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Page 1: Quality Health Plans of New York (HMO) - QHPNYqhpny.com/.../2015/10/H2773_QHPNY0816_Provider_Directory_Suffolk.pdf · Quality Health Plans of New York (HMO) Provider Directory SUFFOLK
Page 2: Quality Health Plans of New York (HMO) - QHPNYqhpny.com/.../2015/10/H2773_QHPNY0816_Provider_Directory_Suffolk.pdf · Quality Health Plans of New York (HMO) Provider Directory SUFFOLK

Quality Health Plans of New York (HMO)

Provider Directory

SUFFOLK County

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

This directory is for SUFFOLK county.

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

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

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

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

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

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

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

September 30. TTY/TDD users should call 711.

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

Health Plans of New York depends on contract renewal.

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

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

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

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

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

H2773_QHPNY0816_accepted

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

Este directorio es para el Condado de SUFFOLK county.

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

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

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

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

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

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

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

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

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

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

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

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

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

audio.

Quality Health Plans of New York (HMO)

Directorio de Proveedores

SUFFOLK County

H2773_QHPNY0816S Accepted

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Section 1 - Introduction

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

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

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

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

you must get your health care services from your PCP.

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

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

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

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

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

a specialist).

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

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

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

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

providers.

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

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

us for payment at:

Quality Health Plans of New York

Attention: Claims Processing

P.O. Box 340397

Tampa, FL 33694-0397

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

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

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

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

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

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

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

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

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

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

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

providers, and other providers.

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

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

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

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

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Sección 1 - Introducción

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

puede obtener servicios cubiertos de proveedores fuera de la red.

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

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

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

Quality Health Plans of New York

Attention: Claims Processing

P.O. Box 340397

Tampa, FL 33694-0397

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

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

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

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

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

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

costos.

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

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

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

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

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

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

proveedores.

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

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

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

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

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

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

EMERGENCY MEDICINE

Bay Shore

EMERGENCY MEDICINE

Lee, David C MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3970Fax: (631)968-3274 Languages: English

PCP3699Provider ID:

Huntington

EMERGENCY MEDICINE

Lee, David C MD

270 Park Avenue

Huntington, NY 11743

Phone: (631)351-2427Fax: (631)351-2063 Languages: English

PCP3698Provider ID:

FAMILY MEDICINE

Babylon

FAMILY MEDICINE

SPENCER, JACQUELINE M DO

23 Yacht Club Road

Babylon, NY 11702

Phone: (631)669-3323Fax: (631)669-2561 Languages: English

PCP3582Provider ID:

BAY SHORE

FAMILY MEDICINE

ALMANZAR, DULCE M MD

1377 5TH AVE

BAY SHORE, NY 11706

Phone: (631)647-3265Fax: (631)647-3266 Languages: SPANISH

PCP3686Provider ID:

FAMILY MEDICINE

RALI, MAYUR S MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)665-0305Fax: (631)665-6091 Languages: English

PCP3559Provider ID:

FAMILY MEDICINE

RALI, MAYUR S MD

1444 Fifth Avenue

Bay Shore, NY 11706

Phone: (631)675-4084Fax: (631)968-3716 Languages: English

PCP3569Provider ID:

FAMILY MEDICINE

SPENCER, JACQUELINE M DO

301 East Main Street

Bay Shore, NY 11706

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3581Provider ID:

FAMILY MEDICINE

ZONOUZI-ZADEH, FARIDEH MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)439-1551Fax: (631)853-3493 Languages: Farsi

PCP3342Provider ID:

DEER PARK

FAMILY MEDICINE

FARAHMANDPOUR, BEHROUZ

DO

375 COMMACK RD STE A

DEER PARK, NY 11729

Phone: (631)940-0409Fax: (631)940-1834 Languages: PERSIAN(FARSI),

POLI

PCP3497Provider ID:

EAST ISLIP

FAMILY MEDICINE

TORELLI, MICHAEL W MD

369 EAST MAIN ST STE 3

EAST ISLIP, NY 11730

Phone: (631)581-4500Fax: (631)581-5905 Languages: SPANISH

PCP3500Provider ID:

EAST SETAUKET

FAMILY MEDICINE

NG, CHRISTOPHER MD

100 S JERSEY AVE STE 14

EAST SETAUKET, NY 11733

Phone: (631)751-3883Fax: (631)751-3909 Languages: English

PCP3480Provider ID:

GREENPORT

FAMILY MEDICINE

KIELBASA, CHRIS DO

234 4TH AVE

GREENPORT, NY 11944

Phone: (631)477-1720Fax: (631)477-2983 Languages: English

PCP3505Provider ID:

HUNTINGTON

FAMILY MEDICINE

TIMSON, CHARLES R MD

7 LAWRENCE HILL RD

HUNTINGTON, NY 11743

Phone: (631)351-8700Fax: (631)351-6995 Languages: English

PCP3521Provider ID:

LAKE RONKONKOMA

7

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

Suffolk County - Primary Care Physicians 200 PCPs

FAMILY MEDICINE

MAZZEO, ROBERT MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)737-0100 Languages: N/A

PCP3592Provider ID:

LINDENHURST

FAMILY MEDICINE

FIUMANO, SANTO J DO

502 S WELLWOOD AVE

LINDENHURST, NY 11757

Phone: (631)226-8600Fax: (631)957-7858 Languages: English

PCP3458Provider ID:

MIDDLE ISLAND

FAMILY MEDICINE

FARAHMANDPOUR, BEHROUZ

DO

281 MIDDLE COUNTRY RD

MIDDLE ISLAND, NY 11953

Phone: (631)345-6670Fax: (631)482-1356 Languages: PERSIAN(FARSI),

POLI

PCP3697Provider ID:

FAMILY MEDICINE

KOENIG, MARK A DO

281 MIDDLE COUNTRY RD

MIDDLE ISLAND, NY 11953

Phone: (631)345-6670Fax: (631)482-1356 Languages: SPANISH

PCP3693Provider ID:

NORTH BABYLON

FAMILY MEDICINE

KROTZ, WILLIAM C MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PCP0449Provider ID:

RIVERHEAD

FAMILY MEDICINE

KIELBASA, CHRIS DO

715 ROANOKE AVE STE 3

RIVERHEAD, NY 11901

Phone: (631)963-4770Fax: (631)963-4751 Languages: English

PCP3507Provider ID:

ROCKY POINT

FAMILY MEDICINE

GIL, JOHN J MD

575 RTE 25A

ROCKY POINT, NY 11778

Phone: (631)821-9000Fax: (631)821-9114 Languages: SPANISH

PCP3555Provider ID:

SAYVILLE

FAMILY MEDICINE

TSARKALIS, MARTHA MD

160 MIDDLE RD STE 3

SAYVILLE, NY 11782

Phone: (631)589-4747Fax: (631)319-1695 Languages: SPANISH, GREEK

PCP3685Provider ID:

SHELTER ISLAND

FAMILY MEDICINE

KIELBASA, CHRIS DO

444 SOUTH FERRY RD

SHELTER ISLAND, NY 11964

Phone: Fax: Languages: English

PCP3506Provider ID:

SHIRLEY

FAMILY MEDICINE

MANDAL, KUMAR S MD

2 CORACI BLVD STE 10

SHIRLEY, NY 11967

Phone: (631)281-2600Fax: (631)281-6732 Languages: BANGLA

PCP3554Provider ID:

FAMILY MEDICINE

TOMASSO, ANTHONY DO

2 CORACI BLVD STE 4

SHIRLEY, NY 11967

Phone: (631)281-8670Fax: (631)281-8242 Languages: English

PCP3457Provider ID:

SMITHTOWN

FAMILY MEDICINE

TSARKALIS, MARTHA MD

222 MIDDLE COUNTRY RD STE

103

SMITHTOWN, NY 11787

Phone: (631)265-2222Fax: (631)265-2227 Languages: SPANISH, GREEK

PCP3684Provider ID:

STONY BROOK

8

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

FAMILY MEDICINE

EHRLICH, MARTIN H MD

2500 NESCONSET HWY BLDG

7D

STONY BROOK, NY 11790

Phone: (631)751-3322Fax: (631)751-3844 Languages: English

PCP3423Provider ID:

FAMILY MEDICINE

FISHKIN, MICHAEL M DO

2500 NESCONSET HWY BLDG#

7D

STONY BROOK, NY 11790

Phone: (631)751-3322Fax: (631)751-3844 Languages: English

PCP3460Provider ID:

WEST BABYLON

FAMILY MEDICINE

FIUMANO, SANTO J DO

555 LITTLE EAST NECK RD STE

6

WEST BABYLON, NY 11704

Phone: (631)661-4600Fax: (631)661-4352 Languages: English

PCP3459Provider ID:

West Islip

FAMILY MEDICINE

SPENCER, JACQUELINE M DO

1000 Montauk Highway

West Islip, NY 11795

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3580Provider ID:

FAMILY MEDICINE

SPENCER, JACQUELINE M DO

500 MONTAUK HIGHWAY, SUITE

S

WEST ISLIP, NY 11795

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3579Provider ID:

FAMILY PRACTICE

BABYLON

FAMILY PRACTICE

MESSINEO, MARC J DO

200 W MAIN ST BLDG A STE

A103

BABYLON, NY 11702

Phone: (631)893-5510Fax: (631)893-5394 Languages: English

PCP0756Provider ID:

BAY SHORE

FAMILY PRACTICE

CANAVIRE WEBER, CARLA DO

1745 UNION BLVD

BAY SHORE, NY 11706

Phone: (631)328-5560Fax: (631)328-5559 Languages: SPANISH, ENGLISH

PCP0058Provider ID:

FAMILY PRACTICE

Iroku-Malize, Tochi I MD

1444 Fifth Avenue

Bay Shore, NY 11706

Phone: (631)675-4084Fax: (631)968-3716 Languages: English

PCP3682Provider ID:

FAMILY PRACTICE

MURATORI, JOHN MD

158 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)665-5634Fax: (631)665-5639 Languages: English

PCP0674Provider ID:

FAMILY PRACTICE

Nienstedt, Anne V MD

180 East Main Street

Bay Shore, NY 11706

Phone: (631)665-0027Fax: (631)665-0172 Languages: English

PCP3390Provider ID:

FAMILY PRACTICE

O'Donoghue-Kitt, Christine M MD

1444 Fifth Avenue

Bay Shore, NY 11706

Phone: (631)647-3100Fax: (631)969-8618 Languages: English

PCP2584Provider ID:

FAMILY PRACTICE

Philippe, Neubert MD

1444 Fifth Avenue

Bay Shore, NY 11706

Phone: (631)968-3295Fax: (631)968-4241 Languages: English

PCP3703Provider ID:

FAMILY PRACTICE

PILCHMAN, MARTHA MD

85 W MAIN ST, STE 101

BAY SHORE, NY 11706

Phone: (631)666-1400Fax: (631)666-5781 Languages: SPANISH

PCP0676Provider ID:

9

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

FAMILY PRACTICE

RIZZO, ANTHONY J DO

340 HOWELLS RD STE B

BAY SHORE, NY 11706

Phone: (631)666-1956Fax: (631)666-1957 Languages: ITALIAN, SPANISH

PCP0897Provider ID:

COMMACK

FAMILY PRACTICE

SISSELMAN, JILL DO

2171 JERICHO TPKE STE 135

COMMACK, NY 11725

Phone: (631)670-6525Fax: (631)670-6526 Languages: English

PCP0881Provider ID:

DEER PARK

FAMILY PRACTICE

DIMARIA, FRANCINE P DO

2090 DEER PARK AVE

DEER PARK, NY 11729

Phone: (631)667-9440Fax: (631)667-3018 Languages: English

PCP0914Provider ID:

EAST ISLIP

FAMILY PRACTICE

FERGUSON, JAMES W MD

170 WEST MAIN STREET

EAST ISLIP, NY 11730

Phone: (631)581-2049Fax: (631)581-3354 Languages: SPANISH

PCP0024Provider ID:

EAST SETAUKET

FAMILY PRACTICE

KONCZYNIN, WILLIAM T MD

7 S JERSEY AVE

EAST SETAUKET, NY 11733

Phone: (631)689-2700Fax: (631)689-7557 Languages: SPANISH

PCP0051Provider ID:

FAMILY PRACTICE

SCHILLER, KEVIN DO

4 TECHNOLOGY DR STE 210

EAST SETAUKET, NY 11733

Phone: (631)331-1506Fax: (631)331-1705 Languages: English

PCP3412Provider ID:

FAMILY PRACTICE

SCHILLER, KEVIN J DO

4 TECHNOLOGY DR STE 210

EAST SETAUKET, NY 11733

Phone: (631)331-1506Fax: (631)331-1705 Languages: English

PCP0032Provider ID:

Greenlawn

FAMILY PRACTICE

Desai, Saili MD

284 Pulaski Road STE 1

Greenlawn, NY 11740

Phone: (631)425-5250Fax: (631)425-0140 Languages: English

PCP1222Provider ID:

FAMILY PRACTICE

George, Brenda P MD

284 Pulaski RoadV STE 1

Greenlawn, NY 11740

Phone: (631)425-5250Fax: (631)425-0140 Languages: English

PCP1158Provider ID:

GREENPORT

FAMILY PRACTICE

KLEIN, STEVEN E MD

234 FOURTH AVE

GREENPORT, NY 11944

Phone: (631)477-1720Fax: (631)477-2983 Languages: English

PCP3222Provider ID:

Islip Terrace

FAMILY PRACTICE

Cofler-Koldorff, Mara J MD

2915 Sunrise Highway

Islip Terrace, NY 11752

Phone: (631)446-1006Fax: (631)446-1009 Languages: English

PCP1473Provider ID:

FAMILY PRACTICE

Giraldo, Nelson R MD

2915 Sunrise Highway

Islip Terrace, NY 11752

Phone: (631)446-1006Fax: (631)446-1009 Languages: English

PCP1168Provider ID:

LAKE GROVE

FAMILY PRACTICE

SELTER, STEVEN G MD

3053 MIDDLE COUNTRY RD

LAKE GROVE, NY 11755

Phone: (631)588-5800Fax: (631)588-5802 Languages: SPANISH

PCP0675Provider ID:

LAKE RONKONKOMA

FAMILY PRACTICE

TAKO, MODESTA M MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: GERMAN, FRENCH

PCP0442Provider ID:

10

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

FAMILY PRACTICE

VINAYAGASUNDARAM, B MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: TAMIL, TELUGU

PCP0440Provider ID:

LINDENHURST

FAMILY PRACTICE

BERLEY, STEVEN A DO

290 E SUNRISE HIGHWAY

LINDENHURST, NY 11757

Phone: (631)226-3600Fax: (631)991-7535 Languages: SPANISH

PCP0052Provider ID:

FAMILY PRACTICE

HOERNING, KEITH R DO

290 E SUNRISE HIGHWAY

LINDENHURST, NY 11757

Phone: (631)226-3600Fax: (631)226-3607 Languages: SPANISH, GERMAN

PCP0034Provider ID:

FAMILY PRACTICE

QUINTANA, ANDREA DO

21 W HOFFMAN AVE

LINDENHURST, NY 11757

Phone: (631)225-2999Fax: (631)225-2104 Languages: SPANISH

PCP0766Provider ID:

FAMILY PRACTICE

RAIO, MICHAEL A DO

502 S WELLWOOD AVE

LINDENHURST, NY 11757

Phone: (631)226-8600Fax: (631)957-7858 Languages: SPANISH

PCP3426Provider ID:

MOUNT SINAI

FAMILY PRACTICE

SELTER, STEVEN G MD

5499 NESCONSET HIGHWAY

MOUNT SINAI, NY 11766

Phone: (631)588-5800Fax: Languages: SPANISH

PCP3211Provider ID:

NORTH BABYLON

FAMILY PRACTICE

BOLLHOFER, WILLIAM J DO

1350 DEER PARK AVE

NORTH BABYLON, NY 11703

Phone: (631)422-3200Fax: (631)422-6597 Languages: English

PCP0912Provider ID:

FAMILY PRACTICE

KAMINENI, BHARATHI MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PCP0149Provider ID:

FAMILY PRACTICE

MAZID, MOHAMMAD N MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: BENGALI, HINDI

PCP0446Provider ID:

PATCHOGUE

FAMILY PRACTICE

DOUCET, CHRISTINE M MD *

130 MEDFORD AVE

PATCHOGUE, NY 11772

Phone: (631)475-5734Fax: (631)758-2568 Languages: English

PCP3174Provider ID:

FAMILY PRACTICE

GUEST, SIMONE K DO *

130 MEDFORD AVE

PATCHOGUE, NY 11772

Phone: (631)475-5734Fax: (631)758-2568 Languages: English

PCP3175Provider ID:

FAMILY PRACTICE

PATEL, NILESHKUMAR G MD

1 EAST ROE BLVD

PATCHOGUE, NY 11772

Phone: (631)475-3900Fax: (631)475-5166 Languages: GUJARATI, HINDI

PCP0772Provider ID:

FAMILY PRACTICE

WANG, ANDREW S DO *

130 MEDFORD AVE

PATCHOGUE, NY 11772

Phone: (631)475-5734Fax: (631)758-2568 Languages: English

PCP3176Provider ID:

PORT JEFFERSON STATION

FAMILY PRACTICE

CHAUDRY, AZIZ MD

2 MEDICAL DR STE B

PORT JEFFERSON STATION, NY

11776

Phone: (631)928-1414Fax: (631)928-1830 Languages: SPANISH

PCP0427Provider ID:

RIVERHEAD

FAMILY PRACTICE

KLEIN, STEVEN E MD

715 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)963-4770Fax: (631)963-4751 Languages: English

PCP0915Provider ID:

11

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

FAMILY PRACTICE

VELIATH, JOHN G MD

1228 EAST MAIN ST

RIVERHEAD, NY 11901

Phone: (631)603-3400Fax: (631)603-3401 Languages: SPANISH

PCP3544Provider ID:

RONKONKOMA

FAMILY PRACTICE

NOMBERG, ANDREA E MD

709 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)588-0880Fax: (631)588-0391 Languages: SPANISH

PCP0921Provider ID:

Saint James

FAMILY PRACTICE

Belding, Alfred P MD

273 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1558Provider ID:

FAMILY PRACTICE

Belding, Alfred P MD

275 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1559Provider ID:

FAMILY PRACTICE

Dragone, James A MD

273 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1725Provider ID:

FAMILY PRACTICE

Dragone, James A MD

275 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1726Provider ID:

FAMILY PRACTICE

O'Brien, Kristen A MD

273 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2577Provider ID:

FAMILY PRACTICE

O'Brien, Kristen A MD

275 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2578Provider ID:

FAMILY PRACTICE

RIZZO, ANTHONY J DO

433 LAKE AVE

SAINT JAMES, NY 11780

Phone: (631)686-5040Fax: (631)584-6098 Languages: ITALIAN, SPANISH

PCP3410Provider ID:

FAMILY PRACTICE

Shetty, Sharmilee V MD

273 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2320Provider ID:

FAMILY PRACTICE

Shetty, Sharmilee V MD

275 Moriches Road

Saint James, NY 11780

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2321Provider ID:

SELDEN

FAMILY PRACTICE

AHMED, BASHIR MD

1305 MIDDLE COUNTRY RD

SELDEN, NY 11784

Phone: (631)320-3053Fax: (631)320-3054 Languages: URDU PUNJABI

PCP0074Provider ID:

FAMILY PRACTICE

KENNY, DANIELE MD

1312 MIDDLE COUNTRY RD

SELDEN, NY 11784

Phone: (631)698-6556Fax: (631)698-1021 Languages: English

PCP0461Provider ID:

SHELTER ISLAND

FAMILY PRACTICE

KELT, PETER A MD

44 S FERRY RD

SHELTER ISLAND, NY 11964

Phone: (631)749-3149Fax: (631)749-4257 Languages: English

PCP0664Provider ID:

FAMILY PRACTICE

KLEIN, STEVEN E MD

44 SOUTH FERRY RD

SHELTER ISLAND, NY 11964

Phone: (631)749-3149Fax: (631)749-4257 Languages: English

PCP3223Provider ID:

12

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

FAMILY PRACTICE

PHILLIPS-COLE, BARBARA A

MD

44 SOUTH FERRY RD

SHELTER ISLAND, NY 11964

Phone: (631)749-3149Fax: (631)749-4257 Languages: English

PCP3207Provider ID:

SHIRLEY

FAMILY PRACTICE

THIPPESWAMY, HABBALMATH

M MD

2 CORACI BLVD

SHIRLEY, NY 11967

Phone: (631)281-4861Fax: (631)281-8546 Languages: English

PCP3209Provider ID:

SHOREHAM

FAMILY PRACTICE

RUGGIERO, GEORGE DO

54 WOODVILLE RD

SHOREHAM, NY 11786

Phone: (631)929-1256Fax: (631)929-8313 Languages: English

PCP0847Provider ID:

Smithtown

FAMILY PRACTICE

Belding, Alfred P MD

48 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1560Provider ID:

FAMILY PRACTICE

Belding, Alfred P MD

52 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1561Provider ID:

FAMILY PRACTICE

Belding, Alfred P MD

9 Brooksite Drive

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1562Provider ID:

FAMILY PRACTICE

COHEN, PAUL A DO

994 JERICHO TPKE STE 201

SMITHTOWN, NY 11787

Phone: (631)864-4499Fax: (631)864-6023 Languages: English

PCP0904Provider ID:

FAMILY PRACTICE

Dragone, James A MD

9 Brooksite Drive

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1729Provider ID:

FAMILY PRACTICE

Dragone, James A MD

48 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1727Provider ID:

FAMILY PRACTICE

Dragone, James A MD

52 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP1728Provider ID:

FAMILY PRACTICE

O Brien, Kristen A MD

9 Brooksite Drive

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2581Provider ID:

FAMILY PRACTICE

O'Brien, Kristen A MD

48 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2579Provider ID:

FAMILY PRACTICE

O'Brien, Kristen A MD

52 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2580Provider ID:

FAMILY PRACTICE

Shetty, Sharmilee V MD

48 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2322Provider ID:

13

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

FAMILY PRACTICE

Shetty, Sharmilee V MD

52 Route 25A

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2323Provider ID:

FAMILY PRACTICE

Shetty, Sharmilee V MD

9 Brooksite Drive

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)724-0336 Languages: English

PCP2324Provider ID:

SOUTHAMPTON

FAMILY PRACTICE

BRAUN, STEPHEN DO

349 MEETINGHOUSE LN

SOUTHAMPTON, NY 11968

Phone: (631)377-3630Fax: (631)377-3631 Languages: SPANISH, GERMAN

PCP3513Provider ID:

STONY BROOK

FAMILY PRACTICE

LI, FANGQIN F MD

2500 NESCONSET HWY BLDG

6D

STONY BROOK, NY 11790

Phone: (631)751-5550Fax: (631)689-5472 Languages: CHINESE

PCP2993Provider ID:

FAMILY PRACTICE

MATTIMOE, DEREK N MD

2500 NESCONSET HWY BLDG#

7D

STONY BROOK, NY 11790

Phone: (631)751-3322Fax: (631)751-3844 Languages: English

PCP3421Provider ID:

FAMILY PRACTICE

MONETTI, HENRY J DO

2500 NESCONSET HWY BLDG# 7

STONY BROOK, NY 11790

Phone: (631)751-3322Fax: (631)751-3844 Languages: English

PCP3422Provider ID:

FAMILY PRACTICE

WHITE, JOSEPH C MD

2500 NESCONSET HWY

BLDG#7D

STONY BROOK, NY 11790

Phone: (631)751-3322Fax: (631)751-3844 Languages: English

PCP3411Provider ID:

WADING RIVER

FAMILY PRACTICE

SELTER, STEVEN G MD

5972 ROUTE 25A

WADING RIVER, NY 11792

Phone: (631)929-0304Fax: (631)929-0380 Languages: SPANISH

PCP0530Provider ID:

FAMILY PRACTICE

VELIATH, JOHN G MD

271 RTE 25A

WADING RIVER, NY 11792

Phone: (631)929-4100Fax: (631)929-4150 Languages: SPANISH

PCP3545Provider ID:

West Babylon

FAMILY PRACTICE

Anand, Saloni MD

120 Route 109

West Babylon, NY 11704

Phone: (631)422-3636Fax: (631)422-2788 Languages: English

PCP0954Provider ID:

FAMILY PRACTICE

Bodoutchian, Ani A MD

120 Route 109

West Babylon, NY 11704

Phone: (631)422-3636Fax: (631)422-2788 Languages: English

PCP1406Provider ID:

FAMILY PRACTICE

Brasil-Kolich, Nancy P MD

120 Route 109

West Babylon, NY 11704

Phone: (631)422-3636Fax: (631)422-2788 Languages: English

PCP1385Provider ID:

FAMILY PRACTICE

RAIO, MICHAEL A DO

555 LITTLE EAST NECK RD STE

6

WEST BABYLON, NY 11704

Phone: (631)661-4600Fax: (631)661-4352 Languages: SPANISH

PCP3424Provider ID:

GENERAL PRACTICE

AMITYVILLE

GENERAL PRACTICE

POLOFSKY, ROBERT S DO

221 BROADWAY #207

AMITYVILLE, NY 11701

Phone: (631)598-0009Fax: (631)368-4891 Languages: SPANISH, POLISH

PCP3501Provider ID:

CENTER MORICHES

14

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

GENERAL PRACTICE

SINHA, HIRENDRA P MD

4 UNION AVE PO BOX 1145

CENTER MORICHES, NY 11934

Phone: (631)878-8667Fax: (631)878-8139 Languages: HINDI

PCP3539Provider ID:

INTERNAL MEDICINE

AMITYVILLE

INTERNAL MEDICINE

ELKOULILY, AHMED MD

357 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)789-7900Fax: (631)608-8492 Languages: SPANISH, ARABIC,

HIN

PCP0901Provider ID:

INTERNAL MEDICINE

GHOSHAL, PIYA MD

116 BROADWAY STE 6

AMITYVILLE, NY 11701

Phone: (631)264-8600Fax: (631)264-8403 Languages: English

PCP0337Provider ID:

INTERNAL MEDICINE

GULATI, VINOD MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)789-2020Fax: (631)789-5669 Languages: HINDI

PCP0476Provider ID:

INTERNAL MEDICINE

HUSSAIN, MOHAMMAD S MD

317 BROADWAY, STE. B

AMITYVILLE, NY 11701

Phone: (631)598-4897Fax: (631)464-4107 Languages: URDU, HINDI

PCP0402Provider ID:

BABYLON

INTERNAL MEDICINE

CARLIN, ROBERT L MD

38 JAMES ST

BABYLON, NY 11702

Phone: (631)321-8337Fax: (631)321-9347 Languages: SPANISH

PCP3567Provider ID:

INTERNAL MEDICINE

HWANG, YUAN T MD

626 DEER PARK AVE

BABYLON, NY 11702

Phone: (631)661-6004Fax: (631)661-2098 Languages: TAIWANESE,

MANDIRIN

PCP3462Provider ID:

INTERNAL MEDICINE

LIN, MATTHEW M MD

626 DEER PARK AVE

BABYLON, NY 11702

Phone: (631)661-6004Fax: (631)661-2098 Languages: English

PCP3477Provider ID:

Bay Shore

INTERNAL MEDICINE

Campbell, Lawrence MD

32 East Main Street

Bay Shore, NY 11706

Phone: (631)969-9600Fax: (631)968-7624 Languages: English

PCP1190Provider ID:

INTERNAL MEDICINE

DATE, PRAVIN R MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)675-4084Fax: (631)968-3716 Languages: Spanish

PCP3570Provider ID:

INTERNAL MEDICINE

DHARSEE, ARIF A MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3665Provider ID:

INTERNAL MEDICINE

GABITTO, ROBERTO S DO

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3000Fax: (631)446-1009 Languages: Spanish

PCP3568Provider ID:

INTERNAL MEDICINE

Hallal, Edward J MD

180 East Main Street

Bay Shore, NY 11706

Phone: (631)665-0027Fax: (631)665-0172 Languages: English

PCP2090Provider ID:

INTERNAL MEDICINE

Leon, Jose S MD

200 Howells Road

Bay Shore, NY 11706

Phone: (631)665-5074Fax: (631)665-1852 Languages: English

PCP2046Provider ID:

INTERNAL MEDICINE

Leon, Jose S MD

375 East Main Street

Bay Shore, NY 11706

Phone: (631)665-5074Fax: (631)665-1852 Languages: Spanish

PCP0809Provider ID:

15

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

INTERNAL MEDICINE

MICHALOWICZ, RICHARD F MD

21 SHORE LANE

BAY SHORE, NY 11706

Phone: (631)665-7378Fax: Languages: SPANISH

PCP3549Provider ID:

INTERNAL MEDICINE

NASH, BERNARD MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3574Provider ID:

INTERNAL MEDICINE

Siegelheim, Mark MD

200 Howells Road

Bay Shore, NY 11706

Phone: (631)665-5074Fax: (631)665-1852 Languages: English

PCP2144Provider ID:

BRENTWOOD

INTERNAL MEDICINE

LEDDY, VINCENT R MD

160 4TH ST

BRENTWOOD, NY 11717

Phone: (631)273-7105Fax: (631)273-7253 Languages: SPANISH

PCP3689Provider ID:

INTERNAL MEDICINE

ROQUE, PEDRO J MD

600 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)435-2133Fax: (631)435-4365 Languages: English

PCP3687Provider ID:

CENTER MORICHES

INTERNAL MEDICINE

KAMDAR, NITIN B MD

760 MONTAUK HWY STE 7

CENTER MORICHES, NY 11934

Phone: (631)281-5200Fax: (631)909-3661 Languages: HINDI

PCP0657Provider ID:

CENTEREACH

INTERNAL MEDICINE

FARIDI, NUZHAT Z MD

18 EASTWOOD BLVD

CENTEREACH, NY 11720

Phone: (631)467-3600Fax: (631)467-3755 Languages: URDU, HINDI,

PUNJABI

PCP0759Provider ID:

COMMACK

INTERNAL MEDICINE

SISSELMAN, STEPHEN G DO

2171 JERICHO TPKE STE 135

COMMACK, NY 11725

Phone: (631)670-6525Fax: (631)670-6526 Languages: English

PCP0882Provider ID:

COPIAGUE

INTERNAL MEDICINE

SYGNAROWICZ, KRZYSZTOF

MD

5 CEDAR CT

COPIAGUE, NY 11726

Phone: (631)789-4187Fax: (631)789-4747 Languages: POLISH

PCP3692Provider ID:

DEER PARK

INTERNAL MEDICINE

TCHAO, PAUL MD

2043 DEER PARK AVE

DEER PARK, NY 11729

Phone: (631)242-8488Fax: (631)274-3505 Languages: FRENCH

CANTONESE

PCP0663Provider ID:

EAST SETAUKET

INTERNAL MEDICINE

HUSSAIN, ZEENAT MD

4 TECHNOLOGY DRIVE STE 130

EAST SETAUKET, NY 11733

Phone: (631)751-0114Fax: (631)751-0118 Languages:

BENGALI/HINDI/SPANIS

PCP0053Provider ID:

GREENPORT

INTERNAL MEDICINE

GOODEN, CAMILE A MD

234 FOURTH AVE

GREENPORT, NY 11944

Phone: (631)477-1720Fax: (631)477-2983 Languages: English

PCP3220Provider ID:

INTERNAL MEDICINE

KAPLAN, MEL B MD

234 FOURTH AVE

GREENPORT, NY 11944

Phone: (631)477-0070Fax: (631)477-8983 Languages: English

PCP0920Provider ID:

Huntington

16

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

INTERNAL MEDICINE

Anto, Maliakal J MD

13 Central Street

Huntington, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PCP3130Provider ID:

INTERNAL MEDICINE

GHOBRIAL, MICHEL W MD

124 MAIN ST STE 12

HUNTINGTON, NY 11743

Phone: (631)271-6406Fax: (631)271-6436 Languages: SPANISH, ARABIC,

FRE

PCP3180Provider ID:

INTERNAL MEDICINE

KAZENOFF, ROBERT MD

205 E MAIN ST STE 2-7B

HUNTINGTON, NY 11743

Phone: (631)351-9100Fax: (631)351-9110 Languages: English

PCP0104Provider ID:

INTERNAL MEDICINE

LIANG, ELLEN MD

1880 E JERICHO TPKE 1FL

HUNTINGTON, NY 11743

Phone: (631)629-4628Fax: (631)629-4629 Languages: MANDARIN AND

CANTONE

PCP0645Provider ID:

INTERNAL MEDICINE

Moulinie, Paul C MD

13 Central Street

Huntington, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PCP3186Provider ID:

HUNTINGTON STATION

INTERNAL MEDICINE

LIANG, WEINING MD

33 WALT WHITMAN RD #100A

HUNTINGTON STATION, NY

11746

Phone: (631)271-3310Fax: (631)271-3188 Languages: CHINESE AND

ENGLISH

PCP0570Provider ID:

ISLIP TERRACE

INTERNAL MEDICINE

GABITTO, ROBERTO S DO

2915 SUNRISE HIGHWAY

ISLIP TERRACE, NY 11752

Phone: (631)446-1006Fax: (631)446-1009 Languages: Spanish

PCP3562Provider ID:

INTERNAL MEDICINE

PARIKH, PRAKASH MD

111 CARLETON AVENUE SUITE #

6

ISLIP TERRACE, NY 11752

Phone: (631)581-0300Fax: (631)650-7855 Languages: GUJARATI

PCP0743Provider ID:

INTERNAL MEDICINE

WOMACK, LAWRENCE H MD

2941 SUNRISE HWY

ISLIP TERRACE, NY 11752

Phone: (631)277-0051Fax: (631)277-2690 Languages: SPANISH

PCP3548Provider ID:

KINGS PARK

INTERNAL MEDICINE

PINCUS, DEBRA MD

65 INDIAN HEAD RD STE 2

KINGS PARK, NY 11754

Phone: (631)269-0180Fax: (631)269-0178 Languages: SPANISH

PCP3168Provider ID:

Lake Ronkonkoma

INTERNAL MEDICINE

Chadha, Manish M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1117 Languages: English

PCP0698Provider ID:

INTERNAL MEDICINE

KAPLINSKY, DIANA DO

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)737-0100 Languages: Russian, Ukrainian

PCP3591Provider ID:

INTERNAL MEDICINE

KOCHAR, JASJIT S MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: English

PCP0153Provider ID:

INTERNAL MEDICINE

LEE, MICHAEL A MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: English

PCP0157Provider ID:

17

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

Suffolk County - Primary Care Physicians 200 PCPs

INTERNAL MEDICINE

SINGH, TARA MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)737-0100 Languages: N/A

PCP3593Provider ID:

LINDENHURST

INTERNAL MEDICINE

BALOT, BARRY H DO

150 EAST SUNRISE HWY STE

101

LINDENHURST, NY 11757

Phone: (631)225-6200Fax: (631)225-3419 Languages: English

PCP3210Provider ID:

INTERNAL MEDICINE

LIVOTI, CHARLES C DO

502 S WELLWOOD AVE

LINDENHURST, NY 11757

Phone: (631)226-8600Fax: (631)957-7858 Languages: ITALIAN

PCP3419Provider ID:

INTERNAL MEDICINE

MATTHEOS, MARY P MD

350 WEST MONTAUK HWY

LINDENHURST, NY 11757

Phone: (631)226-0388Fax: (631)226-2992 Languages: GREEK

PCP3533Provider ID:

MELVILLE

INTERNAL MEDICINE

WEINGARTEN, CLIFFORD M MD

2 LEEFIELD GATE

MELVILLE, NY 11747

Phone: (631)427-7651Fax: (631)549-1526 Languages: English

PCP0101Provider ID:

MIDDLE ISLAND

INTERNAL MEDICINE

LEE, MICHAEL A MD

281 MIDDLE COUNTRY RD

MIDDLE ISLAND, NY 11953

Phone: (631)345-6670Fax: (631)482-1356 Languages: SPANISH

PCP3694Provider ID:

MILLER PLACE

INTERNAL MEDICINE

DHILLON, JAGPREET MD

43 RADIO AVE

MILLER PLACE, NY 11764

Phone: (631)821-8911Fax: (631)821-8912 Languages: English

PCP0025Provider ID:

NORTH BABYLON

INTERNAL MEDICINE

CHADHA, MANISH MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)491-8611 Languages: HINDI, PUNJABI

PCP0122Provider ID:

INTERNAL MEDICINE

CIPOLLA, ANTHONY MD

1350 DEER PARK AVE

NORTH BABYLON, NY 11703

Phone: (631)422-3200Fax: (631)422-6597 Languages: SPANISH

PCP0911Provider ID:

INTERNAL MEDICINE

GOSWAMY, ICHCHA MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: HINDI, PUNJADI,

SPANISH

PCP0138Provider ID:

INTERNAL MEDICINE

GREENBERG, RONALD MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)491-8613 Languages: SPANISH

PCP3597Provider ID:

INTERNAL MEDICINE

RAO, JHANSI L MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: HINDI, TELUGU

PCP0176Provider ID:

PATCHOGUE

INTERNAL MEDICINE

FAROQUI, FAZAL G DO

1 EAST ROE BLVD

PATCHOGUE, NY 11772

Phone: (631)475-3900Fax: (631)475-5166 Languages: HINDI, URDU

PCP0770Provider ID:

INTERNAL MEDICINE

MAKAVANA, JAYESHKUMAR

MD

1 E ROE BLVD

PATCHOGUE, NY 11772

Phone: (631)475-3900Fax: (631)475-5166 Languages: GUJARATI

PCP0771Provider ID:

INTERNAL MEDICINE

SHILPEE, FERDOUSI MD

504 MEDFORD AVE

PATCHOGUE, NY 11772

Phone: (631)475-4646Fax: (631)447-5234 Languages: English

PCP3512Provider ID:

PORT JEFFERSON

18

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

INTERNAL MEDICINE

FISHBERGER, KENNETH I MD

200 BELLE TERRE RD STE 110

PORT JEFFERSON, NY 11777

Phone: (631)642-9801Fax: (631)642-9805 Languages: SPANISH

PCP3170Provider ID:

PORT JEFFERSON STATION

INTERNAL MEDICINE

KOLUPOTI, SIVA K MD

2 MEDICAL DRIVE SUITE D

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-5010Fax: (631)331-5017 Languages: English

PCP0040Provider ID:

RIVERHEAD

INTERNAL MEDICINE

GOODEN, CAMILE A MD

715 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)963-4770Fax: (631)963-4751 Languages: English

PCP3152Provider ID:

INTERNAL MEDICINE

KORNRICH, WILLIAM J MD

715 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)963-4770Fax: (631)963-4751 Languages: POLISH

PCP0065Provider ID:

INTERNAL MEDICINE

STEEL, LILLY MD

1267 EAST MAIN ST STE A

RIVERHEAD, NY 11901

Phone: (631)727-7100Fax: (631)727-6754 Languages: POLISH

PCP0916Provider ID:

RONKONKOMA

INTERNAL MEDICINE

GREENBERG, RONALD MD

640 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1117 Languages: SPANISH

PCP0140Provider ID:

INTERNAL MEDICINE

LONE, ANSER MD

640 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1117 Languages: URDU, PUNJABI

PCP3455Provider ID:

INTERNAL MEDICINE

RAVINDRAN, SUGANTHI MD

709 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)588-0880Fax: (631)588-0391 Languages: English

PCP0757Provider ID:

SAINT JAMES

INTERNAL MEDICINE

CHAUDHARI, NEENA MD

403 LAKE AVE

SAINT JAMES, NY 11780

Phone: (631)862-7062Fax: (631)862-7114 Languages: HINDI

PCP3416Provider ID:

INTERNAL MEDICINE

CHAUDHARI, NEENA MD

275 MORICHES RD

SAINT JAMES, NY 11780

Phone: (631)862-7062Fax: (631)862-7114 Languages: HINDI

PCP3417Provider ID:

INTERNAL MEDICINE

OBRIEN, DENNIS S MD

403 LAKE AVE

SAINT JAMES, NY 11780

Phone: (631)862-7062Fax: (631)862-7114 Languages: English

PCP0884Provider ID:

INTERNAL MEDICINE

OBRIEN, DENNIS S MD

275 MORICHES RD

SAINT JAMES, NY 11780

Phone: (631)862-7062Fax: (631)862-7114 Languages: English

PCP0885Provider ID:

INTERNAL MEDICINE

THOMPSON, BRUCE F MD

403 LAKE AVE

SAINT JAMES, NY 11780

Phone: (631)862-7062Fax: (631)862-7114 Languages: SPANISH

PCP0883Provider ID:

SAYVILLE

INTERNAL MEDICINE

BOULUKOS, SOPHIA MD

160 MIDDLE RD STE 3

SAYVILLE, NY 11782

Phone: (631)589-4747Fax: (631)319-1695 Languages: GREEK

PCP3691Provider ID:

SHELTER ISLAND

INTERNAL MEDICINE

GOODEN, CAMILE A MD

44 SOUTH FERRY RD

SHELTER ISLAND, NY 11964

Phone: (631)749-3149Fax: (631)749-4257 Languages: English

PCP3221Provider ID:

SHOREHAM

19

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

INTERNAL MEDICINE

HOFFMANN, ERIC A MD

45 RTE 25A STE C

SHOREHAM, NY 11786

Phone: (631)744-3303Fax: (631)744-1627 Languages: English

PCP3478Provider ID:

INTERNAL MEDICINE

KOUSOUROU, HARITON MD

45 RTE 25A STE C

SHOREHAM, NY 11786

Phone: (631)744-3303Fax: (631)744-1627 Languages: English

PCP3479Provider ID:

SMITHTOWN

INTERNAL MEDICINE

AZIZ, FARZANA MD

994 JERICHO TPKE STE 201

SMITHTOWN, NY 11787

Phone: (631)864-4499Fax: (631)864-6023 Languages: SPANISH

PCP0928Provider ID:

INTERNAL MEDICINE

BLENNER, DEBORAH S MD

323 MIDDLE COUNTRY RD STE 3

SMITHTOWN, NY 11787

Phone: (631)656-8171Fax: (631)656-8173 Languages: English

PCP2995Provider ID:

INTERNAL MEDICINE

BOULUKOS, SOPHIA MD

222 MIDDLE COUNTRY RD STE

103

SMITHTOWN, NY 11787

Phone: (631)265-2222Fax: (631)265-2227 Languages: GREEK

PCP3690Provider ID:

INTERNAL MEDICINE

BRENER, DARA G MD

48 RTE 25A STE 303

SMITHTOWN, NY 11787

Phone: (631)862-3696Fax: (631)862-3698 Languages: English

PCP0855Provider ID:

INTERNAL MEDICINE

OBRIEN, DENNIS S MD

50 RTE 25A

SMITHTOWN, NY 11787

Phone: (631)862-7062Fax: (631)862-7114 Languages: English

PCP0887Provider ID:

INTERNAL MEDICINE

OBRIEN, DENNIS S MD

994 JERICHO TPKE STE 201

SMITHTOWN, NY 11787

Phone: (631)864-4499Fax: (631)864-6023 Languages: English

PCP0895Provider ID:

INTERNAL MEDICINE

THOMPSON, BRUCE F MD

994 JERICHO TPKE STE 201

SMITHTOWN, NY 11787

Phone: (631)862-7062Fax: (631)864-6023 Languages: SPANISH

PCP0894Provider ID:

WEST BABYLON

INTERNAL MEDICINE

LIVOTI, CHARLES C DO

555 LITTLE EAST NECK RD STE

6

WEST BABYLON, NY 11704

Phone: (631)661-4352Fax: (631)957-7858 Languages: ITALIAN

PCP3420Provider ID:

WEST ISLIP

INTERNAL MEDICINE

DHARSEE, ARIF A MD

500 MONTAUK HIGHWAY, SUITE

S

WEST ISLIP, NY 11795

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3657Provider ID:

INTERNAL MEDICINE

DHARSEE, ARIF A MD

1000 Montauk Highway

West Islip, NY 11795

Phone: (631)376-3000Fax: (631)587-7798 Languages: English

PCP3666Provider ID:

INTERNAL MEDICINE

GHOSHAL, PIYA MD

400 MONTAUK HWY STE 111

WEST ISLIP, NY 11795

Phone: (631)587-9009Fax: (631)893-3480 Languages: English

PCP0902Provider ID:

INTERNAL MEDICINE

Hallal, Edward J MD

1000 Montauk Highway

West Islip, NY 11795

Phone: (631)376-3000Fax: (631)665-0172 Languages: English

PCP2089Provider ID:

INTERNAL MEDICINE

HAQUE, ABU MUHAMMAD M

MD

1249 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)968-8990Fax: (631)665-0061 Languages: BENGALI, URDU,

HINDI

PCP3528Provider ID:

20

*Not Accepting New Patients **Does Not Accept Medicaid

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

Primary Care Physicians / Médicos de Atención Primaria (PCP)

SUFFOLK County - Primary Care Physicians 200 PCPs

INTERNAL MEDICINE

NASH, BERNARD MD

500 MONTAUK HIGHWAY, SUITE

S

WEST ISLIP, NY 11795

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3556Provider ID:

INTERNAL MEDICINE

NASH, BERNARD MD

1000 Montauk Highway

West Islip, NY 11795

Phone: (631)587-7733Fax: (631)587-7798 Languages: English

PCP3573Provider ID:

PEDIATRICS

Commack

PEDIATRICS

Kwon, Elena N MD

353 Veterans Highway

Commack, NY 11725

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PCP1779Provider ID:

21

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

ACUPUNCTURE

HOLBROOK

ACUPUNCTURE

LIU, QUN PLEASE MAK

3 OPAL ST

HOLBROOK, NY 11741

Phone: (631)563-2818Fax: (631)238-2429 Languages: English

PRO10500Provider ID:

ALLERGY & IMMUNOLOGY

BABYLON

ALLERGY & IMMUNOLOGY

GERARDI, EUGENE N MD

500 WEST MAIN STREET SUITE

216

BABYLON, NY 11702

Phone: (631)669-6350Fax: (631)669-1128 Languages: English

PRO2838Provider ID:

ALLERGY & IMMUNOLOGY

PATEL, HARSHIT M MD

373 W MAIN ST

BABYLON, NY 11702

Phone: (516)822-6655Fax: (516)932-2090 Languages: SPANISH, HINDI,

GUJA

PRO2534Provider ID:

ALLERGY & IMMUNOLOGY

PUGLISI, GREGORY MD

500 WEST MAIN STREET SUITE

216

BABYLON, NY 11702

Phone: (631)669-6350Fax: (631)669-1128 Languages: ITALIAN, SPANISH

PRO3101Provider ID:

BAY SHORE

ALLERGY & IMMUNOLOGY

GUIDA, LOUIS E MD

649 MONTAUK HWY

BAY SHORE, NY 11706

Phone: (631)665-2700Fax: (631)665-0290 Languages: SPANISH

PRO4267Provider ID:

BRENTWOOD

ALLERGY & IMMUNOLOGY

PATEL, HARSHIT M MD

820 SUFFOLK AVENUE

BRENTWOOD, NY 11717

Phone: (516)822-6655Fax: (516)932-2090 Languages: SPANISH, HINDI,

GUJA

PRO3273Provider ID:

CENTER MORICHES

ALLERGY & IMMUNOLOGY

HUSSAIN, HAMID MD

760 MONTAUK HWY

CENTER MORICHES, NY 11934

Phone: (631)874-6849Fax: (631)874-6853 Languages: URDU, PUSTO,

PUNJABI

PRO2237Provider ID:

DEER PARK

ALLERGY & IMMUNOLOGY

MAZER, NICOLE A MD

1550 DEER PARK AVENUE SUITE

2

DEER PARK, NY 11729

Phone: (631)782-3888Fax: (631)782-1944 Languages: SPANISH

PRO3130Provider ID:

Lake Ronkonkoma

ALLERGY & IMMUNOLOGY

Bhat, Ballambattu M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-7010Fax: (631)471-1100 Languages: English

PRO2873Provider ID:

ALLERGY & IMMUNOLOGY

NOLAN, PATRICIA M MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: SPANISH

PRO0318Provider ID:

MELVILLE

ALLERGY & IMMUNOLOGY

BOXER, MITCHELL B MD

811 WALT WHITMAN ROAD

MELVILLE, NY 11747

Phone: (631)423-8488Fax: (631)423-0501 Languages: English

PRO10760Provider ID:

NORTH BABYLON

ALLERGY & IMMUNOLOGY

NATBONY, SHEILA F DO

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO0342Provider ID:

PORT JEFFERSON

ALLERGY & IMMUNOLOGY

HUSSAIN, HAMID MD

620 BELLE TERRE ROAD

PORT JEFFERSON, NY 11777

Phone: (631)476-9736Fax: (631)476-9738 Languages: URDU, PASHTO,

PUNJAB

PRO0043Provider ID:

22

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIAC

ELECTROPHYSIOLOGY

BAY SHORE

CARDIAC

ELECTROPHYSIOLOGY

MACCARO, PAUL C MD

280 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO12558Provider ID:

CARDIAC

ELECTROPHYSIOLOGY

MACCARO, PAUL C MD

280 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO12559Provider ID:

CARDIAC

ELECTROPHYSIOLOGY

MACCARO, PAUL C MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-7596Fax: (631)968-7595 Languages: English

PRO12682Provider ID:

CARDIOLOGY

AMITYVILLE

CARDIOLOGY

POTTANAT, JOSEPH MD

389 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)789-3434Fax: (631)789-3039 Languages: SPANISH

PRO2335Provider ID:

BABYLON

CARDIOLOGY

KUPERSMITH, ADAM MD

200 WEST MAIN STREET, SUITE

203

BABYLON, NY 11702

Phone: (631)422-1900Fax: (631)422-2600 Languages: English

PRO11152Provider ID:

CARDIOLOGY

LEFKOWITZ, LANCE S MD

200 WEST MAIN STREET, SUITE

203

BABYLON, NY 11702

Phone: (631)422-1900Fax: (631)422-2600 Languages: English

PRO11178Provider ID:

CARDIOLOGY

SAN ROMAN, GUILLERMO MD

200 WEST MAIN STREET, SUITE

203

BABYLON, NY 11702

Phone: (631)422-1900Fax: (631)422-2600 Languages: Sign Language

PRO11434Provider ID:

CARDIOLOGY

SCHNEIDER, ABRAHAM MD

200 WEST MAIN STREET, SUITE

203

BABYLON, NY 11702

Phone: (631)422-1900Fax: (631)422-2600 Languages: English

PRO11471Provider ID:

CARDIOLOGY

SOKOL, JERRY MD

200 WEST MAIN STREET, SUITE

203

BABYLON, NY 11702

Phone: (631)422-1900Fax: (631)422-2600 Languages: Sign Language

PRO11504Provider ID:

CARDIOLOGY

STRUHL, ROBERT E MD

350 W MAIN STREET

BABYLON, NY 11702

Phone: (631)661-2277Fax: (631)669-2190 Languages: SPANISH, DOCTORS

PRO2851Provider ID:

CARDIOLOGY

WEBER, MICHAEL R MD

350 EAST MAIN ST

BABYLON, NY 11702

Phone: (631)862-3737Fax: (631)862-3738 Languages: English

PRO10482Provider ID:

Bay Shore

CARDIOLOGY

Altman, Erik J MD

280 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO4568Provider ID:

CARDIOLOGY

Altman, Erik J MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3000Fax: (631)968-3177 Languages: English

PRO4569Provider ID:

CARDIOLOGY

Arkonac, Burak M MD

280 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO4512Provider ID:

23

*Not Accepting New Patients **Does Not Accept Medicaid

| Page

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIOLOGY

BISHOP, EILEEN R MD

375 EAST MAIN ST STE 26

BAY SHORE, NY 11706

Phone: (631)665-2255Fax: (631)665-3077 Languages: English

PRO10468Provider ID:

CARDIOLOGY

Cacciabaudo, Jean Marie MD

280 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO5039Provider ID:

CARDIOLOGY

COUDREY, LAURA MD

1916 UNION BLVD

BAY SHORE, NY 11706

Phone: (631)666-2290Fax: (631)666-2283 Languages: LITHUANIAN

PRO2066Provider ID:

CARDIOLOGY

DAGATE, DAVID J DO

375 EAST MAIN ST STE 26

BAY SHORE, NY 11706

Phone: (631)665-2255Fax: (631)665-3077 Languages: English

PRO10457Provider ID:

CARDIOLOGY

DESVARIEUX, MARIE MD

1916 UNION BLVD

BAY SHORE, NY 11706

Phone: (631)666-2290Fax: (631)666-2283 Languages: FRENCH, SPANISH,

CRE

PRO2138Provider ID:

CARDIOLOGY

DEUTSCH, EZRA MD

375 EAST MAIN ST STE 26

BAY SHORE, NY 11706

Phone: (631)665-2255Fax: (631)665-3077 Languages: FRENCH

PRO10474Provider ID:

CARDIOLOGY

Gandotra, Puneet MD

280 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO5253Provider ID:

CARDIOLOGY

GIDSEG, DAVID S MD

375 EAST MAIN ST STE 26

BAY SHORE, NY 11706

Phone: (631)665-2255Fax: (631)665-3077 Languages: CONVERSATIONAL

SPANI

PRO10462Provider ID:

CARDIOLOGY

Laighold, Saaron L MD

280 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO6715Provider ID:

CARDIOLOGY

Laighold, Saaron L MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3293Fax: (631)698-3022 Languages: English

PRO6716Provider ID:

CARDIOLOGY

LEE, MICHAEL S MD

375 EAST MAIN ST STE 26

BAY SHORE, NY 11706

Phone: (631)665-2255Fax: (631)665-3077 Languages: KOREAN

PRO10479Provider ID:

CARDIOLOGY

LI, WEI MD

1916 UNION BLVD

BAY SHORE, NY 11706

Phone: (631)666-2290Fax: (631)666-2283 Languages: ENGLISH, CHINESE

PRO3527Provider ID:

CARDIOLOGY

OVSEPIAN, ARMEN MD

375 EAST MAIN ST STE 26

BAY SHORE, NY 11706

Phone: (631)665-2255Fax: (631)665-3077 Languages: ARMENIAN,

LITHUANIAN

PRO10451Provider ID:

CARDIOLOGY

Revere, David J MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: Spanish

PRO13154Provider ID:

CARDIOLOGY

Revere, David J MD

280 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: Spanish

PRO13193Provider ID:

24

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIOLOGY

Sedaghat, David MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3293Fax: (631)968-3022 Languages: English

PRO9091Provider ID:

CARDIOLOGY

Sedaghat, David MD

280 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO9090Provider ID:

CARDIOLOGY

WEBER, MICHAEL R MD

301 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)862-3737Fax: (631)862-3738 Languages: English

PRO3340Provider ID:

DEER PARK

CARDIOLOGY

KUPERSMITH, ADAM MD

1630 DEER PARK AVENUE

DEER PARK, NY 11729

Phone: (631)242-6166Fax: (631)242-0728 Languages: English

PRO11154Provider ID:

CARDIOLOGY

LANDOLPHI, DANIEL R MD

1920 DEER PARK AVE SUITE 104

DEER PARK, NY 11729

Phone: (631)392-1680Fax: (631)392-1683 Languages: English

PRO10235Provider ID:

CARDIOLOGY

LEFKOWITZ, LANCE S MD

1630 DEER PARK AVENUE

DEER PARK, NY 11729

Phone: (631)242-6166Fax: (631)242-0728 Languages: English

PRO11179Provider ID:

CARDIOLOGY

OVSEPIAN, ARMEN MD

1600 DEER PARK AVE

DEER PARK, NY 11729

Phone: (631)265-5050Fax: (631)265-3304 Languages: ARMENIAN,

LITHUANIAN

PRO10470Provider ID:

CARDIOLOGY

SAN ROMAN, GUILLERMO MD

1630 DEER PARK AVENUE

DEER PARK, NY 11729

Phone: (631)242-6166Fax: (631)242-0728 Languages: Sign Language

PRO11433Provider ID:

CARDIOLOGY

SCHNEIDER, ABRAHAM MD

1630 DEER PARK AVENUE

DEER PARK, NY 11729

Phone: (631)242-6166Fax: (631)242-0728 Languages: English

PRO11470Provider ID:

CARDIOLOGY

SOKOL, JERRY MD

1630 DEER PARK AVENUE

DEER PARK, NY 11729

Phone: (631)242-6166Fax: (631)242-0728 Languages: Sign Language

PRO11503Provider ID:

CARDIOLOGY

TSIAKOS, JAMES J MD

1920 DEER PARK AVE SUITE 104

DEER PARK, NY 11729

Phone: (631)392-1680Fax: (631)392-1683 Languages: English

PRO10237Provider ID:

GREENPORT

CARDIOLOGY

BUCKLEY, WILLIAM J MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: SPANISH

PRO2242Provider ID:

CARDIOLOGY

CREAN, JOHN M MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: English

PRO2189Provider ID:

CARDIOLOGY

DOUGHERTY, ROBERT P MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: English

PRO2191Provider ID:

CARDIOLOGY

FALCO, THOMAS A MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: English

PRO2221Provider ID:

25

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIOLOGY

MAZZUCCHI, FULVIO MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: English

PRO2239Provider ID:

CARDIOLOGY

MONSERRATE, RICARDO J MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: SPANISH

PRO2198Provider ID:

CARDIOLOGY

PEARSON, JOHN W MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: English

PRO2283Provider ID:

CARDIOLOGY

SAPORITA, MARK MD

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-2701Fax: (631)477-8893 Languages: English

PRO2259Provider ID:

Huntington

CARDIOLOGY

Bernstein, Stephen G MD

13 Central Street

Huntington, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PRO5909Provider ID:

CARDIOLOGY

Boglioli, Jason R MD

13 Central Street

Huntington, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PRO5584Provider ID:

CARDIOLOGY

Strizik, Brian C MD

13 Central Street

Huntington, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PRO9457Provider ID:

Islandia

CARDIOLOGY

Cacciabaudo, Jean Marie MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)439-0600Fax: (631)439-0699 Languages: English

PRO13081Provider ID:

CARDIOLOGY

D'Avino, Robert C MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)439-0600Fax: (631)439-0699 Languages: English

PRO13118Provider ID:

CARDIOLOGY

GIDSEG, DAVID S MD

3001 EXPRESSWAY DR NO

ISLANDIA, NY 11749

Phone: (631)265-5050Fax: (631)265-3304 Languages: CONVERSATIONAL

SPANI

PRO10460Provider ID:

CARDIOLOGY

SCHNEIDER, ABRAHAM MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)439-0600Fax: (631)439-0699 Languages: English

PRO13109Provider ID:

Lake Ronkonkoma

CARDIOLOGY

Patel, Keyoor D.O.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: English

PRO2815Provider ID:

Lindenhurst

CARDIOLOGY

Arkonac, Burak M MD

350 West Montauk Highway

Lindenhurst, NY 11757

Phone: (631)226-0388Fax: (631)226-2992 Languages: English

PRO4511Provider ID:

CARDIOLOGY

WEBER, MICHAEL R MD

910 RTE 109 STE B

LINDENHURST, NY 11757

Phone: (631)862-3737Fax: (631)862-3738 Languages: English

PRO4283Provider ID:

Melville

CARDIOLOGY

Patel, Neeral MD

811 Walt Whitman Road

Melville, NY 11747

Phone: (631)423-6906Fax: (516)938-3239 Languages: English

PRO8267Provider ID:

26

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

MIDDLE ISLAND

CARDIOLOGY

KAVESTEEN, DAVID E MD

281 MIDDLE COUNTRY RD

MIDDLE ISLAND, NY 11953

Phone: (631)345-6670Fax: (631)482-1358 Languages: HEBREW, PERSIAN

PRO13831Provider ID:

CARDIOLOGY

SPERA, ANTHONY P MD

281 MIDDLE COUNTRY RD

MIDDLE ISLAND, NY 11953

Phone: (631)345-6670Fax: (631)482-1356 Languages: English

PRO13829Provider ID:

North Babylon

CARDIOLOGY

Chandra, Preeti M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO10483Provider ID:

CARDIOLOGY

KAVESTEEN, DAVID E MD

1350 DEER PARK AVE

NORTH BABYLON, NY 11703

Phone: (631)482-1355Fax: (631)482-1356 Languages: HEBREW, PERSIAN

PRO13830Provider ID:

CARDIOLOGY

Laighold, Saaron M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO2807Provider ID:

CARDIOLOGY

Sedaghat, David M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO2822Provider ID:

CARDIOLOGY

SPERA, ANTHONY P MD

1350 DEER PARK AVE

NORTH BABYLON, NY 11703

Phone: (631)482-1357Fax: (631)482-1356 Languages: English

PRO13828Provider ID:

PATCHOGUE

CARDIOLOGY

ALEXANDER, DEEPU K MD

100 HOSPITAL RD STE 120

PATCHOGUE, NY 11772

Phone: (631)654-3278Fax: (631)654-1474 Languages: SPANISH, HINDI,

MALA

PRO12029Provider ID:

CARDIOLOGY

BENCH, TRAVIS J MD

100 HOSPITAL RD STE 120

PATCHOGUE, NY 11772

Phone: (631)654-3278Fax: (631)654-1474 Languages: SPANISH, HINDI,

MALA

PRO12027Provider ID:

CARDIOLOGY

DYCKMAN, RICHARD H MD

285 SILLS RD BUILDING 14

PATCHOGUE, NY 11772

Phone: (631)447-8300Fax: (631)447-8872 Languages: English

PRO10304Provider ID:

CARDIOLOGY

JOSEPH, SATHEESH MD

100 HOSPITAL RD STE 120

PATCHOGUE, NY 11772

Phone: (631)654-3278Fax: (631)654-1474 Languages: SPANISH, HINDI,

MALA

PRO12033Provider ID:

CARDIOLOGY

KHALILI, SHAHRIAR J MD

285 SILLS RD BLDG 14

PATCHOGUE, NY 11772

Phone: (631)447-8300Fax: (631)447-8872 Languages: English

PRO10305Provider ID:

CARDIOLOGY

KHAN, WAQAS A MD

285 SILLS RD BLDG 14

PATCHOGUE, NY 11772

Phone: (631)447-8300Fax: (631)447-8872 Languages: URDU, PUNJABI

PRO10307Provider ID:

CARDIOLOGY

MERCURIO, VITO A MD

285 SILLS RD BLDG 14

PATCHOGUE, NY 11772

Phone: (631)447-8300Fax: (631)447-8872 Languages: English

PRO10306Provider ID:

CARDIOLOGY

PATEL, DHAVAL C MD

100 HOSPITAL RD STE 120

PATCHOGUE, NY 11772

Phone: (631)654-3278Fax: (631)654-1474 Languages: SPANISH, HINDI,

MALA

PRO12031Provider ID:

27

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIOLOGY

SEMERTZIDES, JAMES N MD

285 SILLS RD BUILDING 14

PATCHOGUE, NY 11772

Phone: (631)447-8300Fax: (631)447-8872 Languages: English

PRO10303Provider ID:

PORT JEFFERSON

CARDIOLOGY

WEBER, MICHAEL R MD

75 NORTH COUNTRY RD

STE1001

PORT JEFFERSON, NY 11777

Phone: (631)862-3737Fax: (631)862-3738 Languages: English

PRO10411Provider ID:

PORT JEFFERSON STATION

CARDIOLOGY

MATILSKY, MICHAEL A MD

650 HALLOCK AVE

PORT JEFFERSON STATION, NY

11776

Phone: (631)446-4700Fax: (631)331-2750 Languages: English

PRO10494Provider ID:

CARDIOLOGY

WALLERSON, DONALD C MD

650 HALLOCK AVE

PORT JEFFERSON STATION, NY

11776

Phone: (631)446-4700Fax: (631)331-2750 Languages: English

PRO10495Provider ID:

RIVERHEAD

CARDIOLOGY

BIBIANA, STEPHEN D MD

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0028Provider ID:

CARDIOLOGY

BLANCO, MIGUEL MD

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0082Provider ID:

CARDIOLOGY

BUCKLEY, WILLIAM J MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)727-2646 Languages: SPANISH

PRO2103Provider ID:

CARDIOLOGY

CREAN, JOHN M MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)727-2646 Languages: English

PRO2091Provider ID:

CARDIOLOGY

DABHI, RAMESH MD

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0093Provider ID:

CARDIOLOGY

DALAL, PRATEEK MD

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0090Provider ID:

CARDIOLOGY

DOUGHERTY, ROBERT P MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)727-2646 Languages: English

PRO2130Provider ID:

CARDIOLOGY

EASOW, BABU MD

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0027Provider ID:

CARDIOLOGY

FALCO, THOMAS A MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)727-2646 Languages: English

PRO2134Provider ID:

CARDIOLOGY

Gandotra, Puneet MD

31 Main Road

Riverhead, NY 11901

Phone: (631)369-8539Fax: (631)369-5613 Languages: English

PRO5256Provider ID:

28

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIOLOGY

LEDERMAN, STEVEN MD

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0112Provider ID:

CARDIOLOGY

MAZZUCCHI, FULVIO MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)727-7128 Languages: English

PRO2090Provider ID:

CARDIOLOGY

MONSERRATE, RICARDO J MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)727-2646 Languages: SPANISH

PRO2131Provider ID:

CARDIOLOGY

PATEL, RAJOO MD

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0092Provider ID:

CARDIOLOGY

PEARSON, JOHN W MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)727-2646 Languages: English

PRO2101Provider ID:

CARDIOLOGY

SAPORITA, MARK MD

1279 E MAIN ST

RIVERHEAD, NY 11901

Phone: (631)727-2100Fax: (631)477-8893 Languages: English

PRO2129Provider ID:

CARDIOLOGY

VALENTINO, PATRICK DO

951 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-7773Fax: (631)727-7832 Languages: SPANISH

PRO0088Provider ID:

RONKONKOMA

CARDIOLOGY

ARKONAC, BURAK MD

640 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1117 Languages: TURKISH

PRO10519Provider ID:

CARDIOLOGY

GANDOTRA, PUNEET MD

640 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: HINDU, PUNJABI,

URBU

PRO10520Provider ID:

SHOREHAM

CARDIOLOGY

YEN, OWEN T MD

45 RTE 25A STE C

SHOREHAM, NY 11786

Phone: (631)744-3303Fax: (631)744-1627 Languages: English

PRO11827Provider ID:

CARDIOLOGY

YEN, OWEN MD

45 ROUTE 25A STE C

SHOREHAM, NY 11786

Phone: (631)744-3303Fax: (631)744-1627 Languages: CHINESE

PRO0085Provider ID:

SMITHTOWN

CARDIOLOGY

BISHOP, EILEEN R MD

260 MIDDLE COUNTRY RD STE

214

SMITHTOWN, NY 11787

Phone: (631)265-5050Fax: (631)265-3304 Languages: English

PRO10463Provider ID:

CARDIOLOGY

COUDREY, LAURA MD

307 MIDDLE COUNTRY ROAD

SMITHTOWN, NY 11787

Phone: (631)366-4333Fax: (631)366-4854 Languages: LITHUANIAN

PRO3318Provider ID:

CARDIOLOGY

DAGATE, DAVID J DO

260 MIDDLE COUNTRY RD STE

214

SMITHTOWN, NY 11787

Phone: (631)265-5050Fax: (631)265-3304 Languages: English

PRO10452Provider ID:

CARDIOLOGY

DESVARIEUX, MARIE MD

307 MIDDLE COUNTRY ROAD

SMITHTOWN, NY 11787

Phone: (631)366-4333Fax: (631)366-4854 Languages: FRENCH, SPANISH

PRO2228Provider ID:

29

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIOLOGY

DEUTSCH, EZRA MD

260 MIDDLE COUNTRY RD

SUITE 214

SMITHTOWN, NY 11787

Phone: (631)265-5050Fax: (631)265-3304 Languages: FRENCH

PRO10469Provider ID:

CARDIOLOGY

GIDSEG, DAVID S MD

260 MIDDLE COUNTRY RD STE

214

SMITHTOWN, NY 11787

Phone: (631)265-5050Fax: (631)265-3304 Languages: CONVERSATIONAL

SPANI

PRO10458Provider ID:

CARDIOLOGY

LEE, MICHAEL S MD

260 MIDDLE COUNTRY RD STE

214

SMITHTOWN, NY 11787

Phone: (631)265-5050Fax: (631)265-3304 Languages: KOREAN

PRO10475Provider ID:

CARDIOLOGY

LI, WEI MD

307 MIDDLE COUNTRY RD

SMITHTOWN, NY 11787

Phone: (631)366-4333Fax: (631)366-4854 Languages: ENGLISH, CHINESE

PRO3528Provider ID:

CARDIOLOGY

Ong, Lawrence Y MD

9 Brooksite Drive

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)360-5646 Languages: English

PRO9046Provider ID:

CARDIOLOGY

OVSEPIAN, ARMEN MD

260 MIDDLE COUNTRY RD

SUITE 214

SMITHTOWN, NY 11787

Phone: (631)265-5050Fax: (631)265-3304 Languages: ARMENIAN,

LITHUANIAN

PRO10448Provider ID:

CARDIOLOGY

WEBER, MICHAEL R MD

48 RTE 25A STE 103

SMITHTOWN, NY 11787

Phone: (631)862-3737Fax: (631)862-3738 Languages: English

PRO3339Provider ID:

West Islip

CARDIOLOGY

Sedaghat, David MD

1000 Montauk Highway

West Islip, NY 11795

Phone: (631)376-4444Fax: Languages: English

PRO9089Provider ID:

CARDIOVASCULAR DISEASE

BAY SHORE

CARDIOVASCULAR DISEASE

ARKONAC, BURAK M MD

280 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: Turkish

PRO11699Provider ID:

CARDIOVASCULAR DISEASE

CACCIABAUDO, JEAN MARIE

MD

280 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO10798Provider ID:

CARDIOVASCULAR DISEASE

STEPHENSON, KENT M MD

280 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)591-7400Fax: (631)591-7401 Languages: English

PRO13842Provider ID:

CARDIOVASCULAR DISEASE

STEPHENSON, KENT M MD

301 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)968-7596Fax: (631)968-7595 Languages: English

PRO13843Provider ID:

HUNTINGTON

CARDIOVASCULAR DISEASE

ANTO, MALIAKAL J MD

13 CENTRAL STREET

HUNTINGTON, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: Tamil

PRO11683Provider ID:

CARDIOVASCULAR DISEASE

BERNSTEIN, STEPHEN G MD

13 CENTRAL STREET

HUNTINGTON, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PRO10694Provider ID:

30

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

CARDIOVASCULAR DISEASE

BOGLIOLI, JASON R MD

270 PARK AVENUE

HUNTINGTON, NY 11743

Phone: (631)351-2308Fax: (631)51--042 Languages: English

PRO10748Provider ID:

CARDIOVASCULAR DISEASE

BOGLIOLI, JASON R MD

13 CENTRAL STREET

HUNTINGTON, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PRO10754Provider ID:

CARDIOVASCULAR DISEASE

MOULINIE, PAUL C MD

13 CENTRAL STREET

HUNTINGTON, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

PRO11301Provider ID:

CARDIOVASCULAR DISEASE

STEPHENSON, KENT M MD

270 PARK AVE

HUNTINGTON, NY 11743

Phone: (631)351-2798Fax: (631)351-4115 Languages: English

PRO13841Provider ID:

LAKE RONKONKOMA

CARDIOVASCULAR DISEASE

ALTSCHUL, LARRY MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: 631-737-0100Fax: 631-471-1117 Languages: N/A

PRO11738Provider ID:

CARDIOVASCULAR DISEASE

CORRY, MAUREEN MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: 631-737-0100Fax: 631-471-1117 Languages: N/A

PRO11739Provider ID:

CARDIOVASCULAR DISEASE

KAMATH, GANESH MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: 631-737-0100Fax: 631-471-1117 Languages: Hindi, Marathi, Gujarati

and Konkani

PRO11742Provider ID:

CARDIOVASCULAR DISEASE

KLEIN, MOREY MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: 631-737-0100Fax: 631-471-1117 Languages: N/A

PRO11743Provider ID:

CARDIOVASCULAR DISEASE

UYGUANCO, ERIC MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: 631-737-0100Fax: 631-471-1117 Languages: Tagalog

PRO11744Provider ID:

LINDENHURST

CARDIOVASCULAR DISEASE

ARKONAC, BURAK M MD

350 WEST MONTAUK HIGHWAY

LINDENHURST, NY 11757

Phone: (631)226-0388Fax: (631)226-2992 Languages: Turkish

PRO11701Provider ID:

MEDFORD

CARDIOVASCULAR DISEASE

PULIPATI, SOMA MD

74 SOUTHAVEN AVE STE E

MEDFORD, NY 11763

Phone: (631)654-2386Fax: (631)447-3852 Languages: HINDI, SPANISH,

TALE

PRO12093Provider ID:

RIVERHEAD

CARDIOVASCULAR DISEASE

ARKONAC, BURAK M MD

31 MAIN ROAD, SECOND FLOOR

RIVERHEAD, NY 11901

Phone: (631)591-7400Fax: (631)591-7401 Languages: Turkish

PRO11700Provider ID:

CHILD NEUROLOGY

SMITHTOWN

CHILD NEUROLOGY

LAURETA, EMMA C MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: Filipino

PRO12945Provider ID:

Chiropractic

Bay Shore

Chiropractic

Gozdziewski, Daniel DC

1855 Union Boulevard

Bay Shore, NY 11706

Phone: (631)968-8511Fax: (631)968-8533 Languages: English

PRO2715Provider ID:

Brentwood

31

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

Suffolk County - SPECIALIST 850 Specialists

Chiropractic

DaSilva, Dennis DC

1025 Suffolk Avenue

Brentwood, NY 11717

Phone: (631)434-7053Fax: (631)951-2715 Languages: English

PRO2645Provider ID:

Bridgehampton

Chiropractic

Kelly, Richard DC

39 Sawasett Avenue

Bridgehampton, NY 11932

Phone: (631)537-8187Fax: (631)537-5242 Languages: English

PRO2734Provider ID:

Commack

Chiropractic

Papadopoulos, Gregory DC

294 Burr Road

Commack, NY 11725

Phone: (631)493-9390Fax: (631)493-9397 Languages: English

PRO2725Provider ID:

Coram

Chiropractic

Sall, Dennis DC

1970 Route 112

Coram, NY 11727

Phone: (631)476-4600Fax: (631)476-8236 Languages: English

PRO2638Provider ID:

Chiropractic

Surace, Daniel DC

24 Hawkins Path

Coram, NY 11727

Phone: (631)732-1612Fax: (631)732-1612 Languages: English

PRO2722Provider ID:

East Islip

Chiropractic

Chinnici, John DC

280 East Main Street

East Islip, NY 11730

Phone: (631)581-5957Fax: (631)277-4730 Languages: English

PRO2724Provider ID:

East Moriches

Chiropractic

Menis, Stuart DC

130 Montauk Highway

East Moriches, NY 11940

Phone: (631)874-2797Fax: (631)874-9387 Languages: English

PRO2697Provider ID:

East Setauket

Chiropractic

Levine, Charles DC

151 Gnarled Hollow Road

East Setauket, NY 11733

Phone: (631)689-3232Fax: (631)941-1096 Languages: English

PRO2711Provider ID:

Hauppauge

Chiropractic

Capuano, Robert DC

3 Gaymor Road

Hauppauge, NY 11788

Phone: (631)265-9440Fax: (631)265-9446 Languages: English

PRO2726Provider ID:

Huntington

Chiropractic

Lombardo, Dean DC

752 Park Avenue

Huntington, NY 11743

Phone: (631)385-0207Fax: (631)385-1272 Languages: English

PRO2747Provider ID:

Islip

Chiropractic

Sengstock, Bernhard DC

152 Islip Avenue

Islip, NY 11751

Phone: (631)277-6767Fax: (631)277-4311 Languages: English

PRO2712Provider ID:

Lindenhurst

Chiropractic

Slavin, David DC

150 East Sunrise Highway

Lindenhurst, NY 11757

Phone: (631)956-2225Fax: (631)956-7568 Languages: English

PRO2710Provider ID:

Manorville

Chiropractic

Kiesecker, John DC

9 Golf Club Circle

Manorville, NY 11949

Phone: (631)878-5163Fax: (631)878-3537 Languages: English

PRO2751Provider ID:

Mattituck

32

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

Suffolk County - SPECIALIST 850 Specialists

Chiropractic

Hinsch, James DC

14325 Main Road

Mattituck, NY 11952

Phone: (631)298-5333Fax: (631)298-1304 Languages: English

PRO2649Provider ID:

Middle Island

Chiropractic

Surace, Bruce DC

59 Middle Country Road

Middle Island, NY 11953

Phone: (516)732-1615Fax: (516)732-1612 Languages: English

PRO2741Provider ID:

Nesconset

Chiropractic

McPartland, Kevin DC

127 Smithtown Boulevard

Nesconset, NY 11767

Phone: (631)360-0170Fax: (631)361-6221 Languages: English

PRO2668Provider ID:

North Babylon

Chiropractic

Palmer, William F DC

1105 Deer Park Avenue

North Babylon, NY 11703

Phone: (631)595-2010Fax: (631)595-1415 Languages: English

PRO2706Provider ID:

Oakdale

Chiropractic

Russo, John F DC

1300 Montauk Highway

Oakdale, NY 11769

Phone: (631)567-4437Fax: (631)567-3018 Languages: English

PRO2686Provider ID:

Patchogue

Chiropractic

Biase, Angelo DC

157 North Ocean Avenue

Patchogue, NY 11772

Phone: (631)289-3067Fax: (631)289-3027 Languages: English

PRO2623Provider ID:

Saint James

Chiropractic

Thomaier, Gregory DC

338 Lake Avenue

Saint James, NY 11780

Phone: (631)584-8100Fax: (631)584-9436 Languages: English

PRO2639Provider ID:

Sayville

Chiropractic

Van Kalmthout, Leonard H DC

200 Railroad Avenue

Sayville, NY 11782

Phone: (631)567-2424Fax: (631)256-0012 Languages: English

PRO2716Provider ID:

Selden

Chiropractic

Pernice, Frank DC

301 Mooney Pond Road

Selden, NY 11784

Phone: (631)736-1000Fax: (631)736-1023 Languages: English

PRO2727Provider ID:

Shirley

Chiropractic

Cohen, Adam DC

2 Coraci Boulevard

Shirley, NY 11967

Phone: (631)395-9090Fax: (631)395-9100 Languages: English

PRO2690Provider ID:

Shoreham

Chiropractic

Badalian, Robert DC

21 Miller Avenue

Shoreham, NY 11786

Phone: (631)821-3080Fax: (631)821-6582 Languages: English

PRO2691Provider ID:

Stony Brook

Chiropractic

Bonasera, Gregory DC

1 Sycamore Drive

Stony Brook, NY 11790

Phone: (631)445-1011Fax: (631)689-1070 Languages: English

PRO2640Provider ID:

West Islip

33

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

Suffolk County - SPECIALIST 850 Specialists

Chiropractic

Weir, Edward DC

270 West Fourth Street

West Islip, NY 11795

Phone: (631)669-3313Fax: (631)669-3319 Languages: English

PRO2636Provider ID:

COLON/RECTAL SURGERY

BAY SHORE

COLON/RECTAL SURGERY

EISDORFER, JACOB DO

32 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)470-1450Fax: (631)460-- 14 Languages: Yiddish

PRO10899Provider ID:

COLON/RECTAL SURGERY

RIVADENEIRA, DAVID E MD

32 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)470-1450Fax: (631)460-- 14 Languages: Spanish

PRO11406Provider ID:

COLON/RECTAL SURGERY

SANZ, CESAR E MD

32 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)470-1450Fax: ()- Languages: Russian

PRO11441Provider ID:

HUNTINGTON

COLON/RECTAL SURGERY

EISDORFER, JACOB DO

195 EAST MAIN STREET

HUNTINGTON, NY 11743

Phone: (631)385-8677Fax: (631)385-0611 Languages: Yiddish

PRO10902Provider ID:

COLON/RECTAL SURGERY

EISDORFER, JACOB DO

755 NEW YORK AVENUE, SUITE

108

HUNTINGTON, NY 11743

Phone: (631)470-1450Fax: (631)470-1451 Languages: Yiddish

PRO10898Provider ID:

COLON/RECTAL SURGERY

RIVADENEIRA, DAVID E MD

755 NEW YORK AVENUE, SUITE

108

HUNTINGTON, NY 11743

Phone: (631)470-1450Fax: (631)470-1451 Languages: Spanish

PRO11404Provider ID:

COLON/RECTAL SURGERY

RIVADENEIRA, DAVID E MD

195 EAST MAIN STREET, SUITE

108

HUNTINGTON, NY 11743

Phone: (631)385-8677Fax: (631)385-0611 Languages: Spanish

PRO11408Provider ID:

COLON/RECTAL SURGERY

SANZ, CESAR E MD

195 EAST MAIN STREET

HUNTINGTON, NY 11743

Phone: (631)385-8677Fax: (631)385-0611 Languages: Russian

PRO11435Provider ID:

COLON/RECTAL SURGERY

SANZ, CESAR E MD

755 NEW YORK AVENUE, SUITE

108

HUNTINGTON, NY 11743

Phone: (631)470-1450Fax: (631)470-1451 Languages: Russian

PRO11438Provider ID:

PORT JEFFERSON STATI

COLON/RECTAL SURGERY

EISDORFER, JACOB DO

931 HALLOCK AVE

PORT JEFFERSON STATI, NY

11776

Phone: (631)385-8677Fax: (631)385-0611 Languages: Yiddish

PRO12593Provider ID:

COLON/RECTAL SURGERY

RIVADENEIRA, DAVID E MD

931 HALLOCK AVE

PORT JEFFERSON STATI, NY

11776

Phone: (631)470-1450Fax: (631)470-1451 Languages: Spanish

PRO12597Provider ID:

COLON/RECTAL SURGERY

SANZ, CESAR E MD

931 HALLOCK AVE

PORT JEFFERSON STATI, NY

11776

Phone: (631)470-1450Fax: (631)470-1451 Languages: Russian

PRO12598Provider ID:

SAINT JAMES

COLON/RECTAL SURGERY

EISDORFER, JACOB DO

528 NORTH COUNTRY ROAD,

SUITE 25A

SAINT JAMES, NY 11780

Phone: (631)584-4999Fax: (631)584-4927 Languages: Yiddish

PRO10897Provider ID:

34

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

COLON/RECTAL SURGERY

RIVADENEIRA, DAVID E MD

528 NORTH COUNTRY ROAD,

SUITE 25A

SAINT JAMES, NY 11780

Phone: (631)584-4999Fax: (631)584-4927 Languages: Spanish

PRO11405Provider ID:

COLON/RECTAL SURGERY

SANZ, CESAR E MD

528 NORTH COUNTRY ROAD,

SUITE 25A

SAINT JAMES, NY 11780

Phone: (631)584-4999Fax: (631)584-4927 Languages: Russian

PRO11439Provider ID:

DERMATOLOGY

AMITYVILLE

DERMATOLOGY

SPILLANE, RONALD E MD

565 ALBANY AVE

AMITYVILLE, NY 11701

Phone: (516)678-0048Fax: (516)678-0048 Languages: English

PRO11854Provider ID:

Lake Ronkonkoma

DERMATOLOGY

Nayyar, Krishan MD

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)207-8202 Languages: English

PRO2889Provider ID:

NORTH BABYLON

DERMATOLOGY

MANN, MICHAEL A MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: HEBREW

PRO0350Provider ID:

DERMATOLOGY

NAYYAR, KRISHAN C MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO0343Provider ID:

SMITHTOWN

DERMATOLOGY

FASTENBERG, MICHAEL E MD

260 MIDDLE COUNTRY RD STE

208

SMITHTOWN, NY 11787

Phone: (631)863-3223Fax: (631)863-3334 Languages: SPANISH

PRO10480Provider ID:

DERMATOLOGY

KOSS, TAMARA MD

260 MIDDLE COUNTRY RD STE

208

SMITHTOWN, NY 11787

Phone: (631)863-3223Fax: (631)863-3334 Languages: SPANISH

PRO10518Provider ID:

DERMATOLOGY

PAUPORTE, MICHELE C MD

260 MIDDLE COUNTRY RD STE

208

SMITHTOWN, NY 11787

Phone: (631)863-3223Fax: (631)863-3334 Languages: FRENCH

PRO10517Provider ID:

DERMATOLOGY

PEREDO, MARINA I MD

260 MIDDLE COUNTRY RD STE

208

SMITHTOWN, NY 11787

Phone: (631)863-3223Fax: (631)863-3334 Languages: RUSSIAN

PRO10446Provider ID:

DERMATOLOGY

SOLOMON, BARRY A MD

222 EAST MAIN ST STE 228

SMITHTOWN, NY 11787

Phone: (631)265-1351Fax: (631)265-9363 Languages: SPANISH

PRO12600Provider ID:

SOUTHAMPTON

DERMATOLOGY

FISHMAN, STEVEN MD

325 MEETING HOUSE LN

SOUTHAMPTON, NY 11968

Phone: (631)283-3131Fax: (631)283-3743 Languages: SPANISH

PRO2218Provider ID:

DEVELOPMENTAL/BEHAVIORA

L PEDS

BABYLON

DEVELOPMENTAL/BEHAVIORA

L PEDS

TARNOK, LAUREN A MD

500 WEST MAIN STREET

BABYLON, NY 11702

Phone: (631)539-5400Fax: (631)539-5401 Languages: English

PRO12982Provider ID:

SMITHTOWN

35

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

DEVELOPMENTAL/BEHAVIORA

L PEDS

HUANG, RUEE MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12917Provider ID:

DEVELOPMENTAL/BEHAVIORA

L PEDS

TARNOK, LAUREN A MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12983Provider ID:

ENDOCRINOLOGY/METAB/DIAB

ETES

MEDFORD

ENDOCRINOLOGY/METAB/DIA

BETES

KUMBAR, SUJATA M DO

1723 NORTH OCEAN AVENUE

MEDFORD, NY 11763

Phone: (631)758-5858Fax: (631)447-6372 Languages: English

PRO13720Provider ID:

ENDOCRINOLOGY/METAB/DIA

BETES

LENGYEL-KREMENIC, CLARA E

MD

1723 NORTH OCEAN AVENUE

MEDFORD, NY 11763

Phone: (631)758-5858Fax: (631)447-6372 Languages: Spanish

PRO13722Provider ID:

NESCONSET

ENDOCRINOLOGY/METAB/DIA

BETES

TERRANA, JOSEPH C MD

57 SOUTHERN BLVD SUITE 1

NESCONSET, NY 11767

Phone: (631)584-0069Fax: (631)686-5580 Languages: ITALIAN

PRO2336Provider ID:

North Babylon

ENDOCRINOLOGY/METAB/DIA

BETES

Dynkevich, Yevgeniya M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-6352 Languages: English

PRO2898Provider ID:

ENDOCRINOLOGY/METAB/DIA

BETES

RATTAN, GURJEEV DO

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)491-8613 Languages: PUNJABI, HINDI,

URDU

PRO11825Provider ID:

RIVERHEAD

ENDOCRINOLOGY/METAB/DIA

BETES

GOLDENBERG, ALAN MD

189 MAIN RD

RIVERHEAD, NY 11901

Phone: (631)288-7120Fax: (631)288-7124 Languages: NONE

PRO10410Provider ID:

WEST ISLIP

ENDOCRINOLOGY/METAB/DIA

BETES

HITO, HASSAN MD

1111 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)587-1300Fax: (631)587-1323 Languages: ARABIC

PRO2170Provider ID:

FEMALE PELVIC MEDICINE

AND RECONSTRUCTIVE

SURGERY

Bay Shore

FEMALE PELVIC MEDICINE

AND RECONSTRUCTIVE

SURGERY

FINAMORE, PETER S MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)273-3080Fax: (631)435-3423 Languages: English

PRO13058Provider ID:

HAUPPAUGE

FEMALE PELVIC MEDICINE

AND RECONSTRUCTIVE

SURGERY

FINAMORE, PETER S MD

200 MOTOR PARKWAY, SUITE

D-22

HAUPPAUGE, NY 11788

Phone: (631)273-3080Fax: (631)435-3423 Languages: English

PRO13037Provider ID:

Huntington

36

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

FEMALE PELVIC MEDICINE

AND RECONSTRUCTIVE

SURGERY

FINAMORE, PETER S MD

270 Park Avenue

Huntington, NY 11743

Phone: (631)351-2000Fax: (631)351-2795 Languages: English

PRO13059Provider ID:

GASTROENTEROLOGY

BAY SHORE

GASTROENTEROLOGY

AKERMAN, STUART MD

375 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-8288Fax: (631)968-8268 Languages: English

PRO11659Provider ID:

GASTROENTEROLOGY

Broomfield, Paul MD

375 East Main Street

Bay Shore, NY 11706

Phone: (631)968-8288Fax: (631)968-8268 Languages: English

PRO5561Provider ID:

GASTROENTEROLOGY

Chatalbash, Robert MD

375 East Main Street Ste 21

Bay Shore, NY 11706

Phone: (631)968-8288Fax: (631)968-8268 Languages: English

PRO6188Provider ID:

GASTROENTEROLOGY

Harrison, Aaron R MD

375 East Main Street suite 21

Bay Shore, NY 11706

Phone: (631)968-8288Fax: (631)968-8268 Languages: English

PRO7264Provider ID:

GASTROENTEROLOGY

HARRISON, AARON R MD

375 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-8288Fax: (631)968-8268 Languages: English

PRO10627Provider ID:

GASTROENTEROLOGY

KARKHANIS, JAMUNA M MD

375 EAST MAIN STREET, SUITE

21

BAY SHORE, NY 11706

Phone: (516)562-4664Fax: (516)562-2683 Languages: English

PRO12817Provider ID:

GASTROENTEROLOGY

Karpowicz, Frank MD

375 East Main Street

Bay Shore, NY 11706

Phone: (631)968-8288Fax: (631)968-8268 Languages: English

PRO7394Provider ID:

HUNTINGTON

GASTROENTEROLOGY

YAO, ALAN C MD

1880 E JERICHO TURNPIKE 1FL

HUNTINGTON, NY 11743

Phone: (631)629-4628Fax: (631)629-4629 Languages: MANDARIN AND

CANTONE

PRO2460Provider ID:

Lake Ronkonkoma

GASTROENTEROLOGY

Abraham, Biju D.O.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)207-8235 Languages: English

PRO2904Provider ID:

North Babylon

GASTROENTEROLOGY

Abraham, Biju D.O.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

PRO2903Provider ID:

GASTROENTEROLOGY

Ferrara, Neil M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-6352 Languages: English

PRO2918Provider ID:

PORT JEFFERSON

GASTROENTEROLOGY

NAWAZ, ARAIN M MD

70 NORTH COUNTRY ROAD

SUITE 201

PORT JEFFERSON, NY 11777

Phone: (631)928-0240Fax: (631)928-0855 Languages: URDU

PRO3106Provider ID:

GASTROENTEROLOGY

NAWAZ, ARAIN M MD

620 BELLE TERRE RD STE 1

PORT JEFFERSON, NY 11777

Phone: (631)928-0240Fax: (631)928-0855 Languages: URDU

PRO0014Provider ID:

PORT JEFFERSON STATION

37

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

GASTROENTEROLOGY

DREZNICK, ELLIOTT B MD

1174 RTE 112

PORT JEFFERSON STATION, NY

11776

Phone: (631)642-9090Fax: (631)642-2475 Languages: English

PRO11839Provider ID:

RIVERHEAD

GASTROENTEROLOGY

DUVA, JOSEPH M MD

887 OLD COUNTRY RD STE A

RIVERHEAD, NY 11901

Phone: (631)727-6122Fax: (631)727-2672 Languages: POLISH

PRO4286Provider ID:

GASTROENTEROLOGY

MEHTA, DHIREN C MD

36 OSPREY AVE

RIVERHEAD, NY 11901

Phone: (631)727-4171Fax: (631)727-3660 Languages: HINDI

PRO0029Provider ID:

Smithtown

GASTROENTEROLOGY

Ashkin, Jeffrey MD

9 Brooksite Drive

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)360-5646 Languages: English

PRO10580Provider ID:

GASTROENTEROLOGY

Broomfield, Paul MD

9 Brooksite Drive

Smithtown, NY 11787

Phone: (631)724-1331Fax: (631)360-5646 Languages: English

PRO10578Provider ID:

HEMATOLOGY

BRIGHTWATERS

HEMATOLOGY

CHU, DAVID MD

404 POTTER BLVD

BRIGHTWATERS, NY 11718

Phone: (631)376-0055Fax: (631)376-0099 Languages: English

PRO3143Provider ID:

HEMATOLOGY

KIM, CHRISTI MD

404 POTTER BLVD

BRIGHTWATERS, NY 11718

Phone: (631)376-0055Fax: (631)376-0099 Languages: KOREAN

PRO3174Provider ID:

HEMATOLOGY

VACIRCA, JEFFREY L MD

404 POTTER BOULEVARD

BRIGHTWATERS, NY 11718

Phone: (631)376-0055Fax: (631)376-0099 Languages: English

PRO3156Provider ID:

EAST SETAUKET

HEMATOLOGY

CHU, DAVID MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3142Provider ID:

HEMATOLOGY

CLAUSEN, DIANE MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3146Provider ID:

HEMATOLOGY

DACOSTA, NOSHIR A MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3228Provider ID:

HEMATOLOGY

JABLONSKI, REGINA L MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3165Provider ID:

HEMATOLOGY

KIM, CHRISTI MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: KOREAN

PRO3171Provider ID:

HEMATOLOGY

LIPERA, WILLIAM J MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3190Provider ID:

HEMATOLOGY

NAWAZ, SHAHID MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3298Provider ID:

38

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

HEMATOLOGY

OSTROW, STANLEY MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3168Provider ID:

HEMATOLOGY

SAMUEL, EDWARD MD

235 NORTH BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3225Provider ID:

HEMATOLOGY

SYALI, GURMOHAN MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3153Provider ID:

HEMATOLOGY

THEODORAKIS, MICHAEL MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3137Provider ID:

HEMATOLOGY

VACIRCA, JEFFREY L MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3155Provider ID:

PATCHOGUE

HEMATOLOGY

CHU, DAVID MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3144Provider ID:

HEMATOLOGY

CLAUSEN, DIANE MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3147Provider ID:

HEMATOLOGY

DACOSTA, NOSHIR A MD

285 SILLS ROAD BLDG 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3229Provider ID:

HEMATOLOGY

JABLONSKI, REGINA L MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3166Provider ID:

HEMATOLOGY

KIM, CHRISTI MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: KOREAN

PRO3172Provider ID:

HEMATOLOGY

LIPERA, WILLIAM J MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3191Provider ID:

HEMATOLOGY

NAWAZ, SHAHID MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3135Provider ID:

HEMATOLOGY

OSTROW, STANLEY MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3169Provider ID:

HEMATOLOGY

SAMUEL, EDWARD MD

285 SILLS ROAD BLDG 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3226Provider ID:

HEMATOLOGY

SYALI, GURMOHAN MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3154Provider ID:

39

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

HEMATOLOGY

THEODORAKIS, MICHAEL MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3138Provider ID:

HEMATOLOGY

VACIRCA, JEFFREY L MD

285 SILLS ROAD BUILDING 16

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3157Provider ID:

SMITHTOWN

HEMATOLOGY

CHU, DAVID MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3145Provider ID:

HEMATOLOGY

CLAUSEN, DIANE MD

48 ROUTE 25A, SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3148Provider ID:

HEMATOLOGY

DACOSTA, NOSHIR A MD

48 ROUTE 25 A STE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3230Provider ID:

HEMATOLOGY

JABLONSKI, REGINA L MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3167Provider ID:

HEMATOLOGY

KIM, CHRISTI MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: KOREAN

PRO3173Provider ID:

HEMATOLOGY

LIPERA, WILLIAM J MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3192Provider ID:

HEMATOLOGY

NAWAZ, SHAHID MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3136Provider ID:

HEMATOLOGY

OSTROW, STANLEY MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3170Provider ID:

HEMATOLOGY

SAMUEL, EDWARD MD

48 ROUTE 25TH A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3227Provider ID:

HEMATOLOGY

THEODORAKIS, MICHAEL MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3139Provider ID:

HEMATOLOGY

VACIRCA, JEFFREY L MD

48 ROUTE 25A SUITE 209

SMITHTOWN, NY 11787

Phone: (631)979-6501Fax: (631)675-2001 Languages: English

PRO3158Provider ID:

HEMATOLOGY/ONCOLOGY

Lake Ronkonkoma

HEMATOLOGY/ONCOLOGY

Shah, Vijay M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: English

PRO2934Provider ID:

HOSPICE/PALLIATIVE

MEDICINE

HUNTINGTON

40

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

HOSPICE/PALLIATIVE

MEDICINE

SACKS-BERG, ANNE C MD

270 PARK AVENUE

HUNTINGTON, NY 11743

Phone: (631)351-2007Fax: (631)351-2061 Languages: English

PRO12745Provider ID:

INFECTIOUS DISEASE

AMITYVILLE

INFECTIOUS DISEASE

ALAM, MOHAMMUD MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)789-2020Fax: (631)789-5669 Languages: HINDI

PRO2165Provider ID:

INFECTIOUS DISEASE

NGUYEN, ANDREW MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)789-2020Fax: (631)789-5669 Languages: English

PRO2169Provider ID:

INTERNAL MEDICINE

WEST ISLIP

INTERNAL MEDICINE

NASH, BERNARD MD

500 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)587-7733Fax: (631) 587-779 Languages: English

PRO11969Provider ID:

INTERVENTIONAL

CARDIOLOGY

BABYLON

INTERVENTIONAL

CARDIOLOGY

PATEL, RAKESH B MD

79 DEER PARK AVE

BABYLON, NY 11702

Phone: (631)784-7373Fax: (631)784-7359 Languages: GUJRATI, HINDI

PRO12037Provider ID:

BAY SHORE

INTERVENTIONAL

CARDIOLOGY

FRANCO, JOSEPH J DO

375 EAST MAIN ST STE 26

BAY SHORE, NY 11706

Phone: (631)665-2255Fax: (631)665-3077 Languages: CONVERSATIONAL

SPANI

PRO11836Provider ID:

HUNTINGTON

INTERVENTIONAL

CARDIOLOGY

STRIZIK, BRIAN C MD

13 CENTRAL STREET

HUNTINGTON, NY 11743

Phone: (631)421-5885Fax: (631)27--421 Languages: Spanish

PRO11517Provider ID:

SMITHTOWN

INTERVENTIONAL

CARDIOLOGY

FRANCO, JOSEPH J DO

260 MIDDLE COUNTRY RD STE

214

SMITHTOWN, NY 11787

Phone: (631)265-5050Fax: (631)265-3304 Languages: CONVERSATIONAL

SPANI

PRO11835Provider ID:

INTERVENTIONAL

CARDIOLOGY

PATEL, RAKESH B MD

48 RTE 25A STE 103

SMITHTOWN, NY 11787

Phone: (631)784-7373Fax: (631)784-7359 Languages: GUJRATI, HINDI

PRO12036Provider ID:

MATERNAL/FETAL MEDICINE

Huntington

MATERNAL/FETAL MEDICINE

PESSEL, CAROLINE D MD

270 Park Avenue, 1st Floor

Huntington, NY 11743

Phone: (631)351-2219Fax: (631)351-4439 Languages: English

PRO13049Provider ID:

MIDWIFERY

COMMACK

MIDWIFERY

HERSKOVITS, JANET D CNM

353 VETERANS HIGHWAY

COMMACK, NY 11725

Phone: (631)439-5444Fax: (631)351-7861 Languages: English

PRO11018Provider ID:

MIDWIFERY

MAYER, MICHELE M CNM

353 VETERANS MEMORIAL

HIGHWAY

COMMACK, NY 11725

Phone: (631)439-5444Fax: (631)351-7861 Languages: English

PRO11258Provider ID:

NEPHROLOGY

BAY SHORE

41

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

NEPHROLOGY

ILAMATHI, EKAMBARAM

MBBS

32 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)422-0205Fax: (631)422-0291 Languages: Tamil

PRO13718Provider ID:

EAST SETAUKET

NEPHROLOGY

CHOWDHERY, SUMIT MD

26 RESEARCH WAY

EAST SETAUKET, NY 11733

Phone: (631)444-0502Fax: (631)331-1932 Languages: English

PRO10414Provider ID:

NEPHROLOGY

CHU, BRIAN T MD

26 RESEARCH WAY

EAST SETAUKET, NY 11733

Phone: (631)444-0502Fax: (631)331-1932 Languages: English

PRO4275Provider ID:

NEPHROLOGY

RACITI, ALFRED MD

26 RESEARCH WAY

EAST SETAUKET, NY 11733

Phone: (631)444-0502Fax: (631)331-1932 Languages: English

PRO4261Provider ID:

NEPHROLOGY

SOLOMON, MARK D MD

26 RESEARCH WAY

EAST SETAUKET, NY 11733

Phone: (631)444-0502Fax: (631)331-1932 Languages: English

PRO4254Provider ID:

NEPHROLOGY

YU, YANPING MD

26 RESEARCH WAY

EAST SETAUKET, NY 11733

Phone: (631)444-0502Fax: (631)331-1932 Languages: BENGALI

PRO4351Provider ID:

Lake Ronkonkoma

NEPHROLOGY

Pahlavan, Mohsen M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: English

PRO2941Provider ID:

MOUNT SINAI

NEPHROLOGY

CHOWDHERY, SUMIT MD

701 RTE 25A STE B1

MOUNT SINAI, NY 11766

Phone: (631)331-4403Fax: (631)331-1932 Languages: English

PRO10412Provider ID:

NEPHROLOGY

CHU, BRIAN T MD

701 RT 25A B-1

MOUNT SINAI, NY 11766

Phone: (631)331-4403Fax: (631)331-1932 Languages: English

PRO4273Provider ID:

NEPHROLOGY

RACITI, ALFRED MD

701 RTE 25A STE B1

MOUNT SINAI, NY 11766

Phone: (631)331-4403Fax: (631)331-1932 Languages: English

PRO0020Provider ID:

NEPHROLOGY

SOLOMON, MARK D MD

701 RTE 25A STE B1

MOUNT SINAI, NY 11766

Phone: (631)331-4403Fax: (631)331-1932 Languages: English

PRO0074Provider ID:

NEPHROLOGY

YU, YANPING MD

701 RTE 25A

MOUNT SINAI, NY 11766

Phone: (631)331-4403Fax: (631)331-1932 Languages: BENGALI

PRO4349Provider ID:

PORT JEFFERSON

NEPHROLOGY

BOGLIA, JOSEPH P MD

200 BELLE TERRE RD STE 110

PORT JEFFERSON, NY 11777

Phone: (631)476-1010Fax: (631)642-0105 Languages: English

PRO0059Provider ID:

NEPHROLOGY

CHOWDHERY, SUMIT MD

70 NORTH COUNTRY RD

PORT JEFFERSON, NY 11777

Phone: (631)473-2808Fax: (631)331-1932 Languages: English

PRO10417Provider ID:

NEPHROLOGY

CHU, BRIAN T MD

70 NORTH COUNTRY RD

PORT JEFFERSON, NY 11777

Phone: (631)473-2808Fax: (631)331-1932 Languages: English

PRO4278Provider ID:

42

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

NEPHROLOGY

RACITI, ALFRED MD

70 NORTH COUNTRY RD

PORT JEFFERSON, NY 11777

Phone: (631)473-2808Fax: (631)331-1932 Languages: English

PRO4264Provider ID:

NEPHROLOGY

YU, YANPING MD

70 NORTH COUNTRY RD

PORT JEFFERSON, NY 11777

Phone: (631)473-2808Fax: (631)331-1932 Languages: BENGALI

PRO4353Provider ID:

NEPHROLOGY

YU, YANPING MD

75 NORTH COUNTRY RD

PORT JEFFERSON, NY 11777

Phone: (631)473-1320Fax: (631)331-1932 Languages: BENGALI

PRO4355Provider ID:

PORT JEFFERSON STATI

NEPHROLOGY

CHOWDHERY, SUMIT MD

5225 NESCONSET HWY

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-5600Fax: (631)331-1932 Languages: English

PRO10419Provider ID:

PORT JEFFERSON STATION

NEPHROLOGY

CHU, BRIAN T MD

5225 NESCONSET HWY

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-5600Fax: (631)331-1932 Languages: English

PRO4280Provider ID:

NEPHROLOGY

RACITI, ALFRED MD

5225 NESCONSET HWY

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-5600Fax: (631)331-1932 Languages: English

PRO4266Provider ID:

NEPHROLOGY

SOLOMON, MARK D MD

5225 NESCONSET HWY

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-5600Fax: (631)331-1932 Languages: English

PRO4258Provider ID:

NEPHROLOGY

YU, YANPING MD

5225 NESCONSET HWY

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-5600Fax: (631)331-1932 Languages: BENGALI

PRO4356Provider ID:

NEUROLOGICAL SURGERY

Bay Shore

NEUROLOGICAL SURGERY

THOMAS, JUSTIN M MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)591-7470Fax: (631)591-7461 Languages: English

PRO12613Provider ID:

Huntington

NEUROLOGICAL SURGERY

THOMAS, JUSTIN M MD

270 Park Avenue

Huntington, NY 11743

Phone: (631)351-2300Fax: (631)351-2536 Languages: English

PRO12612Provider ID:

NEUROLOGY

BAY SHORE

NEUROLOGY

COHEN, DANIEL H MD

370 E MAIN ST STE 1

BAY SHORE, NY 11706

Phone: (631)666-4767Fax: (631)665-2153 Languages: SPANISH

PRO2588Provider ID:

NEUROLOGY

Hwang, Sean T MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3000Fax: (631)591-7461 Languages: English

PRO10568Provider ID:

NEUROLOGY

ROGOVE, ANDREW D MD

370 E MAIN ST STE1

BAY SHORE, NY 11706

Phone: (631)666-4767Fax: (631)665-2153 Languages: SPANISH

PRO2586Provider ID:

NEUROLOGY

Stevens, Scott J MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3000Fax: (631)591-7461 Languages: English

PRO10567Provider ID:

43

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

NEUROLOGY

WINICK, JONATHAN C MD

370 E MAIN ST STE 1

BAY SHORE, NY 11706

Phone: (631)666-4767Fax: (631)665-2153 Languages: SPANISH

PRO2587Provider ID:

Huntington

NEUROLOGY

Patcha, Shalini MD

96 East Main Street

Huntington, NY 11743

Phone: (631)351-5757Fax: (631)351-5756 Languages: English

PRO8252Provider ID:

NEUROLOGY

Shareeff, Musarat MD

158 East Main Street

Huntington, NY 11743

Phone: (631)271-1206Fax: (631)271-5550 Languages: English

PRO8828Provider ID:

SMITHTOWN

NEUROLOGY

MAYERSON, BRUCE R MD

45 TERRY RD

SMITHTOWN, NY 11787

Phone: (631)265-4485Fax: (631)265-3620 Languages: English

PRO10527Provider ID:

NEUROLOGY

PEARL, RICHARD A MD

45 TERRY RD STE A

SMITHTOWN, NY 11787

Phone: (631)265-4485Fax: (631)265-3620 Languages: English

PRO10528Provider ID:

NEUROLOGY

QUE, SCHENLEY H MD

45 TERRY RD STE A

SMITHTOWN, NY 11787

Phone: (631)265-4485Fax: (631)265-3620 Languages: English

PRO10526Provider ID:

NUCLEAR CARDIOLOGY

LAKE RONKONKOMA

NUCLEAR CARDIOLOGY

BELLO, JOHN MD

640 HAWKINS AVENUE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)737-0100 Languages: Aramaic

PRO12996Provider ID:

NUCLEAR MEDICINE

Islip

NUCLEAR MEDICINE

Rini, Josephine N MD

620 Main Street

Islip, NY 11751

Phone: (631)439-7237Fax: (631)439-7290 Languages: English

PRO7932Provider ID:

NUCLEAR MEDICINE

Tomas, Maria B MD

620 Main Street

Islip, NY 11751

Phone: (631)439-7237Fax: (631)439-7290 Languages: English

PRO8568Provider ID:

NUCLEAR MEDICINE

Tronco, Gene G MD

620 Main Street

Islip, NY 11751

Phone: (631)439-7237Fax: (631)439-7290 Languages: English

PRO8698Provider ID:

NUCLEAR RADIOLOGY

Islip

NUCLEAR RADIOLOGY

Evans, Adam L MD

620 Main Street

Islip, NY 11751

Phone: (631)439-7237Fax: (631)439-7290 Languages: English

PRO6155Provider ID:

NUCLEAR RADIOLOGY

Nguyen, Vinh T MD

620 Main Street

Islip, NY 11751

Phone: (631)439-7237Fax: (631)439-7290 Languages: English

PRO9347Provider ID:

NUCLEAR RADIOLOGY

Warshall, Craig E MD

620 Main Street

Islip, NY 11751

Phone: (631)439-7237Fax: (631)439-7290 Languages: English

PRO9708Provider ID:

OBSTETRICS

Huntington

44

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OBSTETRICS

Fleischer, Adiel A MD

270 Park Avenue

Huntington, NY 11743

Phone: (631)351-2219Fax: (631)351-4439 Languages: English

PRO7183Provider ID:

Islandia

OBSTETRICS

Meirowitz, Natalie B MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)292-6748Fax: (631)435-3423 Languages: English

PRO13796Provider ID:

SMITHTOWN

OBSTETRICS

ELKADY, DINA MD

48 RTE 25A STE 202

SMITHTOWN, NY 11787

Phone: (631)784-7250Fax: (631)784-7255 Languages: English

PRO4390Provider ID:

OBSTETRICS / GYNECOLOGY

AMITYVILLE

OBSTETRICS / GYNECOLOGY

FOEHR, MARK T MD

1080 SUNRISE HWY

AMITYVILLE, NY 11701

Phone: (631)716-9025Fax: (631)789-7957 Languages: SPANISH

PRO12517Provider ID:

OBSTETRICS / GYNECOLOGY

SAMPINO, ANTHONY F DO

1080 SUNRISE HWY

AMITYVILLE, NY 11701

Phone: (631)716-9026Fax: (631)789-7957 Languages: English

PRO13823Provider ID:

OBSTETRICS / GYNECOLOGY

VULLO, JOHN J DO

1080 SUNRISE HWY

AMITYVILLE, NY 11701

Phone: (631)716-9026Fax: (631)789-7957 Languages: English

PRO13826Provider ID:

COMMACK

OBSTETRICS / GYNECOLOGY

MALHOTRA, SHILPA F MBBS

353 VETERANS HIGHWAY

COMMACK, NY 11725

Phone: (631)439-5444Fax: ()- Languages: Hindi

PRO10636Provider ID:

GREENLAWN

OBSTETRICS / GYNECOLOGY

MALHOTRA, SHILPA F MBBS

284 PULASKI ROAD

GREENLAWN, NY 11740

Phone: (631)425-5250Fax: (631)425-4197 Languages: Hindi

PRO10637Provider ID:

OBSTETRICS / GYNECOLOGY

Rolon, Lisa M MD

284 Pulaski Road STE 1

Greenlawn, NY 11740

Phone: (631)425-5250Fax: (631)425-0140 Languages: English

PRO5460Provider ID:

OBSTETRICS / GYNECOLOGY

Scanlon, Robert MD

284 Pulaski Road

Greenlawn, NY 11740

Phone: (631)425-5244Fax: (631)425-0140 Languages: English

PRO9620Provider ID:

Hauppauge

OBSTETRICS / GYNECOLOGY

Bliss, Robin L MD

200 Motor Parkway

Hauppauge, NY 11788

Phone: (631)234-6249Fax: (631)435-3423 Languages: English

PRO5568Provider ID:

OBSTETRICS / GYNECOLOGY

Katz, Adi MD

200 Motor Parkway

Hauppauge, NY 11788

Phone: (631)435-4322Fax: (631)435-3423 Languages: English

PRO7404Provider ID:

OBSTETRICS / GYNECOLOGY

San Roman, Gabriel A MD

200 Motor Parkway

Hauppauge, NY 11788

Phone: (631)650-2229Fax: (631)435-3423 Languages: English

PRO9799Provider ID:

ISLANDIA

OBSTETRICS / GYNECOLOGY

BLISS, ROBIN L MD

3001 EXPRESSWAY DRIVE

NORTH

ISLANDIA, NY 11749

Phone: (631)435-4322Fax: (631)435-3423 Languages: Spanish

PRO10618Provider ID:

45

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OBSTETRICS / GYNECOLOGY

Escamilla, Gloria M MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)292-6747Fax: (631)292-6767 Languages: English

PRO6117Provider ID:

OBSTETRICS / GYNECOLOGY

McKenna, Brian P MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)292-6747Fax: (631)292-6767 Languages: English

PRO8282Provider ID:

OBSTETRICS / GYNECOLOGY

Rubin, Joyce D MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)292-6747Fax: (631)292-6767 Languages: English

PRO5393Provider ID:

OBSTETRICS / GYNECOLOGY

Soviero, Vanessa M MD

3001 Expressway Drive North

Islandia, NY 11749

Phone: (631)292-6747Fax: (631)292-6767 Languages: English

PRO9847Provider ID:

Islip

OBSTETRICS / GYNECOLOGY

Berlin, Scott F MD

2330 Union Blvd

Islip, NY 11751

Phone: (631)224-4200Fax: (516)472-5703 Languages: English

PRO3414Provider ID:

OBSTETRICS / GYNECOLOGY

Berlin, Scott F MD

2330 Union Boulevard

Islip, NY 11751

Phone: (631)224-4200Fax: (631)224-1798 Languages: English

PRO5888Provider ID:

NORTH BABYLON

OBSTETRICS / GYNECOLOGY

ALLAF, M BARRA MD

1476 DEER PARK AVE 2ND FL

NORTH BABYLON, NY 11703

Phone: (631)462-1184Fax: Languages: ARABIC

PRO10430Provider ID:

OBSTETRICS / GYNECOLOGY

GRAFSTEIN, HAROLD MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: HEBREW, SPANISH

PRO0398Provider ID:

OBSTETRICS / GYNECOLOGY

HAM, LARRY MD

1476 DEER PARK AVE 2ND FL

NORTH BABYLON, NY 11703

Phone: (631)462-1184Fax: (631)242-0249 Languages: SPANISH

PRO12105Provider ID:

OBSTETRICS / GYNECOLOGY

KRINER, MARY MD

1476 DEER PARK AVE 2ND

FLOOR

NORTH BABYLON, NY 11703

Phone: (631)462-1184Fax: (631)462-1187 Languages: English

PRO10437Provider ID:

OBSTETRICS / GYNECOLOGY

QADRI, NADIA DO

300 BAYSHORE ROAD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)491-8613 Languages: English

PRO12995Provider ID:

OBSTETRICS / GYNECOLOGY

RABINOVICH, VALERIE MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)491-8613 Languages: RUSSIAN,

UKRAINIAN

PRO11821Provider ID:

OBSTETRICS / GYNECOLOGY

STORCH, SARA R MD

1476 DEER PARK AVE 2ND FL

NORTH BABYLON, NY 11703

Phone: (631)462-1184Fax: (631)462-1187 Languages: English

PRO10436Provider ID:

NORTHPORT

OBSTETRICS / GYNECOLOGY

Egner, Kristi M MD

351 FORT SALANGO RD STE B

NORTHPORT, NY 11768

Phone: (631)271-4330Fax: (631)271-4213 Languages: English

PRO6275Provider ID:

RONKONKOMA

OBSTETRICS / GYNECOLOGY

JEREMIAS, ELISABETH MD

640 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1117 Languages: GERMAN,

HUNGARIAN

PRO0373Provider ID:

46

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OBSTETRICS / GYNECOLOGY

RABINOVICH, VALERIE MD

640 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1117 Languages: RUSSIAN,

UKRAINIAN

PRO11819Provider ID:

SMITHTOWN

OBSTETRICS / GYNECOLOGY

BRACERO, LUIS MD

222 E MAIN STREET, SUITE 114

SMITHTOWN, NY 11787

Phone: (631)292-6748Fax: (631)435-3423 Languages: Spanish

PRO13715Provider ID:

OBSTETRICS / GYNECOLOGY

Escamilla, Gloria M MD

50 Route 25A

Smithtown, NY 11787

Phone: (631)862-3130Fax: (631)862-3593 Languages: English

PRO6119Provider ID:

OBSTETRICS / GYNECOLOGY

Rubin, Joyce D MD

50 Route 25A

Smithtown, NY 11787

Phone: (631)862-3130Fax: (631)862-3593 Languages: English

PRO5395Provider ID:

OBSTETRICS / GYNECOLOGY

SAN ROMAN, GABRIEL A MD

285 MIDDLE COUNTRY ROAD,

SUITE 100

SMITHTOWN, NY 11787

Phone: (631)650-2229Fax: (631)435-3423 Languages: Spanish

PRO10656Provider ID:

OBSTETRICS / GYNECOLOGY

Soviero, Vanessa M MD

50 Route 25A

Smithtown, NY 11787

Phone: (631)862-3130Fax: (631)862-3593 Languages: English

PRO9849Provider ID:

OBSTETRICS / GYNECOLOGY

WU, SERENA S MD

48 RTE 25A STE 202

SMITHTOWN, NY 11787

Phone: (631)784-7250Fax: (631)784-7255 Languages: English

PRO4391Provider ID:

WEST ISLIP

OBSTETRICS / GYNECOLOGY

FOEHR, MARK T MD

1000 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)376-3610Fax: (631)376-3635 Languages: SPANISH

PRO12516Provider ID:

OBSTETRICS / GYNECOLOGY

SAMPINO, ANTHONY F DO

1000 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)376-3000Fax: (631)465-6524 Languages: English

PRO13821Provider ID:

OBSTETRICS / GYNECOLOGY

VULLO, JOHN J DO

1000 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)376-3000Fax: (631)465-6524 Languages: English

PRO13824Provider ID:

WYANDANCH

OBSTETRICS / GYNECOLOGY

FOEHR, MARK T MD

1556 STRAIGHT PATH

WYANDANCH, NY 11798

Phone: (631)854-1700Fax: (831)843-1500 Languages: SPANISH

PRO12518Provider ID:

OBSTETRICS / GYNECOLOGY

SAMPINO, ANTHONY F DO

1556 STRAIGHT PATH

WYANDANCH, NY 11798

Phone: (631)854-1700Fax: (631)643-1590 Languages: English

PRO13822Provider ID:

OBSTETRICS / GYNECOLOGY

VULLO, JOHN J DO

1556 STRAIGHT PATH

WYANDANCH, NY 11798

Phone: (631)854-1700Fax: (631)643-1590 Languages: English

PRO13825Provider ID:

OPHTHALMOLOGIST

AMITYVILLE

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12060Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO12058Provider ID:

47

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

AVNI, AARON MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)608-1542Fax: (631)434-1728 Languages: SPANISH

PRO4417Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12043Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12080Provider ID:

OPHTHALMOLOGIST

COLE, CRAIG NE MD

333 BROADWAY SUITE 1

AMITYVILLE, NY 11701

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO2590Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12070Provider ID:

OPHTHALMOLOGIST

MARCUS, EDWARD MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)608-1542Fax: (631)608-1544 Languages: English

PRO11984Provider ID:

OPHTHALMOLOGIST

MOHR, EDWARD MD

365 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)789-2214Fax: (631)789-2215 Languages: SPANISH AND

ITALIAN

PRO2332Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12102Provider ID:

OPHTHALMOLOGIST

NATTIS, RICHARD MD

333 BROADWAY SUITE 1

AMITYVILLE, NY 11701

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO3103Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)778-6021 Languages: SPANISH

PRO4406Provider ID:

OPHTHALMOLOGIST

NUDELMAN, JEFFREY MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO2783Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)778-6021 Languages: LATIN

PRO4400Provider ID:

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)434-1728 Languages: SPANISH

PRO10361Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)231-4455Fax: (631)434-1728 Languages: SPANISH, ITALIAN

PRO4421Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)608-1542Fax: (631)608-1544 Languages: SPANISH, ITALIAN

PRO12110Provider ID:

48

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

SHAH, SHETAL MD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)608-1542Fax: (631)608-1544 Languages: English

PRO11992Provider ID:

BABYLON

OPHTHALMOLOGIST

COLE, CRAIG NE MD

500 WEST MAIN STREET SUITE

210

BABYLON, NY 11702

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO2785Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

500 WEST MAIN STREET SUITE

210

BABYLON, NY 11702

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO2863Provider ID:

OPHTHALMOLOGIST

NATTIS, RICHARD MD

500 WEST MAIN STREET SUITE

210

BABYLON, NY 11702

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO2269Provider ID:

OPHTHALMOLOGIST

NUDELMAN, JEFFREY MD

500 WEST MAIN STREET

BABYLON, NY 11702

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO2146Provider ID:

OPHTHALMOLOGIST

WONG, PETER J MD

500 W MAIN ST STE 210

BABYLON, NY 11702

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO12480Provider ID:

BAY SHORE

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

375 E MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12067Provider ID:

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

180 E MAIN ST STE 108

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12050Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

375 E MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)665-1363 Languages: SPANISH

PRO12049Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

375 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO12056Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

180 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO12053Provider ID:

OPHTHALMOLOGIST

AVNI, AARON MD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10507Provider ID:

OPHTHALMOLOGIST

AVNI, AARON MD

375 EAST MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10489Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

375 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)665-1383 Languages: English

PRO12039Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

375 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12047Provider ID:

49

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

BARON, EDWARD M MD

180 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12041Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

375 E MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12079Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

375 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: GERMAN

PRO12085Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

180 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: GERMAN

PRO12071Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

375 E MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: GERMAN

PRO12072Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

375 EAST MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, LATIN

PRO10487Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, LATIN

PRO10505Provider ID:

OPHTHALMOLOGIST

MARCUS, EDWARD MD

375 MAIN ST

BAY SHORE, NY 11706

Phone: Fax: Languages: English

PRO12157Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

180 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12095Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

375 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12097Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10503Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

375 EAST MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10485Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

375 EAST MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: LATIN

PRO10484Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: LATIN

PRO10502Provider ID:

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10504Provider ID:

50

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

375 EAST MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10486Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

375 EAST MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, ITALIAN

PRO10488Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, ITALIAN

PRO10506Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

375 E MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)665-1330Fax: (631)257-5097 Languages: SPANISH, ITALIAN

PRO12108Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: Fax: Languages: SPANISH, ITALIAN

PRO12117Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

375 MAIN ST

BAY SHORE, NY 11706

Phone: Fax: Languages: English

PRO12158Provider ID:

BRENTWOOD

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12063Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO12057Provider ID:

OPHTHALMOLOGIST

AVNI, AARON MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: SPANISH

PRO4415Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12046Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12076Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

786 MONTAUK HWY

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12159Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: SPANISH, LATIN

PRO4425Provider ID:

OPHTHALMOLOGIST

MARCUS, EDWARD MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO11981Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12101Provider ID:

51

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: SPANISH

PRO4405Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

601 SUFFOLK AVE STE 5

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: LATIN

PRO4399Provider ID:

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: SPANISH

PRO10358Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: SPANISH, ITALIAN

PRO4420Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)231-2918 Languages: SPANISH, ITALIAN

PRO12115Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)234-4455Fax: (631)231-2918 Languages: SPANISH, ITALIAN

PRO12116Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO11989Provider ID:

EAST SETAUKET

OPHTHALMOLOGIST

BEARDS, DOUGLAS MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12184Provider ID:

OPHTHALMOLOGIST

BRODERICK, ROBERT D MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12482Provider ID:

OPHTHALMOLOGIST

DAVERSA, GERARD MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: ITALIAN

PRO12306Provider ID:

OPHTHALMOLOGIST

DONNENFELD, ERIC MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12275Provider ID:

OPHTHALMOLOGIST

GARIBALDI, DANIEL C MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12226Provider ID:

OPHTHALMOLOGIST

KIERNAN, DANIEL F MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12233Provider ID:

OPHTHALMOLOGIST

LAUD, KETAN G MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: SPANISH

PRO12348Provider ID:

OPHTHALMOLOGIST

MCDONALD, MARGUERITE B

MD

4TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: SPANISH

PRO12361Provider ID:

52

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

OATS, JACK MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: 6319411400Fax: (631)941-1476 Languages: SPANISH

PRO12327Provider ID:

OPHTHALMOLOGIST

PERRY, HENRY D MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12311Provider ID:

OPHTHALMOLOGIST

RAGUSA, NIKOLA MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12447Provider ID:

OPHTHALMOLOGIST

SACHS, DAVID M MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: SPANISH

PRO12263Provider ID:

OPHTHALMOLOGIST

SIGLER, ERIC J MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12284Provider ID:

OPHTHALMOLOGIST

STOLLER, GLENN L MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: SPANISH

PRO12259Provider ID:

OPHTHALMOLOGIST

STURM, RICHARD T MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: SPANISH

PRO12423Provider ID:

OPHTHALMOLOGIST

SWERDIN, MICHAEL A MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12379Provider ID:

OPHTHALMOLOGIST

TRUBNIK, VALERIE MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12176Provider ID:

OPHTHALMOLOGIST

VACCARO, ANZHELIKA L MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: RUSSIAN

PRO12217Provider ID:

OPHTHALMOLOGIST

WITTPENN, JOHN R MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: FRENCH

PRO12338Provider ID:

OPHTHALMOLOGIST

WONG, PETER J MD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12473Provider ID:

HAUPPAUGE

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

110 MARCUS BLVD

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12062Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO12055Provider ID:

OPHTHALMOLOGIST

AVNI, AARON MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10422Provider ID:

53

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

BARON, EDWARD M MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12044Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: GERMAN

PRO12082Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: GERMAN

PRO12074Provider ID:

OPHTHALMOLOGIST

MARCUS, EDWARD MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO11983Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, LATIN

PRO10426Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12099Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10424Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: LATIN

PRO10423Provider ID:

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10429Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, ITALIAN

PRO10425Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

110 MARCUS BLVD

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, ITALIAN

PRO12109Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO11991Provider ID:

HUNTINGTON

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12059Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12040Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12086Provider ID:

54

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

GARIBALDI, DANIEL C MD

1700 E JERICHO TPKE

HUNTINGTON, NY 11743

Phone: (631)462-2020Fax: (631)462-2227 Languages: English

PRO12222Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12077Provider ID:

OPHTHALMOLOGIST

MARCUS, EDWARD MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)549-2020Fax: (631)549-1246 Languages: English

PRO11986Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12103Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)549-2020Fax: (631)549-1246 Languages: LATIN

PRO4402Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)549-2020Fax: (631)549-1246 Languages: SPANISH, ITALIAN

PRO12112Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)549-2020Fax: (631)549-1246 Languages: English

PRO11994Provider ID:

LAKE RONKONKOMA

OPHTHALMOLOGIST

IMMANUEL, DAVID MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: English

PRO0376Provider ID:

NORTH BABYLON

OPHTHALMOLOGIST

AHMAD, HABEEB MD

300 BAYSHORE ROAD

NORTH BABYLON, NY 11703

Phone: 631-586-2700Fax: 631-491-8613 Languages: English

PRO10381Provider ID:

OPHTHALMOLOGIST

Blakes, Karla M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

PRO2960Provider ID:

OPHTHALMOLOGIST

Immanuel, David M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

PRO2985Provider ID:

OPHTHALMOLOGIST

Radhakrishnan, Chitra M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO2816Provider ID:

PORT JEFFERSON

OPHTHALMOLOGIST

BEARDS, DOUGLAS MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: English

PRO12193Provider ID:

OPHTHALMOLOGIST

BRODERICK, ROBERT D MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (866)733-6254Fax: Languages: English

PRO12396Provider ID:

OPHTHALMOLOGIST

COSSARI, ALFRED J MD

311 BARNUM AVENUE

PORT JEFFERSON, NY 11777

Phone: (631)928-6400Fax: (631)928-2353 Languages: ITALIAN, CZECH,

SPAN

PRO2118Provider ID:

55

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

DAVERSA, GERARD MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: ITALIAN

PRO12305Provider ID:

OPHTHALMOLOGIST

DONNENFELD, ERIC MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (868)733-6254Fax: Languages: English

PRO12272Provider ID:

OPHTHALMOLOGIST

GARIBALDI, DANIEL C MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (516)527-3232Fax: (516)365-1893 Languages: English

PRO12230Provider ID:

OPHTHALMOLOGIST

KIERNAN, DANIEL F MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)825-7100Fax: (631)828-7171 Languages: English

PRO12240Provider ID:

OPHTHALMOLOGIST

LAUD, KETAN G MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: SPANISH

PRO12347Provider ID:

OPHTHALMOLOGIST

MCDONALD, MARGUERITE B

MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: SPANISH

PRO12366Provider ID:

OPHTHALMOLOGIST

OATS, JACK MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: SPANISH

PRO12328Provider ID:

OPHTHALMOLOGIST

PERRY, HENRY D MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: English

PRO12316Provider ID:

OPHTHALMOLOGIST

RAGUSA, NIKOLA MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: English

PRO12451Provider ID:

OPHTHALMOLOGIST

SACHS, DAVID M MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (866)733-6254Fax: Languages: SPANISH

PRO12268Provider ID:

OPHTHALMOLOGIST

SIGLER, ERIC J MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (866)733-6254Fax: Languages: English

PRO12290Provider ID:

OPHTHALMOLOGIST

STURM, RICHARD T MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: SPANISH

PRO12429Provider ID:

OPHTHALMOLOGIST

SWERDIN, MICHAEL A MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: English

PRO12384Provider ID:

OPHTHALMOLOGIST

TRUBNIK, VALERIE MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (666)733-6254Fax: Languages: English

PRO12172Provider ID:

OPHTHALMOLOGIST

VACCARO, ANZHELIKA L MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: RUSSIAN

PRO12216Provider ID:

56

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

WITTPENN, JOHN R MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: FRENCH

PRO12339Provider ID:

OPHTHALMOLOGIST

WONG, PETER J MD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (866)733-6254Fax: Languages: English

PRO12475Provider ID:

PORT JEFFERSON STATI

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (361)331-1497 Languages: SPANISH, KOREAN

PRO12064Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)231-4455Fax: (631)231-5097 Languages: SPANISH

PRO12054Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12042Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: GERMAN

PRO12083Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

375 E MAIN ST

PORT JEFFERSON STATI, NY

11776

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12160Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

180 MAIN ST

PORT JEFFERSON STATI, NY

11776

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12161Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (361)331-1497 Languages: GERMAN

PRO12073Provider ID:

OPHTHALMOLOGIST

MARCUS, EDWARD MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: English

PRO11985Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12098Provider ID:

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: SPANISH

PRO10360Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: SPANISH, ITALIAN

PRO12111Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: English

PRO11993Provider ID:

PORT JEFFERSON STATION

57

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

AVNI, AARON MD

1010 RTE 112 STE 300

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: SPANISH

PRO4418Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

1010 RTE 112 STE 300

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-1414Fax: (631)778-6021 Languages: SPANISH, LATIN

PRO4427Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

1010 RTE 112 STE 300

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: SPANISH

PRO4408Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

1010 RTE 112 STE 300

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: LATIN

PRO4401Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

1010 RTE 112 STE 300

PORT JEFFERSON STATION, NY

11776

Phone: (631)331-1414Fax: (631)778-6021 Languages: SPANISH, ITALIAN

PRO4424Provider ID:

RIVERHEAD

OPHTHALMOLOGIST

BUONO, LAWRENCE M MD

54 COMMERCE DR STE 6

RIVERHEAD, NY 11901

Phone: (631)265-8780Fax: (631)727-8820 Languages: English

PRO10343Provider ID:

OPHTHALMOLOGIST

CHOINSKI, PAUL A MD

54 COMMERCE DR STE 6

RIVERHEAD, NY 11901

Phone: (631)265-8780Fax: (631)727-8820 Languages: English

PRO10322Provider ID:

OPHTHALMOLOGIST

OMALLEY-DICKINSON, GRACE

M MD

54 COMMERCE DR STE 6

RIVERHEAD, NY 11901

Phone: (631)265-8780Fax: (631)727-8820 Languages: English

PRO10326Provider ID:

OPHTHALMOLOGIST

SPEER BUONO, CHRISTINE MD

54 COMMERCE DRIVE SUITE 6

RIVERHEAD, NY 11901

Phone: (631)265-8780Fax: (631)727-8820 Languages: English

PRO10341Provider ID:

SAYVILLE

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12065Provider ID:

OPHTHALMOLOGIST

ARIES, PHILIP M MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO12052Provider ID:

OPHTHALMOLOGIST

AVNI, AARON MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)778-6021 Languages: SPANISH

PRO4419Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12045Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)563-2204 Languages: GERMAN

PRO12084Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)257-5097 Languages: GERMAN

PRO12075Provider ID:

58

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

MARCUS, EDWARD MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)562-2204 Languages: English

PRO11988Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)778-6021 Languages: SPANISH, LATIN

PRO4426Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12100Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)778-6021 Languages: SPANISH

PRO4409Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)563-2204 Languages: LATIN

PRO4404Provider ID:

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)778-6021 Languages: SPANISH

PRO10359Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)563-2204 Languages: SPANISH, ITALIAN

PRO4423Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: Fax: Languages: SPANISH, ITALIAN

PRO12114Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)563-2204 Languages: English

PRO11996Provider ID:

SMITHTOWN

OPHTHALMOLOGIST

MARCUS, EDWARD MD

260 MIDDLE COUNTRY RD

SMITHTOWN, NY 11787

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO11982Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

260 MIDDLE COUNTRY RD

SMITHTOWN, NY 11787

Phone: (631)231-4455Fax: (631)778-6021 Languages: SPANISH, LATIN

PRO4428Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

260 MIDDLE COUNTRY RD

SMITHTOWN, NY 11787

Phone: (631)231-4455Fax: (631)778-6021 Languages: SPANISH

PRO4410Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

260 MIDDLE COUNTRY RD

SMITHTOWN, NY 11787

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO11990Provider ID:

SOUTHAMPTON

OPHTHALMOLOGIST

BUONO, LAWRENCE M MD

186 OLD TOWN RD

SOUTHAMPTON, NY 11968

Phone: (631)265-8780Fax: (631)265-8521 Languages: English

PRO10344Provider ID:

OPHTHALMOLOGIST

CHOINSKI, PAUL A MD

186 OLD TOWN RD

SOUTHAMPTON, NY 11968

Phone: (631)265-8780Fax: (631)265-8521 Languages: English

PRO10321Provider ID:

59

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

OMALLEY-DICKINSON, GRACE

M MD

186 OLD TOWN RD

SOUTHAMPTON, NY 11968

Phone: (631)265-8780Fax: (631)265-8521 Languages: English

PRO10325Provider ID:

OPHTHALMOLOGIST

SPEER BUONO, CHRISTINE MD

186 OLD TOWN RD

SOUTHAMPTON, NY 11968

Phone: (631)265-8780Fax: (631)265-8521 Languages: English

PRO10340Provider ID:

SOUTHOLD

OPHTHALMOLOGIST

BUONO, LAWRENCE M MD

41705 COUNTY RD 48

SOUTHOLD, NY 11971

Phone: (631)265-8780Fax: (631)265-8521 Languages: English

PRO10342Provider ID:

OPHTHALMOLOGIST

CHOINSKI, PAUL A MD

41705 COUNTY RD 48

SOUTHOLD, NY 11971

Phone: (631)265-8780Fax: (631)265-8521 Languages: English

PRO10338Provider ID:

OPHTHALMOLOGIST

SPEER BUONO, CHRISTINE MD

41705 COUNTY RD 48

SOUTHOLD, NY 11971

Phone: (631)265-8780Fax: (631)265-8521 Languages: English

PRO10339Provider ID:

WEST ISLIP

OPHTHALMOLOGIST

AHNLEE, SANDRA S MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH, KOREAN

PRO12061Provider ID:

OPHTHALMOLOGIST

AVNI, AARON MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)587-0402 Languages: SPANISH

PRO4416Provider ID:

OPHTHALMOLOGIST

BARON, EDWARD M MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12048Provider ID:

OPHTHALMOLOGIST

BEYRER, CHARLES R MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12081Provider ID:

OPHTHALMOLOGIST

COLE, CRAIG NE MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-5400Fax: (631)587-0402 Languages: English

PRO2591Provider ID:

OPHTHALMOLOGIST

COLLINS, JAMES F MD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: English

PRO4292Provider ID:

OPHTHALMOLOGIST

LAUD, KETAN G MD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: SPANISH

PRO4294Provider ID:

OPHTHALMOLOGIST

LEWEN, STEPHEN MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)231-4455Fax: (631)231-2918 Languages: GERMAN

PRO12078Provider ID:

OPHTHALMOLOGIST

LIEBERT, MICHELLE E MD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: SPANISH

PRO4289Provider ID:

OPHTHALMOLOGIST

MARCUS, SERGIU MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)587-0402 Languages: SPANISH, LATIN

PRO4439Provider ID:

60

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPHTHALMOLOGIST

MARCUS, EDWARD MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)587-0402 Languages: English

PRO11987Provider ID:

OPHTHALMOLOGIST

MORABITO, CARMINE D MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)231-4455Fax: (631)257-5097 Languages: ITALIAN, GERMAN

PRO12096Provider ID:

OPHTHALMOLOGIST

NATTIS, RICHARD MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-5400Fax: (631)587-0402 Languages: SPANISH

PRO3102Provider ID:

OPHTHALMOLOGIST

NICHOLS, NEIL S MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)778-6021 Languages: SPANISH

PRO4407Provider ID:

OPHTHALMOLOGIST

NUDELMAN, JEFFREY MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-5400Fax: (631)587-0402 Languages: English

PRO2782Provider ID:

OPHTHALMOLOGIST

PASSARELLI, JOHN G MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)587-0402 Languages: LATIN

PRO4403Provider ID:

OPHTHALMOLOGIST

PERSAK, GREGORY MD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: English

PRO4291Provider ID:

OPHTHALMOLOGIST

RABINOVICH, ALEXANDER MD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: SPANISH

PRO4290Provider ID:

OPHTHALMOLOGIST

RIEGEL, EDWARD M MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)587-0402Fax: (631)778-6021 Languages: SPANISH

PRO10362Provider ID:

OPHTHALMOLOGIST

SARWAL, RAJU MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)778-6021 Languages: SPANISH, ITALIAN

PRO4422Provider ID:

OPHTHALMOLOGIST

SCIBILIA, GLENN D MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)651-3455Fax: (631)587-0402 Languages: SPANISH, ITALIAN

PRO12113Provider ID:

OPHTHALMOLOGIST

SHAH, SHETAL MD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)587-0402 Languages: English

PRO11995Provider ID:

OPHTHALMOLOGIST

WILLIG, JEFFREY L MD

360 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: Languages: SPANISH

PRO4293Provider ID:

OPTOMETRIST

AMITYVILLE

OPTOMETRIST

BERMAN, SHARI N OD

333 BROADWAY STE 1

AMITYVILLE, NY 11701

Phone: (631)608-1542Fax: (631)434-1728 Languages: English

PRO12133Provider ID:

OPTOMETRIST

LAMONICA, MICHAEL OD

333 BROADWAY SUITE 1

AMITYVILLE, NY 11701

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO3195Provider ID:

61

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

333 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)608-1542Fax: (631)778-6021 Languages: SPANISH

PRO10366Provider ID:

BABYLON

OPTOMETRIST

LAMONICA, MICHAEL OD

500 WEST MAIN STREET SUITE

210

BABYLON, NY 11702

Phone: (631)957-3355Fax: (631)957-4378 Languages: English

PRO3194Provider ID:

BAY SHORE

OPTOMETRIST

BERMAN, SHARI N OD

180 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)661-3455Fax: (631)257-5097 Languages: English

PRO12129Provider ID:

OPTOMETRIST

BERMAN, SHARI N OD

375 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)661-3455Fax: (631)257-5097 Languages: English

PRO12130Provider ID:

OPTOMETRIST

RENTA-SKYER, VIVIAN OD

375 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO11831Provider ID:

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

180 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10508Provider ID:

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

375 EAST MAIN ST STE 24

BAY SHORE, NY 11706

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10490Provider ID:

BRENTWOOD

OPTOMETRIST

BERMAN, SHARI N OD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)778-6021 Languages: English

PRO12134Provider ID:

OPTOMETRIST

RENTA-SKYER, VIVIAN OD

1758 BRENTWOOD RD

BRENTWOOD, NY 11717

Phone: (631)231-2073Fax: Languages: SPANISH

PRO11828Provider ID:

OPTOMETRIST

RENTA-SKYER, VIVIAN OD

601 SUFFOLK AVE STE 1

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO11834Provider ID:

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

601 SUFFOLK AVE

BRENTWOOD, NY 11717

Phone: (631)231-4455Fax: (631)778-6021 Languages: SPANISH

PRO10363Provider ID:

COMMACK

OPTOMETRIST

DITKOWSKY, MICHAEL B OD

6566 JERICHO TURNPIKE

COMMACK, NY 11725

Phone: (631)499-3363Fax: (631)499-3363 Languages: English

PRO3312Provider ID:

EAST SETAUKET

OPTOMETRIST

GALSTIAN, PAUL R OD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12462Provider ID:

OPTOMETRIST

MANCUSO, ALYSSA B OD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12202Provider ID:

OPTOMETRIST

MARIANI, RAYMOND E OD

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: English

PRO12409Provider ID:

HAUPPAUGE

62

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPTOMETRIST

BERMAN, SHARI N OD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12128Provider ID:

OPTOMETRIST

RENTA-SKYER, VIVIAN OD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO11833Provider ID:

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

110 MARCUS BLVD STE 400

HAUPPAUGE, NY 11788

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO10428Provider ID:

HUNTINGTON

OPTOMETRIST

BERMAN, SHARI N OD

281 MAIN ST

HUNTINGTON, NY 11743

Phone: (631)427-8500Fax: (631)778-5021 Languages: English

PRO12126Provider ID:

LINDENHURST

OPTOMETRIST

NORRIS, ROBERT K OD

600-C NORTH WELLWOOD AVE

LINDENHURST, NY 11757

Phone: (631)957-0033Fax: (631)957-2315 Languages: English

PRO11837Provider ID:

MEDFORD

OPTOMETRIST

GOODMAN, STEVEN I OD

1643A RTE 112

MEDFORD, NY 11763

Phone: (631)758-5575Fax: (631)758-5579 Languages: SPANISH, FRENCH

PRO3700Provider ID:

NORTH BABYLON

OPTOMETRIST

ASHINOFF, STEPHEN H OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3653Provider ID:

OPTOMETRIST

DONNOLO, FELICIA OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3637Provider ID:

OPTOMETRIST

GAILING, DAVID OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3587Provider ID:

OPTOMETRIST

LASKER, NAHIDA A OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3727Provider ID:

OPTOMETRIST

LIEBMAN, BRAD G OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3554Provider ID:

OPTOMETRIST

LULOFF, STEPHEN OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3674Provider ID:

OPTOMETRIST

MILLER, KAREN L OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3711Provider ID:

OPTOMETRIST

NIGAM, VAISHALI OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3691Provider ID:

OPTOMETRIST

NUS, DEANNA M OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3615Provider ID:

63

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPTOMETRIST

ORKIN, BRUCE OD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

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

PRO3578Provider ID:

PATCHOGUE

OPTOMETRIST

DITKOWSKY, MICHAEL B OD

38 OAK STREET STE 2

PATCHOGUE, NY 11772

Phone: (631)576-4499Fax: (631)576-4253 Languages: English

PRO12168Provider ID:

PORT JEFFERSON

OPTOMETRIST

GALSTIAN, PAUL R OD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (866)733-6254Fax: Languages: English

PRO12467Provider ID:

OPTOMETRIST

MANCUSO, ALYSSA B OD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (666)733-6254Fax: Languages: English

PRO12207Provider ID:

OPTOMETRIST

MARIANI, RAYMOND E OD

125 OAKLAND AVE STE 101

PORT JEFFERSON, NY 11777

Phone: (866)733-6254Fax: Languages: English

PRO12404Provider ID:

PORT JEFFERSON STATI

OPTOMETRIST

BERMAN, SHARI N OD

1010 RTE 112 STE 300

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: English

PRO12131Provider ID:

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

1010 RTE 112

PORT JEFFERSON STATI, NY

11776

Phone: (631)331-1414Fax: (631)331-1497 Languages: SPANISH

PRO10364Provider ID:

PORT JEFFERSON STATION

OPTOMETRIST

RENTA-SKYER, VIVIAN OD

1010 RTE 112 STE 300

PORT JEFFERSON STATION, NY

11776

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO11829Provider ID:

RONKONKOMA

OPTOMETRIST

ASHINOFF, STEPHEN H OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3663Provider ID:

OPTOMETRIST

DITKOWSKY, MICHAEL B OD

388 HAWKINS AVE STE 2

RONKONKOMA, NY 11779

Phone: (631)588-7004Fax: (631)588-2612 Languages: English

PRO3310Provider ID:

OPTOMETRIST

DONNOLO, FELICIA OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3701Provider ID:

OPTOMETRIST

GAILING, DAVID OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3604Provider ID:

OPTOMETRIST

LASKER, NAHIDA A OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3726Provider ID:

OPTOMETRIST

LIEBMAN, BRAD G OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3559Provider ID:

64

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

OPTOMETRIST

LULOFF, STEPHEN OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3672Provider ID:

OPTOMETRIST

MILLER, KAREN L OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3709Provider ID:

OPTOMETRIST

NIGAM, VAISHALI OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3690Provider ID:

OPTOMETRIST

NUS, DEANNA M OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3614Provider ID:

OPTOMETRIST

ORKIN, BRUCE OD

640 HAWKINS AVE

RONKONKOMA, NY 11779

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

PRO3586Provider ID:

SAYVILLE

OPTOMETRIST

BERMAN, SHARI N OD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)257-5097 Languages: English

PRO12127Provider ID:

OPTOMETRIST

RENTA-SKYER, VIVIAN OD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO11832Provider ID:

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

153 MAIN ST

SAYVILLE, NY 11782

Phone: (631)563-2206Fax: (631)563-2204 Languages: SPANISH

PRO10365Provider ID:

WEST ISLIP

OPTOMETRIST

BERMAN, SHARI N OD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)778-6021 Languages: English

PRO12132Provider ID:

OPTOMETRIST

LAMONICA, MICHAEL OD

786 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)661-5400Fax: (631)587-0402 Languages: English

PRO3196Provider ID:

OPTOMETRIST

LUSTIG, TODD H OD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: SPANISH

PRO10396Provider ID:

OPTOMETRIST

MURAWSKA, MONICA OD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: SPANISH

PRO10397Provider ID:

OPTOMETRIST

RENTA-SKYER, VIVIAN OD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)231-4455Fax: (631)257-5097 Languages: SPANISH

PRO11830Provider ID:

OPTOMETRIST

SCANDIFFIO, CATHERINE C OD

786 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)661-3455Fax: (631)778-6021 Languages: SPANISH

PRO10367Provider ID:

OPTOMETRIST

WOLLMAN, GEORGE F OD

360 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)422-1110Fax: (631)422-1916 Languages: SPANISH

PRO4381Provider ID:

ORTHOPAEDIC SURGERY

RONKONKOMA

65

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

ORTHOPAEDIC SURGERY

AN, YUEHUEI MD

3505 VETERANS MEMORIAL

HIGHWAY

RONKONKOMA, NY 11779

Phone: (631)676-7656Fax: (631)676-7648 Languages: Chinese

PRO10613Provider ID:

WEST ISLIP

ORTHOPAEDIC SURGERY

AN, YUEHUEI MD

786 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)968-3683Fax: (631)559-5344 Languages: Chinese

PRO10614Provider ID:

ORTHOPAEDIC SURGERY

NETT, MICHAEL P MD

786 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)968-3683Fax: (631)559-5344 Languages: English

PRO10643Provider ID:

OTOLARYNGOLOGY

BABYLON

OTOLARYNGOLOGY

LONDON, ALEXANDER L MD

400 W MAIN ST STE 155

BABYLON, NY 11702

Phone: (631)893-6070Fax: (631)893-6465 Languages: English

PRO2470Provider ID:

COMMACK

OTOLARYNGOLOGY

KHAN, SABBIR RA DO

2171 JERICHO TURNPIKE STE

205

COMMACK, NY 11725

Phone: (631)493-0033Fax: (631)493-3284 Languages: English

PRO2791Provider ID:

OTOLARYNGOLOGY

MESLEMANI, DANNY MD

2171 JERICHO TURNPIKE

COMMACK, NY 11725

Phone: (631)493-0033Fax: (631)493-3284 Languages: SPANISH, ARABIC

PRO3126Provider ID:

DEER PARK

OTOLARYNGOLOGY

KHAN, SABBIR RA DO

1550 DEER PARK AVE

DEER PARK, NY 11729

Phone: (631)782-3888Fax: (631)782-1944 Languages: English

PRO2610Provider ID:

OTOLARYNGOLOGY

LONDON, ALEXANDER L MD

1550 DEER PARK AVE

DEER PARK, NY 11729

Phone: (631)782-3888Fax: (631)782-1944 Languages: English

PRO2542Provider ID:

OTOLARYNGOLOGY

MESLEMANI, DANNY MD

1550 DEER PARK AVENUE

DEER PARK, NY 11729

Phone: (631)782-3888Fax: (631)782-1944 Languages: SPANISH, ARABIC

PRO3127Provider ID:

NORTH BABYLON

OTOLARYNGOLOGY

GREENFIELD, BARAK J MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: HEBREW

PRO0382Provider ID:

PAIN MANAGEMENT

DEER PARK

PAIN MANAGEMENT

QADEER, MASOOM H MD

1755 DEER PARK AVE

DEER PARK, NY 11729

Phone: (631)242-7246Fax: (631)629-4477 Languages: BENGALI, SPANISH

PRO10407Provider ID:

PATHOLOGY -

ANATOMIC/CLINICAL

BAY SHORE

PATHOLOGY -

ANATOMIC/CLINICAL

GIMENEZ, CECILIA E MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (516)304-7201Fax: (516)719-1062 Languages: Spanish

PRO13035Provider ID:

PATHOLOGY -

ANATOMIC/CLINICAL

ZHANG, XINMIN MBBS

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (516)304-7242Fax: (516)719-1062 Languages: Chinese

PRO12823Provider ID:

Huntington

66

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

PATHOLOGY -

ANATOMIC/CLINICAL

GIMENEZ, CECILIA E MD

270 Park Avenue

Huntington, NY 11743

Phone: (631)351-2293Fax: (516)719-1062 Languages: Spanish

PRO13054Provider ID:

PATHOLOGY -

ANATOMIC/CLINICAL

ZHANG, XINMIN MBBS

270 PARK AVENUE

HUNTINGTON, NY 11743

Phone: (631)351-2293Fax: (516)719-1062 Languages: Chinese

PRO12827Provider ID:

PEDIATRIC

ALLERGY/IMMUNOLOGY

SMITHTOWN

PEDIATRIC

ALLERGY/IMMUNOLOGY

JONGCO III, ARTEMIO M MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: Tagalog, Spanish

PRO12762Provider ID:

PEDIATRIC CARDIOLOGY

BABYLON

PEDIATRIC CARDIOLOGY

GOLDBERG, BARRY E MD

500 WEST MAIN STREET, SUITE

204

BABYLON, NY 11702

Phone: (631)539-5400Fax: (631)539-5401 Languages: English

PRO12758Provider ID:

PEDIATRIC CARDIOLOGY

ROSE, MARION B MD

500 WEST MAIN STREET, SUITE

204

BABYLON, NY 11702

Phone: (631)539-5400Fax: (631)539-5401 Languages: English

PRO12772Provider ID:

PEDIATRIC CARDIOLOGY

TALWAR, ROHIT MD

500 WEST MAIN STREET, SUITE

204

BABYLON, NY 11702

Phone: (631)539-5400Fax: (631)539-5401 Languages: Hindi,Urdu, Punjabi

PRO12773Provider ID:

BAY SHORE

PEDIATRIC CARDIOLOGY

GOLDBERG, BARRY E MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-3000Fax: (631)675-4223 Languages: English

PRO12905Provider ID:

PEDIATRIC CARDIOLOGY

ROSE, MARION B MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-3000Fax: (631)675-4223 Languages: English

PRO12977Provider ID:

PEDIATRIC CARDIOLOGY

TALWAR, ROHIT MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-3000Fax: (631)675-4223 Languages: Hindi,Urdu, Punjabi

PRO12979Provider ID:

PORT JEFFERSON

PEDIATRIC CARDIOLOGY

GOLDBERG, BARRY E MD

75 NORTH COUNTRY ROAD

PORT JEFFERSON, NY 11777

Phone: (631)473-1320Fax: (631)331-7220 Languages: English

PRO12908Provider ID:

PEDIATRIC CARDIOLOGY

GOLDBERG, BARRY E MD

200 BELLE TERRE ROAD

PORT JEFFERSON, NY 11777

Phone: (631)474-6111Fax: (631)474-6413 Languages: English

PRO12907Provider ID:

SMITHTOWN

PEDIATRIC CARDIOLOGY

GOLDBERG, BARRY E MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12904Provider ID:

PEDIATRIC CARDIOLOGY

ROSE, MARION B MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12976Provider ID:

PEDIATRIC CARDIOLOGY

TALWAR, ROHIT MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: Hindi,Urdu, Punjabi

PRO12981Provider ID:

67

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

WEST ISLIP

PEDIATRIC CARDIOLOGY

GOLDBERG, BARRY E MD

1000 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)376-3000Fax: (631)376-4208 Languages: English

PRO12906Provider ID:

PEDIATRIC CARDIOLOGY

ROSE, MARION B MD

1000 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)376-3000Fax: (631)376-4208 Languages: English

PRO12978Provider ID:

PEDIATRIC CARDIOLOGY

TALWAR, ROHIT MD

1000 MONTAUK HIGHWAY

WEST ISLIP, NY 11795

Phone: (631)376-3000Fax: (631)376-4208 Languages: Hindi,Urdu, Punjabi

PRO12980Provider ID:

PEDIATRIC ENDOCRINOLOGY

RONKONKOMA

PEDIATRIC ENDOCRINOLOGY

BALACHANDAR, VISWANATH

MD

640 HAWKINS AVE

RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1117 Languages: TAMIL

PRO13032Provider ID:

SMITHTOWN

PEDIATRIC ENDOCRINOLOGY

CAREY, DENNIS E MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5447Fax: (631)439-5437 Languages: English

PRO12866Provider ID:

PEDIATRIC

GASTROENTEROLOGY

Babylon

PEDIATRIC

GASTROENTEROLOGY

BITTON, SAMUEL MD

500 West Main Street, Suite 204

Babylon, NY 11702

Phone: (631)539-5400Fax: (631)539-5401 Languages: French,Hebrew

PRO12720Provider ID:

SMITHTOWN

PEDIATRIC

GASTROENTEROLOGY

MARKOWITZ, JAMES F MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12885Provider ID:

PEDIATRIC NEPHROLOGY

Babylon

PEDIATRIC NEPHROLOGY

SETHNA, CHRISTINE B MD

500 West Main Street, Suite 204

Babylon, NY 11702

Phone: (516)470-3490Fax: (516)470-0887 Languages: English

PRO12690Provider ID:

Commack

PEDIATRIC NEPHROLOGY

SETHNA, CHRISTINE B MD

353 Veterans Highway, Suite 102

Commack, NY 11725

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12694Provider ID:

PEDIATRIC PULMONARY

MEDICINE

SMITHTOWN

PEDIATRIC PULMONARY

MEDICINE

FIORINO, ELIZABETH K MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: Spanish

PRO12894Provider ID:

PEDIATRIC RHEUMATOLOGY

BABYLON

PEDIATRIC RHEUMATOLOGY

EBERHARD, BARBARA A MD

500 WEST MAIN STREET, SUITE

204

BABYLON, NY 11702

Phone: (516)472-3700Fax: (516)472-3752 Languages: English

PRO12874Provider ID:

COMMACK

68

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

PEDIATRIC RHEUMATOLOGY

EBERHARD, BARBARA A MD

353 VETERANS HIGHWAY,

SUITE 102

COMMACK, NY 11725

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12870Provider ID:

SMITHTOWN

PEDIATRIC RHEUMATOLOGY

EBERHARD, BARBARA A MD

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

PRO12872Provider ID:

PEDIATRICS

HUNTINGTON

PEDIATRICS

MCDONAGH JR., THOMAS J MD

775 PARK AVENUE, SUITE 355

HUNTINGTON, NY 11743

Phone: (631)824-6683Fax: (631)824-6687 Languages: English

PRO13723Provider ID:

LAKE RONKONKOMA

PEDIATRICS

GURAM, MOHINDER K MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: English

PRO0389Provider ID:

PEDIATRICS

WINKLER, IAN M MD

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: SPANISH

PRO0200Provider ID:

North Babylon

PEDIATRICS

McInerney-Lopez, Regina D.O.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

PRO2996Provider ID:

PEDIATRICS

THALLUR, SEETHA D MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: TAMIL, TELUGU

PRO0260Provider ID:

PHYSICAL MEDICINE

(PHYSIATRIST)

Lake Ronkonkoma

PHYSICAL MEDICINE

(PHYSIATRIST)

Familusi, Abiola M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: English

PRO2968Provider ID:

PODIATRY

AMITYVILLE

PODIATRY

ARENA, VICTOR DPM

565 ALBANY AVENUE

AMITYVILLE, NY 11701

Phone: (631)842-6091Fax: (631)842-7698 Languages: SPANISH, ITALIAN

PRO12147Provider ID:

PODIATRY

MCLAUGHLIN, EDWARD F DPM

193 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)264-1910Fax: (631)264-1926 Languages: FRENCH

PRO11847Provider ID:

PODIATRY

MCLAUGHLIN, BRUCE J DPM

193 BROADWAY

AMITYVILLE, NY 11701

Phone: (631)264-1910Fax: (631)264-1926 Languages: SPANISH

PRO11844Provider ID:

BABYLON

PODIATRY

RUFFO, JOSEPH D DPM

46 LITTLE EAST NECK RD

BABYLON, NY 11702

Phone: (631)482-8710Fax: (631)482-8711 Languages: SPANISH

PRO12024Provider ID:

BAY SHORE

PODIATRY

HERNANDEZ, WILLIAM A DPM

85 W MAIN ST STE 102

BAY SHORE, NY 11706

Phone: (631)968-6300Fax: (631)968-5886 Languages: SPANISH

PRO4383Provider ID:

69

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

PODIATRY

HERNANDEZ, PETER A DPM

85 W MAIN ST STE 102

BAY SHORE, NY 11706

Phone: (631)968-6300Fax: (631)968-5886 Languages: SPANISH

PRO11735Provider ID:

CENTER MORICHES

PODIATRY

CROWLEY, BROOKE V DPM

PO BOX 1254 15 NORTH OCEAN

AVE

CENTER MORICHES, NY 11934

Phone: (631)878-1155Fax: (631)878-0241 Languages: English

PRO11916Provider ID:

CENTEREACH

PODIATRY

DESIO, FRANK P DPM

3771 NESCONSET HWY STE 106

CENTEREACH, NY 11720

Phone: (631)689-6760Fax: (631)689-6765 Languages: SPANISH

PRO10421Provider ID:

EAST ISLIP

PODIATRY

ALONGI, MARYANNE DPM

369 EAST MAIN STREET #7

EAST ISLIP, NY 11730

Phone: (631)277-1700Fax: (631)277-1707 Languages: English

PRO12002Provider ID:

PODIATRY

CASSANO, MICHAEL DPM

369 E MAIN STREET SUITE 7

EAST ISLIP, NY 11730

Phone: (631)277-1700Fax: (631)277-1707 Languages: SPANISH

PRO0078Provider ID:

EAST SETAUKET

PODIATRY

ARENA, VICTOR DPM

4 TECHNOLOGY DR STE 110

EAST SETAUKET, NY 11733

Phone: (631)331-8400Fax: (631)331-8455 Languages: SPANISH, ITALIAN

PRO4382Provider ID:

PODIATRY

FURST, GERARD DPM

4 TECHNOLOGY DR STE 110

EAST SETAUKET, NY 11733

Phone: (631)331-8400Fax: (631)331-8455 Languages: English

PRO0040Provider ID:

PODIATRY

TSOURIS, JOHN DPM

4 TECHNOLOGY DR SUITE 110

EAST SETAUKET, NY 11733

Phone: (631)331-8400Fax: (631)331-8455 Languages: English

PRO10238Provider ID:

HAUPPAUGE

PODIATRY

BERNSTEIN, PAUL DPM

740 VETERANS HWY STE 202

HAUPPAUGE, NY 11788

Phone: (631)265-2225Fax: (631)265-3610 Languages: English

PRO2523Provider ID:

HUNTINGTON

PODIATRY

GREENBERG, ALAN J DPM

23 GREEN ST

HUNTINGTON, NY 11743

Phone: (631)427-8450Fax: (631)427-4346 Languages: English

PRO3338Provider ID:

LAKE GROVE

PODIATRY

TSOURIS, JOHN DPM

2233 NESCONSET HWY STE 206

LAKE GROVE, NY 11755

Phone: (631)751-4603Fax: (631)751-8166 Languages: GREEK, GERMAN

PRO12038Provider ID:

LAKE RONKONKOMA

PODIATRY

CAIMANO, FRANCIS X DPM

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)471-1000 Languages: English

PRO0447Provider ID:

PODIATRY

Fiorenza, Dominic DPM

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: English

PRO3036Provider ID:

MELVILLE

PODIATRY

EPSTEIN, GEOFFEREY DPM

801 WALT WHITMAN RD (RTE

100)

MELVILLE, NY 11747

Phone: (631)549-8637Fax: (631)549-8860 Languages: SPANISH

PRO2840Provider ID:

MIDDLE ISLAND

70

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

PODIATRY

HANSEN, ESTHER DPM

281 MIDDLE COUNTRY RD

MIDDLE ISLAND, NY 11953

Phone: (631)345-6670Fax: (631)482-1356 Languages: CREOLE

PRO13834Provider ID:

North Babylon

PODIATRY

Caimano, Francis DPM

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-6352 Languages: English

PRO3029Provider ID:

PODIATRY

HANSEN, ESTHER DPM

1350 DEER PARK AVE

NORTH BABYLON, NY 11703

Phone: (631)482-1355Fax: (631)482-1356 Languages: CREOLE

PRO13835Provider ID:

PATCHOGUE

PODIATRY

AXT, STEVEN B DPM

4 PHYLLIS DR STE A

PATCHOGUE, NY 11772

Phone: (631)475-3030Fax: (631)475-3036 Languages: SPANISH

PRO11849Provider ID:

PODIATRY

ESPOSITO, ALBERT C DPM

31 OAK ST STE 8

PATCHOGUE, NY 11772

Phone: (631)475-0804Fax: (631)475-0806 Languages: SPANISH

PRO12023Provider ID:

PODIATRY

MAROTTO, RICHARD D DPM

1 E ROE BLVD

PATCHOGUE, NY 11772

Phone: (631)475-3900Fax: (631)475-5166 Languages: English

PRO4284Provider ID:

PORT JEFFERSON STATION

PODIATRY

PLOTKIN, STUART DPM

2 MEDICAL DR STE C

PORT JEFFERSON STATION, NY

11776

Phone: (631)928-8383Fax: (631)928-8388 Languages: English

PRO2314Provider ID:

RIVERHEAD

PODIATRY

MCLAUGHLIN, EDWARD F DPM

952 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-3592Fax: (631)727-8892 Languages: FRENCH

PRO11848Provider ID:

PODIATRY

MCLAUGHLIN, BRUCE J DPM

952 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-3592Fax: (631)727-8892 Languages: SPANISH

PRO11845Provider ID:

ROCKY POINT

PODIATRY

KORMYLO, DANIEL DPM

745 RT 25A

ROCKY POINT, NY 11778

Phone: (631)744-8282Fax: (631)821-5583 Languages: English

PRO11917Provider ID:

WEST ISLIP

PODIATRY

MCLAUGHLIN, EDWARD F DPM

1111 MONTAUK HWY #100

WEST ISLIP, NY 11795

Phone: (631)422-4450Fax: (631)422-4451 Languages: FRENCH

PRO11846Provider ID:

PODIATRY

MCLAUGHLIN, BRUCE J DPM

1111 MONTAUK HWY #100

WEST ISLIP, NY 11795

Phone: (631)422-4450Fax: (631)422-4451 Languages: SPANISH

PRO11843Provider ID:

PSYCHIATRY

BAY SHORE

PSYCHIATRY

BECK, MICHAEL A MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-3632Fax: (631)968-3640 Languages: Hungarian

PRO12850Provider ID:

PSYCHIATRY

ERICKSON-SCHROTH, LAURA

MD

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-3314Fax: (631)968-3274 Languages: English

PRO12886Provider ID:

71

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

PSYCHIATRY

MUSTAFA, SHAWKAT MBBS

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)894-5227Fax: (631)894-5230 Languages: Bengali

PRO12846Provider ID:

HUNTINGTON

PSYCHIATRY

ERICKSON-SCHROTH, LAURA

MD

270 PARK AVENUE

HUNTINGTON, NY 11743

Phone: (631)351-2300Fax: (631)351-4461 Languages: English

PRO12878Provider ID:

PSYCHIATRY

REDDY, SARALA K MD

755 PARK AVE STE 120

HUNTINGTON, NY 11743

Phone: (631)784-7803Fax: (631)784-7814 Languages: HINDI

PRO10379Provider ID:

ISLIP

PSYCHIATRY

LAVIOLA, FRANKLIN N MD

499 ISLIP AVE

ISLIP, NY 11751

Phone: (631)581-8152Fax: (631)277-8660 Languages: English

PRO11892Provider ID:

PULMONARY DISEASE

AMITYVILLE

PULMONARY DISEASE

KHANIJO, VINOD MD

317 BROADWAY STE A

AMITYVILLE, NY 11701

Phone: (631)598-5864Fax: (631)598-5866 Languages: English

PRO2365Provider ID:

PULMONARY DISEASE

SINGH, NARENDRA MD

317 BROADWAY STE A

AMITYVILLE, NY 11701

Phone: (631)598-5864Fax: (631)598-5866 Languages: HINDI AND SPANISH

PRO2397Provider ID:

Bay Shore

PULMONARY DISEASE

Cohen, Michael L MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3632Fax: (631)968-3640 Languages: English

PRO10532Provider ID:

PULMONARY DISEASE

ENGELBERG, LAURENCE A MD

370 EAST MAIN STREET SUITE 5

BAY SHORE, NY 11706

Phone: (631)666-5864Fax: (631)666-1187 Languages: SPANISH, HINDI

PRO3140Provider ID:

PULMONARY DISEASE

HALL, CHARLES S MD

370 EAST MAIN STREET SUITE 5

BAY SHORE, NY 11706

Phone: (631)666-5864Fax: (631)666-1187 Languages: SPANISH, HINDI

PRO3118Provider ID:

PULMONARY DISEASE

KHANNA, DHEERAJ MD

370 EAST MAIN STREET SUITE 5

BAY SHORE, NY 11706

Phone: (631)666-5864Fax: (631)666-1187 Languages: SPANISH HINDI

PRO3184Provider ID:

PULMONARY DISEASE

SARACENO, JOSEPH L DO

370 EAST MAIN STREET SUITE 5

BAY SHORE, NY 11706

Phone: (631)666-5864Fax: (631)666-1187 Languages: SPANISH, HINDI

PRO3182Provider ID:

PULMONARY DISEASE

WOHLBERG, GARY MD

370 EAST MAIN STREET SUITE 5

BAY SHORE, NY 11706

Phone: (631)666-5864Fax: (631)666-1187 Languages: SPANISH

PRO3149Provider ID:

PULMONARY DISEASE

ZIELINSKI, RONALD A MD

370 EAST MAIN STREET SUITE 5

BAY SHORE, NY 11706

Phone: (631)666-5864Fax: (631)666-1187 Languages: SPANISH, HINDI

PRO3186Provider ID:

PULMONARY DISEASE

ZWANG, JEFFREY S MD

370 EAST MAIN STREET SUITE 5

BAY SHORE, NY 11706

Phone: (631)666-5864Fax: (631)666-1187 Languages: SPANISH, HINDI

PRO3188Provider ID:

GREENLAWN

72

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

PULMONARY DISEASE

CO, ROGELIO M MD

284 PULASKI ROAD STE 1

GREENLAWN, NY 11740

Phone: (631)425-5250Fax: (631)425-0140 Languages: Tagalog

PRO10823Provider ID:

Lake Ronkonkoma

PULMONARY DISEASE

Sharma, Sanjiv M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: English

PRO3063Provider ID:

NORTH BABYLON

PULMONARY DISEASE

SHARMA, SANJIV MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO0268Provider ID:

PATCHOGUE

PULMONARY DISEASE

AFZAL, QAZI Q MD

285 SILLS RD BLDG 7 STE B

PATCHOGUE, NY 11772

Phone: (613)654-4577Fax: (631)654-3391 Languages: English

PRO2108Provider ID:

PULMONARY DISEASE

BERGMAN, MARION J MD

285 SILLS RD BLDG 7 STE B

PATCHOGUE, NY 11772

Phone: (631)654-4577Fax: (631)654-3391 Languages: English

PRO2107Provider ID:

PULMONARY DISEASE

GILLERAN, STEPHANIE N DO

285 SILLS ROAD BUILDING 7

SUITE B

PATCHOGUE, NY 11772

Phone: (631)654-4577Fax: (631)654-3391 Languages: English

PRO2110Provider ID:

PULMONARY DISEASE

MATTOO, ANIL MD

285 SILLS RD BLDG 7 STE B

PATCHOGUE, NY 11772

Phone: (631)654-4577Fax: (631)654-3391 Languages: English

PRO2106Provider ID:

RADIATION MEDICINE

Bay Shore

RADIATION MEDICINE

KNISELY, JONATHAN P MD

301 East Main Street, Level C,

Oncology Building

Bay Shore, NY 11706

Phone: (516)321-3000Fax: (718)470-1397 Languages: Chinese

PRO13845Provider ID:

RADIATION ONCOLOGY

Bay Shore

RADIATION ONCOLOGY

GOENKA, ANUJ MD

301 East Main Street

Bay Shore, NY 11706

Phone: (516)470-7190Fax: (718)470-7986 Languages: Hindi

PRO12669Provider ID:

EAST SETAUKET

RADIATION ONCOLOGY

CIRRONE, JOSEPH S MD

181 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)689-6776Fax: (631)675-2001 Languages: English

PRO2871Provider ID:

RADIATION ONCOLOGY

SILVERSTEIN, MARTIN J MD

181 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)689-6776Fax: (631)675-2001 Languages: English

PRO3159Provider ID:

RADIATION ONCOLOGY

SILVERSTEIN, MARTIN J MD

235 N BELLE MEAD ROAD

EAST SETAUKET, NY 11733

Phone: (631)751-3000Fax: (631)675-2001 Languages: English

PRO3161Provider ID:

PATCHOGUE

RADIATION ONCOLOGY

CIRRONE, JOSEPH S MD

285 SILLS ROAD BUILDING 17

PATCHOGUE, NY 11772

Phone: (631)207-2801Fax: (631)675-2001 Languages: English

PRO2870Provider ID:

RADIATION ONCOLOGY

SILVERSTEIN, MARTIN J MD

285 SILLS ROAD BUILDING 17

PATCHOGUE, NY 11772

Phone: (631)654-8200Fax: (631)675-2001 Languages: English

PRO3160Provider ID:

RIVERHEAD

73

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

RADIATION ONCOLOGY

HAUSEN, RENU MD

1333 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-2755Fax: (631)727-2877 Languages: FRENCH, ITALIAN,

POL

PRO4295Provider ID:

RADIOLOGY

EAST ISLIP

RADIOLOGY

FANG, TZANWEI MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH, FRENCH

PRO11947Provider ID:

RADIOLOGY

FANG, TZANWEI MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH, FRENCH

PRO11948Provider ID:

RADIOLOGY

JAWORSKY, JOHN J MD

369 E MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO11941Provider ID:

RADIOLOGY

JAWORSKY, JOHN J MD

369 E MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO11937Provider ID:

RADIOLOGY

KING, STEVEN J MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: English

PRO10288Provider ID:

RADIOLOGY

KING, STEVEN J MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: English

PRO10292Provider ID:

RADIOLOGY

SETTON, MICHAEL D DO

369 E MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO10301Provider ID:

RADIOLOGY

SETTON, MICHAEL D DO

369 E MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO10302Provider ID:

RADIOLOGY

STEINMAN, SETH A MD

369 E MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO11942Provider ID:

RADIOLOGY

STEINMAN, SETH A MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO11945Provider ID:

RADIOLOGY

ZILKHA, ALBERT MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO10297Provider ID:

RADIOLOGY

ZILKHA, ALAIN MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)669-1717Fax: (631)669-2227 Languages: SPANISH

PRO11934Provider ID:

RADIOLOGY

ZILKHA, ALAIN MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)669-1717Fax: (631)669-2227 Languages: SPANISH

PRO11935Provider ID:

RADIOLOGY

ZILKHA, ALBERT MD

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO10295Provider ID:

NORTH BABYLON

74

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

RADIOLOGY

WU, JIAJIA MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)491-8613 Languages: MANDARIN,

CHINESE

PRO11817Provider ID:

PORT JEFFERSON STATION

RADIOLOGY

LODESPOTO, MARK J MD

650 HALLOCK AVE

PORT JEFFERSON STATION, NY

11776

Phone: (631)446-4700Fax: (631)331-2750 Languages: English

PRO10497Provider ID:

WEST ISLIP

RADIOLOGY

FANG, TZANWEI MD

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH, FRENCH

PRO11951Provider ID:

RADIOLOGY

JAWORSKY, JOHN J MD

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO11940Provider ID:

RADIOLOGY

KING, STEVEN J MD

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: English

PRO10290Provider ID:

RADIOLOGY

SETTON, MICHAEL D DO

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO10300Provider ID:

RADIOLOGY

STEINMAN, SETH A MD

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO11946Provider ID:

RADIOLOGY

ZILKHA, ALAIN MD

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)669-1717Fax: (631)669-2227 Languages: SPANISH

PRO11936Provider ID:

RADIOLOGY

ZILKHA, ALBERT MD

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH

PRO10296Provider ID:

RHEUMATOLOGY

Bay Shore

RHEUMATOLOGY

KLEINER, MYRON I MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3000Fax: (631)665-2716 Languages: English

PRO12635Provider ID:

RHEUMATOLOGY

KLEINER, MYRON I MD

180 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)665-4466Fax: (631)665-2716 Languages: English

PRO12585Provider ID:

LAKE RONKONKOMA

RHEUMATOLOGY

MODI, ANANG DO

640 HAWKINS AVE

LAKE RONKONKOMA, NY 11779

Phone: (631)737-0100Fax: (631)207-8202 Languages: GUJARATI

PRO0336Provider ID:

North Babylon

RHEUMATOLOGY

Modi, Anang D.O.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

PRO3052Provider ID:

RHEUMATOLOGY

MORANO, PLACIDO A MD

300 BAYSHORE RD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: SPANISH, ITALIAN

PRO0337Provider ID:

Patchogue

RHEUMATOLOGY

KLEINER, MYRON I MD

285 Sills Road, Suite A

Patchogue, NY 11772

Phone: (631)654-3363Fax: (631)665-2716 Languages: English

PRO12636Provider ID:

75

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

RHEUMATOLOGY

KLEINER, MYRON I MD

101 Hospital Road

Patchogue, NY 11772

Phone: (631)654-7100Fax: (631)665-2716 Languages: English

PRO12634Provider ID:

West Islip

RHEUMATOLOGY

KLEINER, MYRON I MD

1000 Montauk Highway

West Islip, NY 11795

Phone: (631)376-3000Fax: (631)665-2716 Languages: English

PRO13012Provider ID:

SURGERY - CARDIOVASCULAR

& THORACIC

BAY SHORE

SURGERY - CARDIOVASCULAR

& THORACIC

FALLON, BRIAN C MD

301 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)968-3844Fax: (631)675-4503 Languages: English

PRO1989Provider ID:

HUNTINGTON

SURGERY - CARDIOVASCULAR

& THORACIC

SCHWARTZ, DANIEL S MD

77 NEW ST

HUNTINGTON, NY 11743

Phone: (631)862-3875Fax: (631)862-3877 Languages: English

PRO3280Provider ID:

SMITHTOWN

SURGERY - CARDIOVASCULAR

& THORACIC

SCHWARTZ, DANIEL S MD

48 RTE 25A STE 003

SMITHTOWN, NY 11787

Phone: (631)862-3875Fax: (631)862-3877 Languages: English

PRO3274Provider ID:

SURGERY - COLON & RECTAL

EAST SETAUKET

SURGERY - COLON & RECTAL

LEIBOFF, ARNOLD R MD

3400 NESCONSET HIGHWAY

SUITE 100

EAST SETAUKET, NY 11733

Phone: (631)689-2600Fax: (631)689-2943 Languages: English

PRO0013Provider ID:

Saint James

SURGERY - COLON & RECTAL

Rivadeneira, David E MD

528 North Country Road

Saint James, NY 11780

Phone: (631)584-4999Fax: (631)584-4927 Languages: English

PRO7942Provider ID:

SMITHTOWN

SURGERY - COLON & RECTAL

GENUA, JILL C MD

48 RTE 25A STE 007

SMITHTOWN, NY 11787

Phone: (631)862-3600Fax: (631)862-3660 Languages: English

PRO3281Provider ID:

SURGERY - COLON & RECTAL

SAVOCA, PAUL E MD

48 RTE 25A STE 301

SMITHTOWN, NY 11787

Phone: (631)862-3600Fax: (631)862-3660 Languages: English

PRO4393Provider ID:

SURGERY - COLON & RECTAL

SAVOCA, PAUL E MD

48 RTE 25A STE 007

SMITHTOWN, NY 11787

Phone: (631)862-3600Fax: (631)862-3660 Languages: English

PRO3288Provider ID:

SURGERY - GENERAL

Bay Shore

SURGERY - GENERAL

Grossman, Michael D MD

270 East Main Street STE 539

Bay Shore, NY 11706

Phone: (631)591-7460Fax: (631)591-7461 Languages: English

PRO4629Provider ID:

SURGERY - GENERAL

McMullen, Heather F MD

301 East Main Street

Bay Shore, NY 11706

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

PRO13157Provider ID:

BOSTON

SURGERY - GENERAL

GALVIN, DANIEL E DO

P.O. BOX 415661

BOSTON, MA 02241

Phone: (866)663-7016Fax: (509)756-7576 Languages: English

PRO10964Provider ID:

76

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

East Setauket

SURGERY - GENERAL

Kenan, Samuel MD

6 Technology Drive

East Setauket, NY 11733

Phone: (631)689-6698Fax: (631)751-5548 Languages: English

PRO7080Provider ID:

Huntington

SURGERY - GENERAL

Buchin, David MD

224 Wall Street

Huntington, NY 11743

Phone: (516)487-9454Fax: (516)487-2745 Languages: Russian

PRO3469Provider ID:

SURGERY - GENERAL

BUCHIN, DAVID MD

224 WALL STREET, SUITE 101

HUNTINGTON, NY 11743

Phone: (631)351-2024Fax: (631)271-0970 Languages: Russian

PRO10794Provider ID:

SURGERY - GENERAL

Buchin, David MD

224 Wall Street

Huntington, NY 11743

Phone: (631)351-2024Fax: (631)760-2831 Languages: English

PRO5644Provider ID:

Lake Ronkonkoma

SURGERY - GENERAL

Babalola, John M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: English

PRO3072Provider ID:

SURGERY - GENERAL

Lundie, John M.D.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-0100Fax: (631)471-1100 Languages: English

PRO3083Provider ID:

North Babylon

SURGERY - GENERAL

Lundie, John M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

PRO3081Provider ID:

SURGERY - GENERAL

Persico, Michael M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

PRO3092Provider ID:

Port Jefferson

SURGERY - GENERAL

Kenan, Samuel MD

75 North Country Road

Port Jefferson, NY 11777

Phone: (631)473-1320Fax: (631)474-0224 Languages: English

PRO7078Provider ID:

SURGERY - GENERAL

Kenan, Samuel MD

200 Belle Terre Road

Port Jefferson, NY 11777

Phone: (631)474-6000Fax: (631)474-6161 Languages: English

PRO7079Provider ID:

Ronkonkoma

SURGERY - GENERAL

Dicpinigaitis, Paul A MD

3505 Veterans Memorial Highway

Ronkonkoma, NY 11779

Phone: (631)676-7656Fax: (631)676-7648 Languages: English

PRO4844Provider ID:

SMITHTOWN

SURGERY - GENERAL

LEE, JUNE J MD

48 RTE 25A STE 305

SMITHTOWN, NY 11787

Phone: (631)862-3171Fax: (632)862-3355 Languages: English

PRO3282Provider ID:

SURGERY - GENERAL

Nett, Michael P MD

222 Middle Country Road

Smithtown, NY 11787

Phone: (631)360-6370Fax: (631)360-6373 Languages: English

PRO9317Provider ID:

Stony Brook

SURGERY - GENERAL

Kenan, Samuel MD

101 Nicholls Road

Stony Brook, NY 11794

Phone: (631)444-4000Fax: (631)444-4217 Languages: English

PRO7077Provider ID:

West Babylon

SURGERY - GENERAL

Gohil, Baiju C MD

120 Route 109

West Babylon, NY 11704

Phone: (631)422-3636Fax: (631)422-2788 Languages: English

PRO4748Provider ID:

77

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

SURGERY - GENERAL &

VASCULAR

SMITHTOWN

SURGERY - GENERAL &

VASCULAR

KHAN, RASHID J MD

48 RTE 25A STE 102

SMITHTOWN, NY 11787

Phone: (631)862-3635Fax: (631)979-9115 Languages: English

PRO3526Provider ID:

SURGERY - GENERAL &

VASCULAR

KHAN, RASHID J MD

48 RTE 25A STE 007

SMITHTOWN, NY 11787

Phone: (631)862-3635Fax: (631)862-3666 Languages: English

PRO12599Provider ID:

SURGERY - NEURO

BABYLON

SURGERY - NEURO

THOMAS, JUSTIN M MD

500 WEST MAIN STREET, SUITE

204

BABYLON, NY 11702

Phone: (631)591-7470Fax: (631)591-5434 Languages: English

PRO12556Provider ID:

SURGERY - ORTHOPAEDIC

BABYLON

SURGERY - ORTHOPAEDIC

DETORE, SAILA DO

661 DEER PARK AVENUE

BABYLON, NY 11702

Phone: (631)376-0700Fax: (631)376-0102 Languages: English

PRO10492Provider ID:

SURGERY - ORTHOPAEDIC

OWENS, JONATHAN MD

661 DEER PARK AVE

BABYLON, NY 11702

Phone: (631)376-0700Fax: (631)376-0102 Languages: English

PRO10522Provider ID:

SURGERY - ORTHOPAEDIC

PALLOTTA, ARTHUR W MD

661 DEER PARK AVE

BABYLON, NY 11702

Phone: (631)376-0700Fax: (631)376-0102 Languages: English

PRO10521Provider ID:

Bay Shore

SURGERY - ORTHOPAEDIC

An, Yuehuei MBBS

301 East Main Street

Bay Shore, NY 11706

Phone: (631)647-3800Fax: (631)675-4206 Languages: Chinese

PRO3488Provider ID:

SURGERY - ORTHOPAEDIC

An, Yuehuei MD

53 Brentwood Road, Suite F

Bay Shore, NY 11706

Phone: (631)647-3800Fax: (631)675-4206 Languages: Chinese

PRO13810Provider ID:

SURGERY - ORTHOPAEDIC

JACOB, JESU DO

217 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)647-3800Fax: (631)670-7798 Languages: MALAYALAM

PRO10499Provider ID:

SURGERY - ORTHOPAEDIC

SEGAL, AYAL MD

301 EAST MAIN ST

BAY SHORE, NY 11706

Phone: (631)675-4099Fax: (631)675-4503 Languages: HEBREW

PRO4379Provider ID:

COMMACK

SURGERY - ORTHOPAEDIC

JACOB, JESU DO

66 HARNED RD

COMMACK, NY 11725

Phone: (631)670-7800Fax: (631)670-7798 Languages: MALAYALAM

PRO10498Provider ID:

North Babylon

SURGERY - ORTHOPAEDIC

Dicpinigaitis, Paul M.D.

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: English

PRO2798Provider ID:

SURGERY - THORACIC

Commack

SURGERY - THORACIC

Fallon, Brian C MD

6080 Jericho Turnpike

Commack, NY 11725

Phone: (631)666-5864Fax: (631)666-1187 Languages: English

PRO6178Provider ID:

78

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

SURGERY - THORACIC

Hartman, Alan R MD

6080 Jericho Turnpike

Commack, NY 11725

Phone: (631)666-5864Fax: (631)666-1187 Languages: English

PRO7268Provider ID:

SURGERY - THORACIC

Kalimi, Robert MD

6080 Jericho Turnpike

Commack, NY 11725

Phone: (631)666-5864Fax: (631)666-1187 Languages: English

PRO8097Provider ID:

SURGERY - THORACIC

Manetta, Frank MD

6080 Jericho Turnpike

Commack, NY 11725

Phone: (631)666-5864Fax: (631)666-1187 Languages: English

PRO7172Provider ID:

SURGERY - THORACIC

Singh, Vijay A MD

6080 Jericho Turnpike

Commack, NY 11725

Phone: (631)666-5264Fax: (631)666-1187 Languages: English

PRO8010Provider ID:

Riverhead

SURGERY - THORACIC

Fallon, Brian C MD

31 Main Road

Riverhead, NY 11901

Phone: (631)369-8539Fax: (631)369-5613 Languages: English

PRO6177Provider ID:

SURGERY - THORACIC

Manetta, Frank MD

31 Main Road

Riverhead, NY 11901

Phone: (631)369-8539Fax: (631)369-5613 Languages: English

PRO7171Provider ID:

SURGERY - THORACIC

Singh, Vijay A MD

31 Main Road

Riverhead, NY 11901

Phone: (631)369-8539Fax: (631)369-5613 Languages: English

PRO8009Provider ID:

SMITHTOWN

SURGERY - THORACIC

MOHIUDDIN, SULTAN MD

300 E MAIN ST STE 2

SMITHTOWN, NY 11787

Phone: (631)979-0212Fax: (631)979-0237 Languages: HINDI, SPANISH

PRO3332Provider ID:

SURGERY - THORACIC

MOHIUDDIN, SULTAN MD

48 RTE 25A 102

SMITHTOWN, NY 11787

Phone: (631)979-0212Fax: (631)979-0237 Languages: HINDI, SPANISH

PRO3337Provider ID:

THORACIC SURGERY

Bay Shore

THORACIC SURGERY

MARSHALL, ELIZABETH A MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3253Fax: (631)968-3022 Languages: English

PRO12675Provider ID:

Huntington

THORACIC SURGERY

MARSHALL, ELIZABETH A MD

270 Park Avenue

Huntington, NY 11743

Phone: (631)351-2000Fax: (631)351-4116 Languages: English

PRO12679Provider ID:

UROLOGY

BAY SHORE

UROLOGY

BECCIA, DAVID J MD

332 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)665-3737Fax: (631)969-0753 Languages: English

PRO10310Provider ID:

UROLOGY

KIM, DANIEL C MD

332 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)665-3737Fax: (631)969-0753 Languages: English

PRO10313Provider ID:

UROLOGY

LOIZIDES, EDWARD A MD

332 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)665-3737Fax: (631)969-0753 Languages: English

PRO10311Provider ID:

UROLOGY

WOODALL, AARON J MD

332 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)665-3737Fax: (631)969-0753 Languages: English

PRO10312Provider ID:

79

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

Huntington

UROLOGY

Zito, Gary J MD

13 Central Street

Huntington, NY 11743

Phone: (631)584-4999Fax: (631)584-4927 Languages: English

PRO10160Provider ID:

MANORVILLE

UROLOGY

ASHLEY, RICHARD N MD

496 COUNTY ROAD, 111

BUILDING B

MANORVILLE, NY 11949

Phone: (631)405-3220Fax: (631)395-6012 Languages: Italian

PRO12549Provider ID:

NORTH BABYLON

UROLOGY

JONEJA, JASPREET MD

300 BAYSHORE ROAD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-3524 Languages: HINDI, PUNJABI

PRO12411Provider ID:

UROLOGY

JONEJA, JASPREET MD

300 BAYSHORE ROAD

NORTH BABYLON, NY 11703

Phone: (631)586-2700Fax: (631)586-2700 Languages: Hindi, Punjabi

PRO12997Provider ID:

PATCHOGUE

UROLOGY

GRINBERG, MANUEL E MD

250 PATCHOGUE YAPHANK

ROAD SUITE 11B

PATCHOGUE, NY 11772

Phone: (631)475-5051Fax: (631)475-5140 Languages: SPANISH

PRO0071Provider ID:

UROLOGY

KLEEMAN, MICHAEL DO

250 PATCHOGUE YAPHANK RD

STE 11B

PATCHOGUE, NY 11772

Phone: (631)475-5051Fax: (631)475-5140 Languages: SPANISH

PRO0080Provider ID:

UROLOGY

MILLS, CARL MD

250 PATCHOGUE YAPHANK RD

STE 201

PATCHOGUE, NY 11772

Phone: (631)590-4802Fax: (631)730-8321 Languages: English

PRO3535Provider ID:

PORT JEFFERSON

UROLOGY

GRINBERG, MANUEL E MD

635 BELLE TERRE ROAD SUITE

202

PORT JEFFERSON, NY 11777

Phone: (631)473-1058Fax: (631)473-0268 Languages: SPANISH

PRO3221Provider ID:

UROLOGY

KLEEMAN, MICHAEL DO

635 BELLE TERRE ROAD SUITE

202

PORT JEFFERSON, NY 11777

Phone: (631)473-1058Fax: (631)473-0268 Languages: SPANISH

PRO3199Provider ID:

UROLOGY

MILLS, CARL MD

635 BELLE TERRE RD STE 11B

PORT JEFFERSON, NY 11777

Phone: (631)509-4802Fax: (631)509-1866 Languages: English

PRO3531Provider ID:

UROLOGY

MUSTO, RICHARD V MD

635 BELLE TERRE ROAD SUITE

202

PORT JEFFERSON, NY 11777

Phone: (631)473-1058Fax: (631)473-0268 Languages: SPANISH

PRO0099Provider ID:

UROLOGY

Zito, Gary J MD

75 North Country Road

Port Jefferson, NY 11777

Phone: (631)476-2728Fax: Languages: English

PRO10159Provider ID:

RIVERHEAD

UROLOGY

KLEEMAN, MICHAEL DO

1333 ROANOKE AVENUE SUITE

203

RIVERHEAD, NY 11901

Phone: (631)727-8340Fax: (631)727-8356 Languages: SPANISH

PRO3198Provider ID:

80

*Not Accepting New Patients **Does Not Accept Medicaid

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

Specialists/ Especialistas

SUFFOLK County - SPECIALIST 850 Specialists

UROLOGY

MUCCIOLO, ROBERT L MD

715 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (516)535-1900Fax: (516)535-1905 Languages: ITALIAN

PRO10378Provider ID:

UROLOGY

MUSTO, RICHARD V MD

1333 ROANOKE AVENUE

RIVERHEAD, NY 11901

Phone: (631)727-8340Fax: (631)727-8356 Languages: SPANISH

PRO3176Provider ID:

UROLOGY

Richstone, Lee MD

31 Main Road,2nd Floor

Riverhead, NY 11901

Phone: (631)591-8200Fax: (516)734-7054 Languages: English

PRO10545Provider ID:

Saint James

UROLOGY

Zito, Gary J MD

275 Moriches Road

Saint James, NY 11780

Phone: (631)862-8000Fax: (631)862-6456 Languages: English

PRO10162Provider ID:

UROLOGY

Zito, Gary J MD

528 North Country Road

Saint James, NY 11780

Phone: (631)584-4999Fax: (631)584-4927 Languages: English

PRO10161Provider ID:

UROLOGY

Zito, Gary J MD

528 North Country Road

Saint James, NY 11780

Phone: (516)734-8500Fax: (516)734-8537 Languages: English

PRO3515Provider ID:

Smithtown

UROLOGY

Zito, Gary J MD

989 West Jericho Turnpike

Smithtown, NY 11787

Phone: (631)864-7100Fax: (631)864-7129 Languages: English

PRO10163Provider ID:

UROLOGY

Zito, Gary J MD

50 Route 25A

Smithtown, NY 11787

Phone: (630)862-3040Fax: (630)862-3720 Languages: English

PRO10156Provider ID:

UROLOGY

Zito, Gary J MD

391 North Country Road

Smithtown, NY 11787

Phone: (631)361-2020Fax: (631)361-3305 Languages: English

PRO10158Provider ID:

UROLOGY

Zito, Gary J MD

391 North Country Road

Smithtown, NY 11787

Phone: (631)361-2020Fax: (631)361-3305 Languages: English

PRO4174Provider ID:

UROLOGY

Zito, Gary J MD

222 Middle Country Road, Suite 211

Smithtown, NY 11787

Phone: (631)584-4999Fax: (631)584-4927 Languages: English

PRO13096Provider ID:

VASCULAR NEUROLOGY

Bay Shore

VASCULAR NEUROLOGY

SILLER, KEITH A MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3000Fax: (631)591-7461 Languages: Spanish

PRO12688Provider ID:

VASCULAR SURGERY

BAY SHORE

VASCULAR SURGERY

DAVILA-SANTINI, LUIS R MD

270 EAST MAIN STREET, SUITE

539

BAY SHORE, NY 11706

Phone: (631)591-7460Fax: (631)591-7461 Languages: Spanish

PRO10625Provider ID:

81

*Not Accepting New Patients **Does Not Accept Medicaid

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

Hospitals/ Hospitales

SUFFOLK County - HOSPITALS 16 Hospitals

ACUTE CARE HOSPITAL

BAY SHORE

ACUTE CARE HOSPITAL

SOUTHSIDE HOSPITAL,

301 E MAIN ST

BAY SHORE, NY 11706

Phone: (631)968-3000Fax: (631)675-4503 Languages: English

F00000271Provider ID:

HUNTINGTON

ACUTE CARE HOSPITAL

HUNTINGTON HOSPITAL,

270 PARK AVE

HUNTINGTON, NY 11743

Phone: (631)351-2000Fax: Languages: English

F00000269Provider ID:

PATCHOGUE

ACUTE CARE HOSPITAL

BROOKHAVEN MEMORIAL

HOSPITAL MEDICAL CENTER,

101 HOSPITAL RD

PATCHOGUE, NY 11772

Phone: (631)654-7100Fax: Languages: English

F00000249Provider ID:

PORT JEFFERSON

ACUTE CARE HOSPITAL

JOHN T MATHER MEMORIAL

HOSPITAL,

75 N COUNTRY RD

PORT JEFFERSON, NY 11777

Phone: (631)473-1320Fax: (631)473-3091 Languages: English

F00000236Provider ID:

ACUTE CARE HOSPITAL

SAINT CHARLES HOSPITAL,

200 BELLE TERRE RD

PORT JEFFERSON, NY 11777

Phone: (631)474-6000Fax: (631)474-6761 Languages: English

F00000240Provider ID:

SMITHTOWN

ACUTE CARE HOSPITAL

SAINT CATHERINE OF SIENA

MEDICAL CENTER,

50 ROUTE 25A

SMITHTOWN, NY 11787

Phone: (631)862-3000Fax: (631)862-3105 Languages: English

F00000239Provider ID:

WEST ISLIP

ACUTE CARE HOSPITAL

GOOD SAMARITAN HOSPITAL

MEDICAL CENTER,

1000 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)376-3000Fax: (631)376-4208 Languages: English

F00000235Provider ID:

AMBULATORY SURGERY

CENTER

BRENTWOOD

AMBULATORY SURGERY

CENTER

LONG ISLAND AMBULATORY

SURGERY CENTER,

601 SUFFOLK AVE

BRENTWOOD, NY 11590

Phone: (631)231-4455Fax: (631)231-5421 Languages: SPANISH

F00000445Provider ID:

DIAGNOSTIC IMAGING CENTER

EAST ISLIP

DIAGNOSTIC IMAGING

CENTER

LONG ISLAND MEDICAL

DIAGNOSTIC IMAGING DBA

ZILKHA RADIOLOGY,

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH, FRENCH

F00000457Provider ID:

DIAGNOSTIC IMAGING

CENTER

LONG ISLAND MEDICAL

IMAGING DBA ZILKHA

RADIOLOGY,

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: ENGLISH, SPANISH,

FR

F00000456Provider ID:

DIAGNOSTIC IMAGING

CENTER

ZILKHA RADIOLOGY PC,

369 EAST MAIN ST STE 18

EAST ISLIP, NY 11730

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH, FRENCH

F00000458Provider ID:

GREENPORT

DIAGNOSTIC IMAGING

CENTER

NORTH FORK RADIOLOGY PC,

201 MANOR PL

GREENPORT, NY 11944

Phone: (631)477-1000Fax: (631)477-0323 Languages: English

F00000360Provider ID:

RIVERHEAD

82

*Not Accepting New Patients **Does Not Accept Medicaid

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

Hospitals/ Hospitales

SUFFOLK County - HOSPITALS 16 Hospitals

DIAGNOSTIC IMAGING

CENTER

NORTH FORK RADIOLOGY PC,

1333 ROANOKE AVE

RIVERHEAD, NY 11901

Phone: (631)727-2755Fax: (631)727-2852 Languages: English

F00000340Provider ID:

WEST ISLIP

DIAGNOSTIC IMAGING

CENTER

LONG ISLAND MEDICAL

IMAGING DBA ZILKHA

RADIOLOGY,

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: ENGLISH, SPANISH,

FR

F00000459Provider ID:

DIAGNOSTIC IMAGING

CENTER

ZILKHA RADIOLOGY PC,

1161 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)277-1600Fax: (631)277-1638 Languages: SPANISH, FRENCH

F00000460Provider ID:

MEDICAL REHAB HOSPITAL

PORT JEFFERSON

MEDICAL REHAB HOSPITAL

SAINT CHARLES HOSPITAL,

120 N COUNTRY RD

PORT JEFFERSON, NY 11777

Phone: (631)642-9890Fax: Languages: English

F00000347Provider ID:

83

*Not Accepting New Patients **Does Not Accept Medicaid

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

Skilled Nursing Facilities/ Especializada Centros de Enfermeria

SUFFOLK County - SKILLED NURSING FACILITY 2 SNFs

SKILLED NURSING FACILITY

BAY SHORE

SKILLED NURSING FACILITY

SUNRISE MANOR CENTER FOR

NURSING AND

REHABILITATION,

1325 BRENTWOOD RD

BAY SHORE, NY 11706

Phone: (631)665-4960Fax: (631)665-9411 Languages: SPANISH, CREO

F00000463Provider ID:

OAKDALE

SKILLED NURSING FACILITY

OAKWOOD OPERATING

COMPANY DBA AFFINITY

SKILLED LIVING

REHABILITATION CENTER,

305 LOCUST AVE

OAKDALE, NY 11769

Phone: (631)218-5900Fax: (631)218-5905 Languages: SPANISH, CREO

F00000465Provider ID:

84

*Not Accepting New Patients **Does Not Accept Medicaid

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

Allied Health Professionals/Profesionales Afines de Salud

SUFFOLK County - ALLIED HEALTH PROFESSIONALS 50 AHPs

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

LINDENHURST

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

PIEZZO, TERRI A NP

502 S WELLWOOD AVE

LINDENHURST, NY 11757

Phone: (631)226-8600Fax: (631)957-7858 Languages: English

AP02907Provider ID:

SAINT JAMES

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

AIELLO, CHRISTINE M Masters

403 LAKE AVE

SAINT JAMES, NY 11780

Phone: (631)862-7062Fax: (631)862-7114 Languages: English

AP02693Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

AIELLO, CHRISTINE M Masters

275 MORICHES RD

SAINT JAMES, NY 11780

Phone: (631)862-8000Fax: (631)862-7114 Languages: English

AP02695Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

FARRELL, CLARE A Masters

403 LAKE AVE

SAINT JAMES, NY 11780

Phone: (631)862-7062Fax: (631)862-7114 Languages: English

AP02705Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

FARRELL, CLARE A Masters

275 MORICHES RD

SAINT JAMES, NY 11780

Phone: (631)862-8000Fax: (631)862-7114 Languages: English

AP02707Provider ID:

SHOREHAM

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

SMITH, JUIANNE M NP

45 RTE 25A STE C

SHOREHAM, NY 11786

Phone: (631)744-3303Fax: (631)744-1627 Languages: English

AP02911Provider ID:

SMITHTOWN

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

AIELLO, CHRISTINE M Masters

52 RTE 25A

SMITHTOWN, NY 11787

Phone: (631)862-3900Fax: (631)862-7114 Languages: English

AP02696Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

AIELLO, CHRISTINE M Masters

50 RTE 25A

SMITHTOWN, NY 11787

Phone: (631)862-7062Fax: (631)862-7114 Languages: English

AP02697Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

AIELLO, CHRISTINE M Masters

994 JERICHO TPKE STE 201

SMITHTOWN, NY 11787

Phone: (631)864-4499Fax: (631)864-6023 Languages: English

AP02694Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

ALLEN, LYNNETTE Masters

260 MIDDLE COUNTRY RD STE

208

SMITHTOWN, NY 11787

Phone: (631)863-3223Fax: (631)863-3334 Languages: SPANISH,

PORTUGUESE,

AP02730Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

FARRELL, CLARE A Masters

52 RTE 25A

SMITHTOWN, NY 11787

Phone: (631)862-3900Fax: (631)862-7114 Languages: English

AP02708Provider ID:

85

*Not Accepting New Patients **Does Not Accept Medicaid

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

Allied Health Professionals/Profesionales Afines de Salud

SUFFOLK County - ALLIED HEALTH PROFESSIONALS 50 AHPs

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

FARRELL, CLARE A Masters

50 RTE 25A

SMITHTOWN, NY 11787

Phone: (631)862-3000Fax: (631)862-7114 Languages: English

AP02709Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

FARRELL, CLARE A Masters

994 JERICHO TPKE STE 201

SMITHTOWN, NY 11787

Phone: (631)864-4499Fax: (631)864-6023 Languages: English

AP02706Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

NEUHAUS, BARBARA A Masters

48 RTE 25A STE 305

SMITHTOWN, NY 11787

Phone: (631)862-3171Fax: (631)862-3355 Languages: English

AP02710Provider ID:

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

NEUHAUS, BARBARA A Masters

50 RTE 25A

SMITHTOWN, NY 11787

Phone: (631)862-3000Fax: (631)862-3171 Languages: English

AP02711Provider ID:

WEST BABYLON

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

PIEZZO, TERRI A NP

555 LITTLE EAST NECK RD

WEST BABYLON, NY 11704

Phone: (631)681-4600Fax: (631)661-4352 Languages: English

AP02909Provider ID:

WEST ISLIP

ARNP - ADVANCED

REGISTERED NURSE

PRACTITIONER

PIEZZO, TERRI A NP

1000 MONTAUK HWY

WEST ISLIP, NY 11795

Phone: (631)378-3000Fax: (631)957-7858 Languages: English

AP02908Provider ID:

Audiology

Lake Ronkonkoma

Audiology

Catania Maccca, Ray PT

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-7010Fax: (631)471-1100 Languages: English

AP00101Provider ID:

CNM - CERTIFIED NURSE

MIDWIFE

Greenlawn

CNM - CERTIFIED NURSE

MIDWIFE

Lee, Youngmee PLEASE MAK

284 Pulaski Road STE 1

Greenlawn, NY 11740

Phone: (631)425-5250Fax: (631)425-0140 Languages: English

AP01830Provider ID:

Dietetics-Nutrition

Lake Ronkonkoma

Dietetics-Nutrition

Ficalora, Cathy C.D.N.

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-7010Fax: (631)471-1100 Languages: English

AP00106Provider ID:

North Babylon

Dietetics-Nutrition

Ficalora, Cathy PLEASE MAK

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)491-8795Fax: (631)491-8613 Languages: English

AP00105Provider ID:

DIETITIAN / NUTRITIONIST

BAY SHORE

DIETITIAN / NUTRITIONIST

LEIDNER, KIM M Masters

24 BRENTWOOD RD

BAY SHORE, NY 11706

Phone: (631)368-3706Fax: (631)368-1027 Languages: English

AP00002409Provider ID:

HAUPPAUGE

DIETITIAN / NUTRITIONIST

GEDEON, JEANNIE Masters

800 VETERANS MEMORIAL

HWY STE 115

HAUPPAUGE, NY 11788

Phone: (631)427-0002Fax: (631)427-0002 Languages: English

AP02897Provider ID:

HUNTINGTON

86

*Not Accepting New Patients **Does Not Accept Medicaid

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

Allied Health Professionals/Profesionales Afines de Salud

SUFFOLK County - ALLIED HEALTH PROFESSIONALS 50 AHPs

DIETITIAN / NUTRITIONIST

GEDEON, JEANNIE Masters

44 CEDAR VALLEY LN

HUNTINGTON, NY 11743

Phone: (631)427-0002Fax: (631)427-0002 Languages: English

AP02895Provider ID:

DIETITIAN / NUTRITIONIST

LEIDNER, KIM M Masters

210 EAST MAIN ST

HUNTINGTON, NY 11743

Phone: (631)368-3706Fax: (631)368-3706 Languages: English

AP00002408Provider ID:

NORTH BABYLON

DIETITIAN / NUTRITIONIST

LEIDNER, KIM M Masters

986 SUNRISE HWY

NORTH BABYLON, NY 11703

Phone: (631)587-6060Fax: (631)368-1027 Languages: English

AP00002407Provider ID:

LCSW - LICENSED CLINICAL

SOCIAL WORKER

PATCHOGUE

LCSW - LICENSED CLINICAL

SOCIAL WORKER

DACUNHA, SANDRA Masters

31 OAK ST STE 12

PATCHOGUE, NY 11772

Phone: (631)569-4688Fax: (631)569-4688 Languages: English

AP00002410Provider ID:

Midwifery

Lake Ronkonkoma

Midwifery

Katulis, Theresa CNM

640 Hawkins Avenue

Lake Ronkonkoma, NY 11779

Phone: (631)737-7010Fax: (631)471-1100 Languages: English

AP00108Provider ID:

North Babylon

Midwifery

Katulis, Theresa CNM

300 Bayshore Road

North Babylon, NY 11703

Phone: (631)586-6270Fax: (631)586-6352 Languages: English

AP00107Provider ID:

NP IN ACUTE CARE

BAY SHORE

NP IN ACUTE CARE

PLOTKIN, GARY E NP

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: 631-968-3525Fax: 631-968-3022 Languages: English

AP02982Provider ID:

NP IN FAMILY HEALTH

PRACTICING IN THE

DEPARTMENT OF OLIVIERI

CHRYSTYNE

Huntington

NP IN FAMILY HEALTH

PRACTICING IN THE

DEPARTMENT OF OLIVIERI

CHRYSTYNE

OLIVIERI, CHRYSTYNE NP

13 Central Street

Huntington, NY 11743

Phone: (631)421-5885Fax: (631)427-6421 Languages: English

AP02998Provider ID:

NP IN PEDIATRICS PRACTICING

IN THE PEDIATRIC DEPT

GREENLAWN

NP IN PEDIATRICS PRACTICING

IN THE PEDIATRIC DEPT

HERNANDEZ, DEBORAH NP

284 PULASKI ROAD, SUITE 1

GREENLAWN, NY 11740

Phone: (631)425-5250Fax: (631)425-0140 Languages: English

AP02960Provider ID:

NP IN PEDIATRICS PRACTICING

IN THE PEDIATRICS DEPT

SMITHTOWN

NP IN PEDIATRICS PRACTICING

IN THE PEDIATRICS DEPT

ALFIERI, NANCY E NP

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

AP02985Provider ID:

NP IN PEDIATRICS PRACTICING

IN THE PEDIATRICS DEPT

BALLABAN, PAULINA M NP

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: Polish

AP02969Provider ID:

87

*Not Accepting New Patients **Does Not Accept Medicaid

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

Allied Health Professionals/Profesionales Afines de Salud

SUFFOLK County - ALLIED HEALTH PROFESSIONALS 50 AHPs

NP IN PEDIATRICS PRACTICING

IN THE PEDIATRICS DEPT

BOKOR, LINDA A NP

222 MIDDLE COUNTRY ROAD,

SUITE 106

SMITHTOWN, NY 11787

Phone: (631)439-5437Fax: (631)439-5447 Languages: English

AP02987Provider ID:

PA - PHYSICIAN ASSISTANT

EAST ISLIP

PA - PHYSICIAN ASSISTANT

PALERMO, JOHN PA

369 E MAIN ST STE 3

EAST ISLIP, NY 11730

Phone: (631)581-4500Fax: (631)581-5905 Languages: ITALIAN

AP02906Provider ID:

EAST SETAUKET

PA - PHYSICIAN ASSISTANT

MYCHAJLYSZYN, JOLANTA PA

4 TECHNOLOGY DR STE 150

EAST SETAUKET, NY 11733

Phone: (631)941-1400Fax: (631)941-1476 Languages: UKRAINIAN, POLISH

AP02937Provider ID:

PORT JEFFERSON

PA - PHYSICIAN ASSISTANT

COTTY, CHRISTIE L Masters

200 BELLE TERRE RD STE 110

PORT JEFFERSON, NY 11777

Phone: (631)642-9801Fax: (631)642-9805 Languages: SPANISH

AP02724Provider ID:

PA - PHYSICIAN ASSISTANT

COTTY, CHRISTIE L Masters

200 BELLE TERRE RD

PORT JEFFERSON, NY 11777

Phone: (631)474-6000Fax: (631)642-9805 Languages: SPANISH

AP02725Provider ID:

PA - PHYSICIAN ASSISTANT

MYCHAJLYSZYN, JOLANTA PA

125 OAKLAND AVD STE 101

PORT JEFFERSON, NY 11777

Phone: (631)828-7100Fax: (631)828-7171 Languages: UKRAINIAN, POLISH

AP02939Provider ID:

SHOREHAM

PA - PHYSICIAN ASSISTANT

MCCANN, JENNIFER L PA

45 RTE 25A STE C

SHOREHAM, NY 11786

Phone: (631)744-3303Fax: (631)744-1627 Languages: English

AP02910Provider ID:

SMITHTOWN

PA - PHYSICIAN ASSISTANT

CONATY, SUSAN Masters

260 MIDDLE COUNTRY RD STE

208

SMITHTOWN, NY 11787

Phone: (631)863-3223Fax: (631)863-3334 Languages: RUSSIAN, SPANISH

AP02731Provider ID:

PA - PHYSICIAN ASSISTANT

STRAUSS, ILSE L Masters

260 MIDDLE COUNTRY RD STE

208

SMITHTOWN, NY 11787

Phone: (631)863-3223Fax: (631)863-3334 Languages: SPANISH

AP02729Provider ID:

PHYSICIAN ASSISTANT

SERVICES IN EMERGENCY

MEDICINE

HUNTINGTON

PHYSICIAN ASSISTANT

SERVICES IN EMERGENCY

MEDICINE

ROGAN, MONICA L PA-C

270 PARK AVENUE

HUNTINGTON, NY 11743

Phone: (631)351-2427Fax: (631)351-2063 Languages: English

AP02966Provider ID:

PHYSICIAN ASSISTANT

SERVICING PATIENT IN THE

CARDIOLOGY

BAY SHORE

PHYSICIAN ASSISTANT

SERVICING PATIENT IN THE

CARDIOLOGY

SHUKRI, SCOTT R PA-C

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: 631-968-3525Fax: 631-968-3022 Languages: English

AP02972Provider ID:

HUNTINGTON

PHYSICIAN ASSISTANT

SERVICING PATIENT IN THE

CARDIOLOGY

SHUKRI, SCOTT R PA-C

270 PARK AVENUE

HUNTINGTON, NY 11743

Phone: 631-968-3525Fax: 631-968-3022 Languages: English

AP02974Provider ID:

PHYSICIAN ASSISTANT

SERVICING PATIENTS IN THE

CARDIOLOGY

88

*Not Accepting New Patients **Does Not Accept Medicaid

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

Allied Health Professionals/Profesionales Afines de Salud

SUFFOLK County - ALLIED HEALTH PROFESSIONALS 50 AHPs

BAY SHORE

PHYSICIAN ASSISTANT

SERVICING PATIENTS IN THE

CARDIOLOGY

QUAIL, KERRI L PA-C

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-3214Fax: (631)675-4997 Languages: English

AP02951Provider ID:

PHYSICIAN ASSISTANT

SERVICING PATIENTS IN THE

EMERGENCY

Bay Shore

PHYSICIAN ASSISTANT

SERVICING PATIENTS IN THE

EMERGENCY

PAGLIARULO, SARAH PA-C

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3970Fax: (631)968-3274 Languages: Spanish

AP02999Provider ID:

PHYSICIAN ASSISTANT

SERVICING PATIENTS IN THE

INTERNAL MEDICINE

BAY SHORE

PHYSICIAN ASSISTANT

SERVICING PATIENTS IN THE

INTERNAL MEDICINE

GESSLEIN, KARLA J PA-C

301 EAST MAIN STREET

BAY SHORE, NY 11706

Phone: (631)968-3214Fax: (631)675-4997 Languages: English

AP02954Provider ID:

RADIATION THERAPIST

Bay Shore

RADIATION THERAPIST

Ames, John W MD

301 East Main Street

Bay Shore, NY 11706

Phone: (631)968-3636Fax: (631)968-3635 Languages: English

AP01186Provider ID:

89

*Not Accepting New Patients **Does Not Accept Medicaid

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

Ancillary Health Services/ Servicios de Salud Auxiliar

SUFFOLK County - ANCILLARY HEALTH SERVICES 11 AHS Providers

Dental Services

SOUND BEACH

Dental Services

HealthPLEX,

333 EARLE OVINGTON BLVD

STE 300

SOUND BEACH, NY 11789

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

F00000292Provider ID:

DURABLE MEDICAL

EQUIPMENT

HOLTSVILLE

DURABLE MEDICAL

EQUIPMENT

PRIME CARE MEDICAL

SUPPLIES INC,

25 CORPORATE DR

HOLTSVILLE, NY 11742

Phone: (631)447-0093Fax: (631)447-0147 Languages: English

F00000487Provider ID:

PATCHOGUE

DURABLE MEDICAL

EQUIPMENT

ALL PRO MEDICAL SUPPLIES

INC,

464 E MAIN ST

PATCHOGUE, NY 11772

Phone: (631)475-9000Fax: (631)475-9014 Languages: ALL (WITH

INTERPRETO

F00000353Provider ID:

SMITHTOWN

DURABLE MEDICAL

EQUIPMENT

LINDROTH INTERNATIONAL

INC DBA GOLDEN DIABETIC

SUPPLY,

308 W MAIN ST STE 202

SMITHTOWN, NY 11787

Phone: (877)389-1108Fax: (631)382-8184 Languages: English

F00000341Provider ID:

DURABLE MEDICAL

EQUIPMENT

MUFSON MEDICAL SUPPLY,

35 W MAIN ST

SMITHTOWN, NY 11787

Phone: (631)360-7776Fax: (631)360-7862 Languages: SPANISH

F00000489Provider ID:

Laboratory Services

SYOSSET

Laboratory Services

QUEST DIAGNOSTICS INC,

575 UNDERHILL BLVD

SYOSSET, NY 11791

Phone: (866)697-8378Fax: (866)865-2805 Languages: English

F00000448Provider ID:

PHYSICAL THERAPY CENTER

HAUPPAUGE

PHYSICAL THERAPY CENTER

CORSO PHYSICAL THERAPY,

521 RT 111 STE 107

HAUPPAUGE, NY 11788

Phone: (631)724-9509Fax: (631)724-9549 Languages: English

F00000205Provider ID:

HUNTINGTON STATION

PHYSICAL THERAPY CENTER

CORSO REHABILITATION AND

PHYSICAL THERAPY,

2375-B NEW YORK AVE

HUNTINGTON STATION, NY

11746

Phone: (631)673-2933Fax: (631)673-3086 Languages: English

F00000206Provider ID:

PHYSICAL THERAPY CENTER

EXCELLENT CHOICE PHYSICAL

THERAPY,

180 E PULASKI RD STE C

HUNTINGTON STATION, NY

11746

Phone: (631)396-1595Fax: (631)396-1597 Languages: English

F00000208Provider ID:

NESCONSET

PHYSICAL THERAPY CENTER

TLC PHYSICAL THERAPY PC,

197 SMITHTOWN BLVD

NESCONSET, NY 11767

Phone: (631)863-1290Fax: (631)863-3090 Languages: English

F00000229Provider ID:

SAYVILLE

PHYSICAL THERAPY CENTER

PHYSICAL THERAPY OF WEST

SAYVILLE,

229 RAILROAD AVE STE 2

SAYVILLE, NY 11782

Phone: (631)589-7088Fax: (631)589-7089 Languages: English

F00000218Provider ID:

90

*Not Accepting New Patients **Does Not Accept Medicaid

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

This directory is for SUFFOLK county.

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

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

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

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

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

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

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

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

Health Plans of New York depends on contract renewal.

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

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

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

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

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

H2773_QHPNY0816_accepted

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

Este directorio es para el Condado de SUFFOLK county.

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

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

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

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

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

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

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

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

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

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

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

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

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

H2773_QHPNY0816S Accepted