butfilowski, M.S., CCC-A, F-AAA West Nyack

Dolores Campbell, M.S., CCC-A Port Jefferson

Carmelina Cerrone, M.A., F-AAA Fishkill, Middletown

Jessica Cofoni, Au.D. Bridgewater, Woodbridge

Jessica Comparetto, M.A., CCC-A Sleepy Hollow, White Plains

Maureen Connington, Ph.D. New York

Beata Contri, Au.D., CCC-A Staten Island

Vincent D’Auria, Au.D., CCC-A Yorktown Heights

Diana DeSantos, Au.D. Garden City

Francesca Dinatale-Lepsis, Au.D., CCC-A, F-AAA Garden City

Cara Dorazio, Au.D. Shrewsbury

Nicole Dornicik, Au.D., CCC-A, F-AAA Riverhead, Southampton

Debra L. Dziedzic, Au.D., CCC-A, F-AAA Middletown

Jenna M. Elias, Au.D., CCC-A Wall Street

Theresa Faughnan, M.A., CCC-A, F-AAA Tuckahoe

Arielle Feiman, Au.D., CCC-A Carmel, West Nyack

Molly Folger, Au.D.,CCC-A Parsippany

Nancy Fontana, Au.D., CCC-A East Patchogue, Port Jefferson

Harriet Friedman-Wilson, Au.D., CCC-A, F-AAA Staten Island

James Gahn, M.A. Fishkill, New Windsor

Anna Gershteyn, Au.D., CCC-A, F-AAA Lake Success

Allison Godlewicz, Au.D. Fifth Avenue, East Side

Margaret Goldberg, Au.D., CCC-A Port Jefferson

Gregg Goldhagen, M.S., CCC-A, F-AAA East Side

Cathy Hadeshian, M.A., CCC-A Bronx

Kelle Harrison, M.S., F-AAA Poughkeepsie

Kimberly Hetterich, Au.D., F-AAA East Patchogue, Port Jefferson

Roxanne Hoffman, Au.D. Garden City

Joshua Jablonski, Au.D, CCC-A Bay Ridge East, Bay Ridge West, Brooklyn Heights

Sharon Judlowitz, Au.D. New Rochelle

Arnold Kahgan, Au.D. New Windsor

Michael Kaufer, Au.D., MPA, CCC-A/SLP Bayside

Randi Kirschner, Au.D. Bronx

Katherine Kleban, Au.D. Englewood, Oradell

Jessica Krzysik, Au.D., F-AAA Parsippany

Karen Kupper Langan, Au.D. Shrewsbury

Dana Leggieri, Au.D., CCC-A, F-AAA Wayne

Linda Liebowitz, M.S., CCC-A Hackensack

Jennifer Lohr-Seitz, M.S., CCC-A, F-AAA Riverhead


e n t A A u d i o l o g i s t s o f f i c e

Rachel Marcus, Au.D., CCC-A, F-AAA Astoria

Laura McCrone, Au.D., CCC-A, F-AAA Oradell

Laura McElhennon, M.A., CCC-A, F-AAA West Nyack

Mala Mehta, M.A., CCC-A Hoboken, Wayne

Morganne Miller, Au.D. New Windsor

Robin Mitrani, Au.D., F-AAA Smithtown, East Patchogue

Yvonne Mudaro, Au.D., F-AAA Smithtown, Bay Shore

Elizabeth Nemec, Au.D., F-AAA Englewood

Amanda Neubauer, Au.D. Bay Shore, East Patchogue

Mary O’Sullivan, M.A., CCC-A, F-AAA Yonkers

Lorianne K. Owen, M.A., CCC-A, F-AAA Bridgewater

Danielle Peyman, Au.D., CCC-A, F-AAA East Patchogue, Port Jefferson

Barbara Posen, M.S., CCC-A White Plains, Yonkers

Sreedivya Pradeep, Ph.D., F-AAA Middletown

Patricia Reciniello, M.A., CCC-A Garden City

Lorraine Rein, Au.D. Bay Shore, Garden City

Angela Riemma, Au.D., CCC-A, F-AAA Purchase

Danielle Rosende, Au.D.,CCC-A, F-AAA Fifth Avenue, Hoboken

Robert Rosengarten, M.S., CCC-A, F-AAA Old Bridge

Debra Rosenmeyer, M.A., CCC-A Carmel, Fishkill

Nicole Rubin, M.A., CCC-A Garden City

Leigh Ann Sauerbier, Au.D. East Side

Phyllis Schaffer-Cohen, Au.D., CCC-A, F-AAA Hackensack, Oradell

Caroline Schueren, Au.D., F-AAA East Patchogue, Port Jefferson

Benjamin G. Schultz, Au.D., CCC-A Bay Ridge West, Brooklyn Heights

Lauren Sessa, Au.D., CCC-A Bronx

Ilene Shapiro, M.A., CCC-A White Plains

Sofya Shlafman, Au.D., CCC-A, F-AAA Bay Ridge East

Lauren Solliday, Au.D. Lake Success

