web enabled

100
Patient Name: Frederick Ababio Street Address: Mailing Address: 3 Sandra Drive East Patchogue NY 11772 Home Phone: 631-730-8358 Work Phone: (516) 705-1909 Leave a Message: Date of Birth: 09/05/1959 Social Security N 075-76-1795 Marital Status: Married Email Address: [email protected] Insurance Information Primary Insurance: Empire BC/BS Phone Number: 800-635- 2184 PO BOX 5047, Middletown, NY, 10940-9047 Subscriber Name: Ababio, Frederick Date of Birth : 09/05/1959 Subscriber ID: YLD81435659 Group Number: Employer Information Employer Name: Phone Number: (516) 705-1909 Address : Emergency Contact Name: Arabio, Adwoa Phone Number: 631- 730-8358 Pharmacy Name: CVS Pharmacy Number: 631-654-032

Upload: kousik-chn

Post on 14-May-2017

247 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Web Enabled

Patient Name: Frederick Ababio Street Address: Mailing Address: 3 Sandra Drive East Patchogue NY 11772Home Phone: 631-730-8358Work Phone: (516) 705-1909 Leave a Message: Date of Birth: 09/05/1959 Social Security Number: 075-76-1795 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-635-2184PO BOX 5047, Middletown, NY, 10940-9047 Subscriber Name: Ababio, Frederick Date of Birth : 09/05/1959Subscriber ID: YLD81435659 Group Number:

Employer Information

Employer Name: Phone Number: (516) 705-1909Address :

Emergency Contact Name: Arabio, Adwoa Phone Number: 631-730-8358Pharmacy Name: CVS Pharmacy Number: 631-654-0329

Page 2: Web Enabled

Patient Name: George Abazis Street Address: Mailing Address: App#26 B La bonne VIE Dr East Patchogue NY 11772Home Phone: 631-627-8186Work Phone: (631) 289-5857 Leave a Message: Date of Birth: 05/23/1953 Social Security Number: 113-44-0669 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Oxford Phone Number: 800-666-1353PO Box 29130, Hot Springs, AR, 71903 Subscriber Name: Abazis, George Date of Birth : 05/23/1953Subscriber ID: 992828801 Group Number:

Employer Information

Employer Name: Phone Number: (631) 289-5857Address :

Emergency Contact Name: Abazis, Amelia Phone Number: 631-627-6654Pharmacy Name: Pharmacy Number:

Page 3: Web Enabled

Patient Name: Denise Abbruzzese Street Address: Mailing Address: 251 Jayne Ave Patchogue NY 11772Home Phone: 631-730-8375Work Phone: (631) 265-4606 Leave a Message: Date of Birth: 10/28/1969 Social Security Number: 114-70-8392 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Fidelis Care Phone Number: 888-343-3547PO Box 898, Amherst, NY, 14226-0898 Subscriber Name: Abbruzzese, Denise Date of Birth : 10/28/1969Subscriber ID: 742070766 Group Number:

Employer Information

Employer Name: Optimum Care Phone Number: (631) 265-4606Address :

Emergency Contact Name: Abbruzzese, Frank Phone Number: 631-926-1148Pharmacy Name: Pharmacy Number:

Page 4: Web Enabled

Patient Name: Evelyn Abrahall Street Address: Mailing Address: 39 Linden Ave Holtsville NY 11742Home Phone: 631-654-2427Work Phone: Leave a Message: Date of Birth: 01/02/1942 Social Security Number: 072-32-8296 Marital Status: Widowed Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Abrahall, Evelyn Date of Birth : 01/02/1942Subscriber ID: 073302347D Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Abrahall, Gary Phone Number: 631-563-4083Pharmacy Name: Walgreens Pharmacy Number: 631-576-8141

Page 5: Web Enabled

Patient Name: Ryan Abrahall Street Address: Mailing Address: Home Phone: 631-654-2427Work Phone: Leave a Message: Date of Birth: 01/14/1988 Social Security Number: Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Abrahall, Ronald Date of Birth : 10/31/1961Subscriber ID: YLD82452602 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Phone Number: Pharmacy Name: Pharmacy Number:

Page 6: Web Enabled

Patient Name: Biji Abraham Street Address: Mailing Address: 67 Bellwood Ave So Setauket NY 11720Home Phone: 631-689-0680Work Phone: Leave a Message: Date of Birth: 05/31/1968 Social Security Number: 119-84-0624 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: The Empire Plan UHC Phone Number: 877-769-7447PO Box 1600, Kingston, NY, 12402-2300 Subscriber Name: Abraham, Biji Date of Birth : 05/31/1968Subscriber ID: 890373321 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Thadathel, Abraham Phone Number: 516-528-2424Pharmacy Name: Pharmacy Number:

Page 7: Web Enabled

Patient Name: Jacob Abraham Street Address: Mailing Address: 33 Cambridge Drive Hicksville NY 11801-3416Home Phone: 516-606-3268Work Phone: Leave a Message: Date of Birth: 03/25/1965 Social Security Number: 111-72-0850 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: United Health Care Phone Number: 877-842-3210PO Box 740800, Atlanta, GA, 30374-0800 Subscriber Name: Abraham, Sajani Date of Birth : 02/13/1966Subscriber ID: 963852803 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Abraham, Monoj Phone Number: 718-740-5924Pharmacy Name: Pharmacy Number:

Page 8: Web Enabled

Patient Name: Thomas Abraham Street Address: Mailing Address: 186 Wright Ave Deer Park NY 11729Home Phone: 631-940-4028Work Phone: (631) 696-8172 Leave a Message: Date of Birth: 09/30/1956 Social Security Number: 156-96-1675 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: The Empire Plan UHC Phone Number: 877-769-7447PO Box 1600, Kingston, NY, 12402-2300 Subscriber Name: Abraham, Thomas Date of Birth : 09/30/1956Subscriber ID: 890247356 Group Number:

Employer Information

Employer Name: LIDDSO Phone Number: (631) 696-8172Address :

Emergency Contact Name: Abraham , Lali Phone Number: 631-576-6835Pharmacy Name: Rite Aid Pharmacy Number: 631-254-0464

Page 9: Web Enabled

Patient Name: Orchidea Abramowicz Street Address: Mailing Address: 40 Oakwood Ave Sayville NY 11782Home Phone: 631-589-2209Work Phone: (631) 687-2816 Leave a Message: Date of Birth: 06/06/1985 Social Security Number: 125-78-1469 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Abramowicz, Orchidea Date of Birth : 06/06/1985Subscriber ID: YLL82896691 Group Number: 376400 2BR

Employer Information

Employer Name: BMH Phone Number: (631) 687-2816Address :

Emergency Contact Name: Phone Number: Pharmacy Name: Pharmacy Number:

Page 10: Web Enabled

Patient Name: Albert Abrams LStreet Address: Mailing Address: 24 Robinwood St Mastic NY 11950-4706Home Phone: 631-395-4548Work Phone: (631) 475-0447 Leave a Message: Date of Birth: 04/13/1931 Social Security Number: 112-22-4884 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Abrams, Albert L Date of Birth : 04/13/1931Subscriber ID: YLV81309927 Group Number:

Employer Information

Employer Name: Phone Number: (631) 475-0447Address :

Emergency Contact Name: Polito, Joyce Phone Number: 631-582-9040Pharmacy Name: Stop and Shop Pharmacy Number: 631-281-8924

Page 11: Web Enabled

Patient Name: Tove Abrams HStreet Address: Mailing Address: 124 Joni Dr West Sayville NY 11796-1017Home Phone: 631-567-3182Work Phone: (631) 567-3182 Leave a Message: Date of Birth: 01/17/1944 Social Security Number: 057-36-9403 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Abrams, Tove H Date of Birth : 01/17/1944Subscriber ID: 057369403A Group Number:

Employer Information

Employer Name: Phone Number: (631) 567-3182Address :

Emergency Contact Name: Abrams, Seth Phone Number: 631-833-4253Pharmacy Name: CVS Pharmacy Number: 631-244-5752

Page 12: Web Enabled

Patient Name: Peter Abran JStreet Address: Mailing Address: 168 Buffalo Ave Medford NY 11763Home Phone: 631-730-5607Work Phone: Leave a Message: Date of Birth: 05/20/1944 Social Security Number: 083-36-6045 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Secure Horizons Phone Number: 888-866-8296PO BOX 31362, Salt Lake City, UT, 84131-0361 Subscriber Name: Abran, Peter J Date of Birth : 05/20/1944Subscriber ID: 90554802300 Group Number: 50500

Employer Information

Employer Name: BMH Phone Number: Address :

Emergency Contact Name: Abran, Diane Phone Number: 631-730-5607Pharmacy Name: Pharmacy Number:

Page 13: Web Enabled

Patient Name: Dolores Abriola Street Address: 100 Southern Blvd Nesconset, NY 11767Mailing Address: 300 Broadway ave Lake Ronkonkoma NY 11782Home Phone: 631-567-9300Work Phone: (631) 730-3000-3270 Leave a Message: Date of Birth: 05/30/1930 Social Security Number: 055-24-6131 Marital Status: Widowed Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Abriola, Dolores Date of Birth : 05/30/1930Subscriber ID: 055246131A Group Number:

Employer Information

Employer Name: Retired Phone Number: (631) 730-3000-3270Address :

Emergency Contact Name: Durler, Joan Phone Number: 631-471-3064Pharmacy Name: Pharmacy Number:

Page 14: Web Enabled

Patient Name: Christine Abruscato Street Address: Mailing Address: 130 Woodland DR Mastic Beach NY 11951-5016Home Phone: Work Phone: (631) 878-9583 Leave a Message: Date of Birth: 04/02/1951 Social Security Number: 110-48-6969 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: AETNA Phone Number: 888-632-3862PO Box 981109, El Paso, TX, 79998-1106 Subscriber Name: Abruscato, Christine Date of Birth : 04/02/1951Subscriber ID: W1496 43351 Group Number: 702391-012-00001

Employer Information

Employer Name: IGHL Phone Number: (631) 878-9583Address :

Emergency Contact Name: MURDOCK, KEN Phone Number: 631-880-1455Pharmacy Name: Pharmacy Number:

Page 15: Web Enabled

Patient Name: Jerome Accardi FStreet Address: Mailing Address: 500 Greenbelt Pkwy Holtsville NY 11742Home Phone: 631-472-3754Work Phone: Leave a Message: Date of Birth: 07/05/1935 Social Security Number: 058-30-9803 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Accardi, Jerome F Date of Birth : 07/05/1935Subscriber ID: 058309803A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Accardi, Frank Phone Number: 631-871-8379Pharmacy Name: PRESCRIPTION SOLUTIONS MailOrderEDI Pharmacy Number: 791-7658

Page 16: Web Enabled

Patient Name: Linda Ackerman Street Address: Mailing Address: 87 Clearview Ave Selden NY 11784Home Phone: 631-846-1860Work Phone: (516) 294-5151 Leave a Message: Date of Birth: 09/12/1962 Social Security Number: 525-23-8556 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Phone Number: Subscriber Name: Date of Birth : Subscriber ID: Group Number:

Employer Information

Employer Name: Phone Number: (516) 294-5151Address :

Emergency Contact Name: Ackerman, Nancy Phone Number: 631-270-4301Pharmacy Name: Target Pharmacy Number: 631-286-1854

Page 17: Web Enabled

Patient Name: Kristen Adams Street Address: Mailing Address: 7 Rose Court Nesconset NY 11767Home Phone: Work Phone: (631) 232-3000 Leave a Message: Date of Birth: 05/24/1985 Social Security Number: 607-12-4336 Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: NYS Medicaid Program Phone Number: 800-343-9000Computer Sciences Corporation PO Box 4601, Rensselaer, NY, 12144 Subscriber Name: Adams, Kristen Date of Birth : 05/24/1985Subscriber ID: BH47599B Group Number:

Employer Information

Employer Name: Marriott - Islandia Phone Number: (631) 232-3000Address :

Emergency Contact Name: Adams, Susan Phone Number: 631-235-7716Pharmacy Name: Pharmacy Number:

Page 18: Web Enabled

Patient Name: Josephine Adone Street Address: Mailing Address: 3202 Brookwood Cr E. Patchogue NY 11772Home Phone: 631-289-3111Work Phone: Leave a Message: Date of Birth: 07/05/1929 Social Security Number: 090-22-0982 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Adone, Josephine Date of Birth : 07/05/1929Subscriber ID: 085226403B Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Adone, Glenn Phone Number: 631-475-7876Pharmacy Name: Pharmacy Number:

Page 19: Web Enabled

Patient Name: John Agugliaro Street Address: Mailing Address: 1812 Spruce Dr Holbrook NY 11741Home Phone: 631-730-5522Work Phone: Leave a Message: Date of Birth: 11/20/1969 Social Security Number: 086-68-4607 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: United Health Care Phone Number: 877-842-3210PO Box 740800, Atlanta, GA, 30374-0800 Subscriber Name: Agugliaro, Suanne Date of Birth : 10/27/1972Subscriber ID: 827918905 Group Number: 228733

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Agugliaro, Suanne Phone Number: 631-730-5502Pharmacy Name: Pharmacy Number:

Page 20: Web Enabled

Patient Name: Ralph Aguiar Street Address: Mailing Address: 45 Camille Lane Patchogue NY 11772Home Phone: 631-714-4059Work Phone: Leave a Message: Date of Birth: 05/10/1933 Social Security Number: 122-24-7931 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Senior Plan Phone Number: 800-441-2411PO Box 1407, New York, NY, 10008 Subscriber Name: Aguiar, Roberta Date of Birth : 07/11/1946Subscriber ID: YLV86643783 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Aguiar, Roberta Phone Number: 631-475-6602Pharmacy Name: sunrise Pharmacy Number: 631-569-4245

Page 21: Web Enabled

Patient Name: Sara Aguila MStreet Address: Mailing Address: 501 Christopher C Medford NY 11763Home Phone: 631-447-1608Work Phone: Leave a Message: Date of Birth: 05/05/1935 Social Security Number: 068-28-4001 Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Aguila, Sara M Date of Birth : 05/05/1935Subscriber ID: 068284001A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Musano, Nilda Phone Number: 631-729-3395Pharmacy Name: Pharmacy Number:

Page 22: Web Enabled

Patient Name: Joseph Aguirre Street Address: Mailing Address: 4 Pondview Dr Apt 8, Patchogue NY 11772Home Phone: 631-627-6852Work Phone: Leave a Message: Date of Birth: 01/23/1960 Social Security Number: 152-52-9052 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Aguirre, Joseph Date of Birth : 01/23/1960Subscriber ID: SYY845987116 Group Number: 015245

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Aguirre, Kathy Phone Number: 631-627-6852Pharmacy Name: Medco Pharmacy Number: 877-842-6048

Page 23: Web Enabled

Patient Name: Vincent Aiello Street Address: Mailing Address: 20-1 Pond Way Manorville NY 11949Home Phone: 631-874-3795Work Phone: Leave a Message: Date of Birth: 03/14/1938 Social Security Number: 099-30-2515 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Aiello, Vincent Date of Birth : 03/14/1938Subscriber ID: 099302515A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Ceonutz, Tara Phone Number: 631-775-6650Pharmacy Name: Pharmacy Number:

Page 24: Web Enabled

Patient Name: Gregory Alagna Street Address: Mailing Address: 154 Dari Dr Holbrook NY 11741Home Phone: 631-472-4330Work Phone: (631) 218-9067-128 Leave a Message: Date of Birth: 12/17/1952 Social Security Number: 114-44-5315 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Oxford Phone Number: 800-666-1353PO Box 29130, Hot Springs, AR, 71903 Subscriber Name: Alagna, Gregory Date of Birth : 12/17/1952Subscriber ID: 650471001 Group Number:

Employer Information

Employer Name: Phone Number: (631) 218-9067-128Address :

Emergency Contact Name: Alagna, Debra Phone Number: 631-766-6878Pharmacy Name: Pharmacy Number:

Page 25: Web Enabled

Patient Name: Raymond Alberto FStreet Address: Mailing Address: 24 Gilbert St Patchogue NY 11772Home Phone: Work Phone: Leave a Message: Date of Birth: 05/04/1946 Social Security Number: 089-38-0393 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Alberto, Raymond F Date of Birth : 05/04/1946Subscriber ID: 089380393A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alberto-Roe, Karen Phone Number: 631-578-8293Pharmacy Name: Walgreens Pharmacy Number: 631-576-8141

Page 26: Web Enabled

Patient Name: Robert Alden RStreet Address: Mailing Address: 117 Bay Ave E Moriches NY 11940Home Phone: 631-878-5154Work Phone: Leave a Message: Date of Birth: 12/01/1936 Social Security Number: 129-28-6199 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Senior Plan Phone Number: 800-441-2411PO Box 1407, New York, NY, 10008 Subscriber Name: Alden, Robert R Date of Birth : 12/01/1936Subscriber ID: YLR81500527 Group Number: 920099 SUF

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alden, Curt Phone Number: 631-942-5830Pharmacy Name: CVS Pharmacy Number: 631-878-6768

Page 27: Web Enabled

Patient Name: Michael Ales Street Address: Mailing Address: 130 Moriches Ave Mastic NY 11950Home Phone: 631-281-3869Work Phone: Leave a Message: Date of Birth: 06/19/1947 Social Security Number: 100-36-8953 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: GHI Medicare Phone Number: 866-557-7300PO Box 2830, NY, NY, 10116 Subscriber Name: Ales, Michael Date of Birth : 06/19/1947Subscriber ID: 937033577 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Ales, Roseann Phone Number: 631-281-3869Pharmacy Name: Pharmacy Number:

Page 28: Web Enabled

Patient Name: Michael Ales Jr. Street Address: Mailing Address: 44 Lama Dr Shirley NY 11967Home Phone: 631-281-6861Work Phone: Leave a Message: Date of Birth: 08/22/1970 Social Security Number: 082-64-0981 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: CIGNA Phone Number: 800-244-6224PO Box 5200, Scranton, PA, 18505-5200 Subscriber Name: Ales Jr., Michael Date of Birth : 08/22/1970Subscriber ID: U4075467701 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Ales, Kelly Phone Number: 631-806-0368Pharmacy Name: Pharmacy Number:

Page 29: Web Enabled

Patient Name: Deepu Alexander Street Address: Mailing Address: 11 Daniel court Ronkonkoma NY 11779Home Phone: 631-240-9726Work Phone: Leave a Message: Date of Birth: 01/28/1976 Social Security Number: Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: Phone Number: Subscriber Name: Date of Birth : Subscriber ID: Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Phone Number: Pharmacy Name: Pharmacy Number:

Page 30: Web Enabled

Patient Name: Smitha Alexander Street Address: Mailing Address: 52 Zenith Rd Rocky Point NY 11778Home Phone: 631-849-2693Work Phone: (631) 444-3302 Leave a Message: Date of Birth: 03/01/1976 Social Security Number: 077-94-2784 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: 1199 SEIU BENEFIT FUNDS Phone Number: 646-473-7160330 WEST 42ND STREET, NEW YORK, NY, 10036 Subscriber Name: Alexander, Smitha Date of Birth : 03/01/1976Subscriber ID: 9006549330 Group Number:

Employer Information

Employer Name: Phone Number: (631) 444-3302Address :

Emergency Contact Name: Mr., Alexander Phone Number: 631-849-2693Pharmacy Name: Pharmacy Number:

Page 31: Web Enabled

Patient Name: Emma Alexandre Street Address: Mailing Address: 101 Fulton Ave Mastic NY 11950Home Phone: 631-395-1149Work Phone: Leave a Message: Date of Birth: 10/26/1954 Social Security Number: 087-70-2855 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Alexandre, Emma Date of Birth : 10/26/1954Subscriber ID: POP85821288 Group Number: 720059

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alexandre, Fabienne Phone Number: 646-334-4402Pharmacy Name: Pharmacy Number:

Page 32: Web Enabled

Patient Name: Bernice Alfaro LStreet Address: Mailing Address: 35 Heathcote Ct Shirley NY 11967Home Phone: Work Phone: (631) 852-4007 Leave a Message: Date of Birth: 07/09/1956 Social Security Number: 050-50-9333 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Alfaro, Bernice L Date of Birth : 07/09/1956Subscriber ID: CDKSC7134895 Group Number:

Employer Information

Employer Name: Suffolk County Phone Number: (631) 852-4007Address :

Emergency Contact Name: Alfaro, James Phone Number: 631-561-9676Pharmacy Name: CVS Pharmacy Number: 631-395-4108