Katelyn Stoehr, Au.D., CCC-A, F-AAA East Patchogue

Amanda Sullivan, Au.D., F-AAA Poughkeepsie

Barbara Rooney Tartaglia, Au.D., F-AAA Yonkers

Marisa Thylstrup, Au.D., F-AAA White Plains, Yorktown Heights

Evmorfia Tzanis, Au.D. Sleepy Hollow

Margot Veneziano, Au.D. New Rochelle

Michelle Waller, Au.D., CCC-A Port Jefferson, Southampton

Marcia Warren, Au.D. Old Bridge, Shrewsbury

Sue Weinstein, M.S., CCC-A, F-AAA White Plains

Carol Wesemann, Au.D.,CCC-A Lake Success

Shereeta Williams, Au.D. Bay Shore, East Patchogue

Richard Winter, Au.D., CCC-A Bronx

Yevgeniya Yubliler, Au.D., F-AAA Englewood

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Au.D. - Doctor of Audiology • CCC-A - Certificate of Clinical Competency in Audiology • F-AAA - Fellow of the American Academy of AudiologyMA - Master of Arts • MS - Master of Science • Sc.D. - Doctor of Science

*Many Audiologists practice at more than one location. For more information please visit www.entandallergy.com/service/hearing-aids/professionals*

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Over 35 million Americans suffer from chronic sinus disease today. Chronic sinusitis is among the most common diagnoses for those who visit their physician complaining of coughing, sinus

pressure, congestion, postnasal drainage and headaches. Often, patients misdiagnose themselves as simply suffering from seasonal allergies. While medications such as decongestants, antibiotics, antihistamines and steroids can provide relief for chronic sinusitis, many times they do not solve the problem entirely and surgery is required.

John Madera is a 32-year-old businessman and CrossFit athlete who works out six days a week. He suffered with chronic sinus headaches, and “always felt tired, and sluggish”. His quality of life was significantly altered by his chronic sinus condition.

John said immediately after the surgery "have we started yet?", meaning that he experienced very little postoperative pain. He said "by the third day I was feeling fine and each day thereafter was better and better with very little discomfort".

A new treatment for sinus sufferers:A new treatment that is gaining traction every day within the Ear Nose and Throat offices is a dissolvable sinus stent, PROPEL®, that is placed at the end of surgery. Just as coronary drug-eluting stents release medications for their

patients with clogged arteries, the lightweight PROPEL® Stent holds open the sinus after surgery to steadily deliver low-dose anti-inflammatory medication to the healing sinus tissue.

John’s symptoms are typical of many of my patients who suffer with chronic sinusitis. That is, they suffer with headaches, chronic nasal stuffiness and sinus pressure that affect their day-to-day quality of life. For the past 20 years since the advent of functional endoscopic sinus surgery, I have been gratified at seeing the resolution of my patients’ symptoms and their return to their day–today life free of sinus congestion and pressure.

Now with the advent of the PROPEL® Stent my patients’ recovery is hastened even further and their transition back to school and work has been advanced significantly. The PROPEL® Stent has been revolutionary in improving patients outcomes with virtually no pain or discomfort.