Page 33: Web Enabled

Patient Name: Frank Alfo Street Address: Mailing Address: P.O.BOX 927 Bayport NY 11705Home Phone: 631-513-6082Work Phone: Leave a Message: Date of Birth: 06/09/1962 Social Security Number: 054-62-6267 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Alfo, Frank Date of Birth : 06/09/1962Subscriber ID: BAE363001210 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alfo, Veronic Phone Number: 631-513-6082Pharmacy Name: Pharmacy Number:

Page 34: Web Enabled

Patient Name: Joseph Alfo PStreet Address: Mailing Address: 29 Lama Dr Shirley NY 11967Home Phone: Work Phone: Leave a Message: Date of Birth: 01/30/1977 Social Security Number: 116-74-8279 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Americhoice Phone Number: 866-362-3368PO Box 5240, Kingston, NY, 12402-5240 Subscriber Name: Alfo, Joseph P Date of Birth : 01/30/1977Subscriber ID: 100402067 Group Number: 90100

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alfo, Barbara Phone Number: 631-816-4700Pharmacy Name: Pharmacy Number:

Page 35: Web Enabled

Patient Name: Victoria Alfo AStreet Address: Mailing Address: Po Box 927 Bayport NY 11705Home Phone: 631-513-6082Work Phone: Leave a Message: Date of Birth: 01/10/1964 Social Security Number: 055-56-8117 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Alfo, Frank Date of Birth : 06/09/1962Subscriber ID: BAE363001210 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alfo, Frank Phone Number: 631-219-4880Pharmacy Name: Pharmacy Number:

Page 36: Web Enabled

Patient Name: Robert Alford Street Address: Mailing Address: 223 N First St Ronkonkoma NY 11779Home Phone: 631-648-8508Work Phone: (631) 242-5525 Leave a Message: Date of Birth: 06/08/1961 Social Security Number: 110-54-0408 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Alford, Robert Date of Birth : 06/08/1961Subscriber ID: NEI801061843 Group Number: P13346

Employer Information

Employer Name: Local #1 Phone Number: (631) 242-5525Address :

Emergency Contact Name: Galvin, Christine Phone Number: 516-652-9127Pharmacy Name: Pharmacy Number:

Page 37: Web Enabled

Patient Name: David Ali Street Address: Mailing Address: 78 Potomac Lane Sayville NY 11782Home Phone: 631-589-5220Work Phone: (631) 574-4712 Leave a Message: Date of Birth: 10/07/1968 Social Security Number: Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Ali, David Date of Birth : 10/07/1968Subscriber ID: YLL87266326 Group Number:

Employer Information

Employer Name: Phone Number: (631) 574-4712Address :

Emergency Contact Name: Ali, Joseph Phone Number: 631-589-4358Pharmacy Name: Pharmacy Number:

Page 38: Web Enabled

Patient Name: Mokarram Ali Street Address: Mailing Address: 226 Lakeland Ave G3 Sayville NY 11782Home Phone: 516-581-8926Work Phone: Leave a Message: Date of Birth: 11/25/1968 Social Security Number: 076-94-9734 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Fidelis Care Phone Number: 888-343-3547PO Box 898, Amherst, NY, 14226-0898 Subscriber Name: Ali, Mokarram Date of Birth : 11/25/1968Subscriber ID: 740674897 Group Number:

Employer Information

Employer Name: M&S 786 INC Phone Number: Address :

Emergency Contact Name: Mokarram, Mohmoona Phone Number: 516-581-8926Pharmacy Name: Pharmacy Number:

Page 39: Web Enabled

Patient Name: Nichola Ali Street Address: Mailing Address: 464 Boxwood Dr Shirley NY 11967Home Phone: 631-236-8600Work Phone: Leave a Message: Date of Birth: 08/19/1983 Social Security Number: 101-72-8334 Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: Affinity Health Plan Phone Number: 866-247-5678PO Box 811, Gracie Station, NY, 10028 Subscriber Name: Ali, Nichola Date of Birth : 08/19/1983Subscriber ID: 00065470700 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Ali, Zorina Phone Number: 631-294-1863Pharmacy Name: Pharmacy Number:

Page 40: Web Enabled

Patient Name: Diana Aliberti AStreet Address: Mailing Address: 2702 Heather Av Medford NY 11763Home Phone: 631-447-6963Work Phone: Leave a Message: Date of Birth: 02/27/1960 Social Security Number: 097-58-2127 Marital Status: Legally Separated Email Address: [email protected]

Insurance Information

Primary Insurance: The Empire Plan UHC Phone Number: 877-769-7447PO Box 1600, Kingston, NY, 12402-2300 Subscriber Name: Aliberti, Diana A Date of Birth : 02/27/1960Subscriber ID: 890234250 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Aliberti, Carmine Phone Number: 631-484-0555Pharmacy Name: Pharmacy Number:

Page 41: Web Enabled

Patient Name: Steven Alimena Street Address: Mailing Address: 30 Spectacle Lake Drive Nesconset NY 11767Home Phone: 719-598-9776Work Phone: Leave a Message: Date of Birth: 08/30/1954 Social Security Number: 066-50-4901 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Phone Number: Subscriber Name: Date of Birth : Subscriber ID: Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Stret, Arnoral Phone Number: 516-428-9426Pharmacy Name: Pharmacy Number:

Page 42: Web Enabled

Patient Name: Samantha Allan LStreet Address: Mailing Address: 132 Dana Ave Mastic NY 11950Home Phone: 631-729-6690Work Phone: Leave a Message: Date of Birth: 09/26/1978 Social Security Number: 091-62-4501 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Magnacare Phone Number: 877-624-6224PO Box DP1001, Garden City, NY, 11530 Subscriber Name: Allan, Todd Date of Birth : 01/11/1976Subscriber ID: 102100486184 Group Number:

Employer Information

Employer Name: Alpha Media Group Phone Number: Address :

Emergency Contact Name: Allan, Todd Phone Number: 631-294-8511Pharmacy Name: CVS Pharmacy Number: 631-281-2052

Page 43: Web Enabled

Patient Name: Marlene Allegretti Street Address: Mailing Address: 230 Washington Ave Patchogue NY 11772Home Phone: 631-475-0491Work Phone: Leave a Message: Date of Birth: 09/13/1944 Social Security Number: 076-36-4689 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Allegretti, Marlene Date of Birth : 09/13/1944Subscriber ID: 076364689A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Costanzo, Frank Phone Number: 631-289-4689Pharmacy Name: Pharmacy Number:

Page 44: Web Enabled

Patient Name: Elizabeth Allen Street Address: Mailing Address: 64 Lyman Rd Patchogue NY 11772Home Phone: 631-286-2764Work Phone: (631) 205-2087 Leave a Message: Date of Birth: 08/28/1954 Social Security Number: 134-42-2263 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Cigna Phone Number: 800-997-1617PO Box 182223, Chattanooga, TN, 37422-7223 Subscriber Name: Allen, Elizabeth Date of Birth : 08/28/1954Subscriber ID: U3877173101 Group Number:

Employer Information

Employer Name: Phone Number: (631) 205-2087Address :

Emergency Contact Name: Van Schaick, Patti Phone Number: 631-286-0114Pharmacy Name: Pharmacy Number:

Page 45: Web Enabled

Patient Name: Leonora Allen Street Address: Mailing Address: 17 Cynthia Ln Center Moriches NY 11934-2601Home Phone: 631-909-2631Work Phone: Leave a Message: Date of Birth: 08/07/1941 Social Security Number: 060-32-4422 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Allen, Leonora Date of Birth : 08/07/1941Subscriber ID: 060324422A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Allen, Kevin Phone Number: 631-909-2631Pharmacy Name: Pharmacy Number:

Page 46: Web Enabled

Patient Name: Lynn Allen Street Address: Mailing Address: 79 Washington Ave Mastic Beach NY 11951Home Phone: 631-399-4170Work Phone: Leave a Message: Date of Birth: 07/14/1946 Social Security Number: 071-38-3002 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Allen, Lynn Date of Birth : 07/14/1946Subscriber ID: 071383002A Group Number:

Employer Information

Employer Name: Homemaker Phone Number: Address :

Emergency Contact Name: Allen, David Phone Number: 631-399-4170Pharmacy Name: Express Scripts EDI MailOrder Pharmacy Pharmacy Number: 800-763-5502

Page 47: Web Enabled

Patient Name: Regina Allen Street Address: Mailing Address: 281 Swan Lake Dr. Patchogue NY 11772Home Phone: 631-654-3152Work Phone: Leave a Message: Date of Birth: 01/27/1934 Social Security Number: 113-26-2232 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Allen, Regina Date of Birth : 01/27/1934Subscriber ID: 090284558B Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Allen, Robert Phone Number: 631-654-3152Pharmacy Name: Brookhaven Pharmacy Pharmacy Number: 631-475-6666

Page 48: Web Enabled

Patient Name: Robert Allen Street Address: Mailing Address: 14 Woodland Park Road Bellport NY 11713Home Phone: 631-803-0208Work Phone: (631) 582-4770 Leave a Message: Date of Birth: 10/31/1950 Social Security Number: 108-42-2226 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Magnacare Phone Number: 877-624-6224PO Box DP1001, Garden City, NY, 11530 Subscriber Name: Allen, Robert Date of Birth : 10/31/1950Subscriber ID: 222601289300 Group Number:

Employer Information

Employer Name: Sales Phone Number: (631) 582-4770Address :

Emergency Contact Name: Allen, Catherine Phone Number: 631-803-0208Pharmacy Name: Pharmacy Number:

Page 49: Web Enabled

Patient Name: Eugene Allen Sr. Street Address: Mailing Address: 45 Beach Ln Coram NY 11727Home Phone: 631-698-6487Work Phone: Leave a Message: Date of Birth: 12/07/1945 Social Security Number: 070-36-7584 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Allen Sr., Eugene Date of Birth : 12/07/1945Subscriber ID: 070367584A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Allen, Titia Phone Number: 631-569-6171Pharmacy Name: Prescription Center Pharmacy Number: 631-698-2868

Page 50: Web Enabled

Patient Name: Sumintra Alli Street Address: Mailing Address: 8 Main Ave Mastic NY 11950Home Phone: 631-729-6815Work Phone: Leave a Message: Date of Birth: 04/19/1938 Social Security Number: 059-92-5022 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Neighbourhood Health Phone Number: 800-763-9132P.O. Box 6008, Hauppauge, NY, 11788 Subscriber Name: Alli, Sumintra Date of Birth : 04/19/1938Subscriber ID: AIJNPQRTVYZ Group Number: 105