How it works:The PROPEL® Stent is carefully placed by an experienced Ear, Nose and Throat physician into the sinus cavity at the end of surgery. The stent remains there for a period of weeks, utilizing a spring like mechanism to open up the nasal passageway. At the same time, it provides anti- inflammatory therapy, which helps to reduce scarring and the need for oral steroids in the postoperative period. Best

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A n e W t r e A t m e n t f o r s i n u s s u f f e r e r s

M i c h a e l B e r g s t e i n , M . D . , F . A . C . S . O t o l a r y n g o l o g y & H e a d a n d N e c k S u r g e r y


Diseased Sinus vs Healthy Sinus


of all, after a few weeks the stent dissolves on its own, and no removal is necessary, making postoperative care easier on patients.

Mary Kate McHugh is a 25-year-old healthy female who was "tired all day" and snoring every night. “I couldn't breathe at all through my nose and I had headaches all the time which made me cranky ".

After her sinus surgery and placement of her PROPEL® stent, her recovery was "super easy”. She said that she feels now like a "new person".

Clinical Data:Minimally invasive sinus surgery with PROPEL® offers promising improvement for those who have experienced nasal and sinus blockage resulting from chronic sinusitis. The outcomes associated with this new technology are highly encouraging. The stent has been studied in three prospective clinical trials conducted in the United States, and was awarded the American Rhinologic Society’s prestigious award for top notch use of clinical science.

Conclusion:When a patient's chronic sinusitis does not respond to medications, surgery to enlarge the opening to drain the sinuses may provide the best option. The PROPEL® drug releasing stent offers a new weapon in the fight against chronic sinusitis, backed by clinical data and positive patient post-surgical outcomes.

ENT & Allergy Associates, LLP is proud to offer this new technological breakthrough to our patients.

You can reach Dr. Michael J. Bergstein MD, FACS in the following offices:

358 North Broadway, Suite 203Sleepy Hollow, NY 10591914-631-3053

2649 Strand Blvd., Suite 206Yorktown Heights NY, 10598914-245-2681

* Data on file

Step 1: PROPEL Sinus Stent is placed in the open surgical cavity. Step 2: The PROPEL stent’s spring-like design allows it to conform to the unique shape of the sinus and props it open.

Step 3: An anti-inflammatory medication is delivered in a controlled manner, directly into the healing sinus tissues that need it over 30 days.*

Step 4: Dissolves in 30 to 45 days.

914.846.0100 | 212.956.9494 | [email protected] us at www.Clarfeld.com

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CEO/Founder of Clarfeld Financial Advisors

New York’s

#1

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by Barron’s *

(for the sixth consecutive year)

* PLEASE NOTE: LIMITATIONS. Please see Important Disclosure Information and the limitations of any ranking/recognitions, at http://www.clarfeld.com/important-disclosure-information/

~

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Early detectionof head andneck cancer...

About ENT and Allergy Associates ENT and Allergy Associates physicians are located in 25 offices

throughout New York City, Westchester, Rockland, Orange

County and Northern New Jersey. Our 80+ board-certified

physicians and over 40 licensed audiologists provide high quality,

state-of-the-art care in the areas of ear, nose, throat, and allergy

disorders, and offer a variety of highly specialized procedures that

utilize the latest medical technology. We offer the convenience

of a large group practice, with multiple office sites, evening and

weekend hours and prompt appointment scheduling. How to BeginPatients: please ask the front office staff at your local ENT and

Allergy Associates for information about a head and neck cancer

screening, or visit www.entandallergy.com/screening to access

more information about the program and how to schedule an

appointment.

Practitioners: please call us to refer a patient to our program,

and visit us on the web at www.entandallergy.com/locations

to find the nearest screening center.

Westchester CountyWhite Plains (914-949-3888) n Yorktown (914-245-2681)

Sleepy Hollow (914-631-3053) n Yonkers (914-963-8588)

Purchase (914-253-8070) n New Rochelle (914-235-1888)Tuckahoe (914-961-2515)Putnam and Rockland Counties

Carmel (845-279-9500) n West Nyack (845-727-1370)Orange and Dutchess CountiesFishkill (845-896-1809) n Newburgh (845-562-0760)

Poughkeepsie (845-471-4086) New York CityBayside (718-631-8899) n Gramercy (212-679-3499)

Bronx (718-863-4366) n Wall Street (212-571-0355)East Side (212-722-5570) n Bay Ridge (718-748-5225)

West Side (917-441-7824) n Staten Island (718-370-0072)Long IslandGarden City (516-222-1881)New JerseyWayne (973-633-0808) n Englewood (201-567-2771)

Hackensack (201-883-1062) n Oradell (201-722-9850)Parsippany (973-394-1818) n Mahwah (201-825-6200)

Somerville (908-722-1022)Corporate office:ENT and Allergy Associates, LLP560 White Plains RoadTarrytown, New York 10591914-333-5801

ENT and Allergy Screening Center Locations

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In-office sinus relief will be more accessible for sinus sufferers as a result of new minimally invasive technologies. Thirty-seven million Americans suffer with chronic sinusitis and new in-office technologies maybe the panacea everybody has been looking for. The results of national research studies

demonstrated balloon catheters could safely widen the natural sinus opening in the office under a local anesthetic1,2, avoiding a trip to the operating room and general anesthesia. Endoscopic sinus surgery is still considered the gold standard to treat sinus disease refractory to medical therapy. Despite this, balloon sinus dilation has become more popular as doctors acquire these skills and significant subsets of patients opt for this minimally invasive procedure. The down time is less than 24 hours, there is virtually no bleeding and significantly less discomfort. Actually, the results are almost immediate. Patient selection is key and an experienced sinus surgeon who can perform in-office balloon sinus dilation is paramount. The contraindication to balloon dilation of sinuses is extensive nasal/sinus polyps because polyps need to be removed. However, there is good news for these patients since new technologies have brought disposable polyp shavers to the office and sinus implants which shrink polyps.

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f i n d i n g s i n u s r e l i e f i n t h e d o c t o r ’ s o f f i c e

B . T o d d S c h a e f f e r , M . D . , F . A . C . S .O t o l a r y n g o l o g y & H e a d a n d N e c k S u r g e r y


Symptoms of Chronic Sinusitis

• Pain over sinuses

• Purulent drip

• Nasal congestion

• Discolored mucous

• Inability to smell

• Low grade fever

• Cough

• Phlegm in throat

• Symptoms > 3 months

• Fatigue

Dr. B. Todd Schaeffer has been an endoscopic sinus surgeon for over twenty years. His practice is focused on the diagnosis, treatment and research of nasal and sinus problems. He is an experienced surgeon in minimally invasive sinus office procedures and skull base surgery.

In-office polyp removal followed by a sinus implant will help open sinuses, maintain3 their patency and shrink residual polyps. The polyps will be removed with a small disposable shaver. We will be enrolling recurrent polyp patients this summer in a study to reduce polyps in the office and again avoiding general anesthesia and surgery. The polyps will be shaved and a steroid emitting implant will be placed. The patients who qualify have recurrent polyps after a previous sinus operation.

The patients who qualify for in-office sinus procedure have failed medical treatment. Typically, they have been on at least two to three antibiotics over a three month period. Most patients have suffered longer. A CT scan of the sinuses will demonstrate sinus infection or narrowed outflow tracts either causing sinusitis or predisposing them to recurrent infections. Another study starting this summer we will be using a novel sinus-dilating device (SinuSys Corporation) instead of a balloon. This expands over one hour by hydrostatic osmotic pressure. This may have the advantage of being less traumatic and easier to position than a balloon.

Avoiding general anesthesia and surgery The advantages of in-office-procedures are: minimal bleeding, quicker recovery (usually one day), avoiding general anesthesia and less post-operative swelling and pain. Patients who are on blood thinners (aspirin, Plavix, Coumadin, Eloquis, Xarelto and Lovenox), may be able to discontinue these medications for a shorter period of time.

Patients with co-morbid conditions such as asthma, diabetes, COPD, obesity and obstructive sleep apnea may not be ideal candidates for general anesthesia. These in-office procedures are ideal since the risk of general anesthesia is eliminated since the patient is awake under a local anesthetic.

Patients with tight work schedules who are unable to miss a week of work also opt for this less invasive but just as effective procedure.


View Dr. B. Todd Schaeffer’s channel on YouTube (Search NoseMD) or Google NoseMD Dr. Schaeffer was the first surgeon to perform Balloon SinuplastyTM in New York State. He was the first to perform in-office balloon sinus ostia dilation (FinESS) under local anesthesia in the northeastern United States. You can reach Dr. Schaeffer at (516) 775-2800 in Lake Success, NY 11042

www.SchaefferMD.com

Novel New Medical Devices Which Have Made In-Office Procedures A Reality For Sinus Sufferers

SinuSysTM Vent-Os® Vent catheter system delivers simple, gradual, low-pressure sinus dilation via unique osmotic self-expanding technology.