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Sumintra, Neezam Phone Number: 631-657-3860Pharmacy Name: Pharmacy Number:

Page 51: Web Enabled

Patient Name: Michael Almodovar Street Address: Mailing Address: 548 Hampton Ave Bellport NY 11713Home Phone: 631-312-3625Work Phone: Leave a Message: Date of Birth: 10/28/1956 Social Security Number: 095-50-9568 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Americhoice Phone Number: 866-362-3368PO Box 5240, Kingston, NY, 12402-5240 Subscriber Name: Almodovar, Michael Date of Birth : 10/28/1956Subscriber ID: 100702113 Group Number: 90100

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Almodovar, Delilha Phone Number: 631-356-2747Pharmacy Name: Pharmacy Number:

Page 52: Web Enabled

Patient Name: Sandra Almonte Street Address: Mailing Address: 84 Whitepine wAY Medford NY 11763Home Phone: 631-790-2653Work Phone: Leave a Message: Date of Birth: 02/04/1980 Social Security Number: 584-89-4363 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: AETNA Phone Number: 888-562-8111PO Box 14586, Lexington, KY, 40512 Subscriber Name: Almonte, Sandra Date of Birth : 02/04/1980Subscriber ID: W159520057 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Almonte, Diogenes Phone Number: 631-831-5180Pharmacy Name: Pharmacy Number:

Page 53: Web Enabled

Patient Name: Anna Aloia TStreet Address: Mailing Address: 6 Sportsman Ct Shirley NY 11967Home Phone: 631-729-6307Work Phone: Leave a Message: Date of Birth: 04/10/1930 Social Security Number: 055-24-0864 Marital Status: Widowed Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Senior Plan Phone Number: 800-441-2411PO Box 1407, New York, NY, 10008 Subscriber Name: Aloia, Anna T Date of Birth : 04/10/1930Subscriber ID: YLR82242556 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Aloia, Carol Phone Number: 631-729-6307Pharmacy Name: CVS Pharmacy Number: 631-395-4108

Page 54: Web Enabled

Patient Name: Eleanor Alster IStreet Address: Mailing Address: 11 Glen Hollow Dr. D-50 Holtsville NY 11742-2454Home Phone: 631-207-9075Work Phone: (631) 244-3144 Leave a Message: Date of Birth: 08/08/1939 Social Security Number: 133-30-6890 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Alster, Eleanor I Date of Birth : 08/08/1939Subscriber ID: 103283102B6 Group Number:

Employer Information

Employer Name: Dowling College Phone Number: (631) 244-3144Address :

Emergency Contact Name: Kruska, Suzanne Phone Number: 516-751-2868Pharmacy Name: Pharmacy Number:

Page 55: Web Enabled

Patient Name: Dawn Altimari Street Address: Mailing Address: 405 South Ocean Avenue Patchogue NY 11772Home Phone: 631-730-3382Work Phone: Leave a Message: Date of Birth: 10/02/1977 Social Security Number: 112-60-1452 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Oxford Phone Number: 800-666-1353PO Box 29130, Hot Springs, AR, 71903 Subscriber Name: Altimari, Keith Date of Birth : 11/03/1971Subscriber ID: 628670302 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Altimari, Keith Phone Number: 631-830-2744Pharmacy Name: Pharmacy Number:

Page 56: Web Enabled

Patient Name: Raymond Altschuler Street Address: Mailing Address: 24 Connelly Dr Medford NY 11763Home Phone: 631-289-8417Work Phone: Leave a Message: Date of Birth: 04/10/1931 Social Security Number: 078-24-1378 Marital Status: Widowed Email Address: [email protected]

Insurance Information

Primary Insurance: Veterans Affairs Medical Centre Phone Number: 631-261-440079 Middleville Rd, Northport, NY, 11769 Subscriber Name: Altschuler, Raymond Date of Birth : 04/10/1931Subscriber ID: 078241378 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Altschuler, Steven Phone Number: 631-312-4494Pharmacy Name: Rite Aid Pharmacy Number: 631-345-0535

Page 57: Web Enabled

Patient Name: Steven Altschuler TStreet Address: Mailing Address: 24 Connelly Dr Medford NY 11763-4028Home Phone: 631-312-4494Work Phone: Leave a Message: Date of Birth: 05/27/1966 Social Security Number: 062-58-7156 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Altschuler, Steven T Date of Birth : 05/27/1966Subscriber ID: 062587156A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Altschuler, Theresa Phone Number: 631-312-4494Pharmacy Name: RiteAid Pharmacy Number: 631-345-0537

Page 58: Web Enabled

Patient Name: Theresa Altschuler Street Address: Mailing Address: 24 Connelly Dr Medford NY 11763Home Phone: 631-289-8417Work Phone: Leave a Message: Date of Birth: 12/20/1965 Social Security Number: 066-68-9847 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Emblem Health Phone Number: 877-842-3625PO Box2832, New York, NY, 10116 Subscriber Name: Altschuler, Theresa Date of Birth : 12/20/1965Subscriber ID: ACV37711S01 Group Number:

Employer Information

Employer Name: Stop & Shop Peapod Phone Number: Address :