Entellus Medical XprESSTM Ultra nasal balloon catheter system. Has LED illumination system built in with separate battery power supply.

Intersect ENT : PROPEL and PROPEL mini.

A steroid emitting sinus implant placed after sinus surgery and/or polyp removal. This helps to open, deliver and maintain sinus patency.

The PolypVac is a handheld, self-contained, disposable, suction- powered microdebrider designed specifically for nasal polyp removal in the office or clinic

1. Impact of Chronic Rhinosinusitis on Work Productivity through One Year Follow-Up after Balloon Dilation of the Ethmoid Infundibulum by Stankiewicz, James; Tami, Thomas; Truitt, Theodore; Atkins, James; Winegar, Bradford; Cink, Paul; Schaeffer, B. Todd; Raviv, Joseph; Henderson, Diana; Duncavage, James; Hagaman, David, International Forum of Allergy and Rhinology Vol.1, Issue 1,Pages 38-45, Jan/Feb 2011

2. First clinic experience: patient selection and outcomes for ostial dilation for chronic rhinosinusitis. Cutler J, Truitt T, Atkins J, Winegar B, Lanier B, Schaeffer BT, Raviv J, Henderson D, Duncavage J, Stankiewicz J, Tami T. Int Forum Allergy Rhinol. 2011 Nov-Dec;1(6):460-5.

3. RESOLVE: a randomized, controlled, blinded study of bioabsorbable steroid-eluting sinus implants for in-office treatment of recurrent sinonasal polyposis. Int Forum Allergy Rhinol. 2014 Nov;4(11):861-70.

The Vent-Os™ procedure opens up new possibilities.

Expand your sinusitis treatment options

Learn more about the Vent-Os™ Sinus Dilation System at SinuSys.comMRK-0536 RevA

Rely on us to help you take the best careof your patients – and your practice.

We are your single source medical supply partner, for all your practice needs.

Henry Schein is a proud supporter and business partner of ENT and Allergy Associates, LLP

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24HR direct contact: BRUCE SALVANI(917) [email protected]/medical

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We manage your insurance solutions.

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Life I

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and H

omeo

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Risk Strategies Company strives to protect our clients with the most comprehensive competitive insurance products tailored to meet your personal and business needs. We have over 60 active relationships with insurance companies, giving us the depth and flexibility to present numerous options fitting your objectives.

For more information about Risk Strategies Company and our insurance solutions, contact Jordan Bergstein at [email protected] or 516-858-5770.

You can also visit: www.risk-strategies.comOne Hollow Lane, Suite 206 | Lake Success, NY 11042

ENT and Allergy Associates, LLP® 560 White Plains Rd., 6th FL Tarrytown, NY 10591

Entellus Medical™ balloon sinus dilation is a less invasive method to treat chronic and recurrent sinusitis. This convenient and comfortable in-office procedure gently restores sinus drainage, so you can get back to your life —most patients return to normal activity within 24 hours.1 And it’s covered by the majority of insurance companies.

“This procedure changed my life.”

View success stories at www.SinusSurgeryOptions.com

1956-081 rA 08/2015© 2015 Entellus Medical, Inc.

1 Published reference and/or data on file at Entellus Medical, Inc.Balloon sinus dilation technology may be used to treat certain conditions affecting the sinus above your eyebrows, behind your cheeks and eyes. Your physician will need to determine if your condition is one that may benefit from this treatment and can help you understand the risks and benefits of this procedure. To learn more about this procedure and the potential risks, ask your physician.

XprESS Indications for Use: To access and treat the frontal recesses, sphenoid sinus ostia, and maxillary sinus ostia/ethmoid infundibula in adults using a trans-nasal approach. The bony sinus outflow tracts are remodeled by balloon displacement of adjacent bone and paranasal sinus structures.

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician.

Entellus and XprESS are trademarks of Entellus Medical, Inc.

ST P constantly medicating. ST P suffering. ST P the sinus pressure. And breathe.

better hearing

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