Emergency Contact Name: Altschuler, Steven Phone Number: 631-289-8417Pharmacy Name: Pharmacy Number:

Page 59: Web Enabled

Patient Name: Nubia Alvarado Street Address: Mailing Address: 3112 Brookwood Circle East Patchogue NY 11772Home Phone: 631-438-9125Work Phone: Leave a Message: Date of Birth: 03/02/1942 Social Security Number: Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Alvarado, Nubia Date of Birth : 03/02/1942Subscriber ID: 067346197TA Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alvarado, David Phone Number: 631-346-5075Pharmacy Name: Pharmacy Number:

Page 60: Web Enabled

Patient Name: Ariel Alvarez Street Address: Mailing Address: 465 Long Island Ave Medford NY 11763Home Phone: 631-569-2991Work Phone: Leave a Message: Date of Birth: 06/04/1991 Social Security Number: 134-78-7123 Marital Status: Partner Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Alvarez, Ariel Date of Birth : 06/04/1991Subscriber ID: VYS200638718 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Curtis, Chris Phone Number: 631-512-5577Pharmacy Name: Pharmacy Number:

Page 61: Web Enabled

Patient Name: Edith Alvarez Street Address: Mailing Address: 264 Woodycrest Dr Holtsville NY 11742Home Phone: 631-714-5106Work Phone: Leave a Message: Date of Birth: 09/03/1964 Social Security Number: 117-88-4963 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Neighbourhood Health Phone Number: 800-763-9132P.O. Box 6008, Hauppauge, NY, 11788 Subscriber Name: Alvarez, Edith Date of Birth : 09/03/1964Subscriber ID: DB06941B Group Number: 303

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Millan, Marco Phone Number: 631-714-5106Pharmacy Name: Pharmacy Number:

Page 62: Web Enabled

Patient Name: Andrew Alvino MStreet Address: Mailing Address: 120 Tarpon Ave Medford NY 11763Home Phone: 631-286-0043Work Phone: Leave a Message: Date of Birth: 07/21/1937 Social Security Number: 053-30-8420 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: HIP (ER/IP,FHPlus) Phone Number: 866-447-9717PO Box 2830, New York, NY, 10116 Subscriber Name: Alvino, Andrew M Date of Birth : 07/21/1937Subscriber ID: 13636683 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Alvino, Diana Phone Number: 631-286-0043Pharmacy Name: Rite Aid Pharmacy Number: 631-345-0535

Page 63: Web Enabled

Patient Name: Arlene Amedeo Street Address: Mailing Address: 3203 Wilshire La Oakdale NY 11769Home Phone: 631-750-1805Work Phone: Leave a Message: Date of Birth: 01/25/1948 Social Security Number: 112-38-3504 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Oxford Phone Number: 800-666-1353PO Box 29130, Hot Springs, AR, 71903 Subscriber Name: Amedeo, Arlene Date of Birth : 01/25/1948Subscriber ID: 628773401 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Amedeo, Frank Phone Number: 631-774-2408Pharmacy Name: CVS Pharmacy Number: 631-567-1061

Page 64: Web Enabled

Patient Name: Cecilia Amendola MStreet Address: Mailing Address: 85 Oak Ave Shirley NY 11967Home Phone: 631-281-3854Work Phone: (631) 878-8900-139 Leave a Message: Date of Birth: 02/07/1951 Social Security Number: 113-44-0507 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: AETNA EPO Phone Number: 888-632-3862PO Box 981106, El Paso, TX, 79998 Subscriber Name: Amendola, Cecilia M Date of Birth : 02/07/1951Subscriber ID: W062529858 Group Number: 702391-010-00001

Employer Information

Employer Name: IGHL Phone Number: (631) 878-8900-139Address :

Emergency Contact Name: Amendola, Robert Phone Number: 631-281-3854Pharmacy Name: Pharmacy Number:

Page 65: Web Enabled

Patient Name: Matilde Amico Street Address: Mailing Address: 18 TITMUS DR Yaphank NY 11950-2010Home Phone: 631-275-1523Work Phone: Leave a Message: Date of Birth: 03/11/1961 Social Security Number: 129-54-9041 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: HIP Medicaid/HMO Phone Number: 800-447-8255PO BOX 2803, New York, NY, 10116 Subscriber Name: Amico, Matilde Date of Birth : 03/11/1961Subscriber ID: 93211960201 Group Number:

Employer Information

Employer Name: CENTRAL STATION MONI Phone Number: Address :

Emergency Contact Name: Biundo, Joe Phone Number: 631-807-5254Pharmacy Name: Pharmacy Number:

Page 66: Web Enabled

Patient Name: Lawrence Amster RStreet Address: Mailing Address: 3106 Falcon Avenue Medford NY 11763Home Phone: 631-289-7881Work Phone: (631) 475-1788 Leave a Message: Date of Birth: 05/19/1949 Social Security Number: 132-40-2674 Marital Status: Widowed Email Address: [email protected]

Insurance Information

Primary Insurance: The Empire Plan UHC Phone Number: 877-769-7447PO Box 1600, Kingston, NY, 12402-2300 Subscriber Name: Amster, Lawrence R Date of Birth : 05/19/1949Subscriber ID: 890407936 Group Number:

Employer Information

Employer Name: N. Patchogue Fire District Phone Number: (631) 475-1788Address :

Emergency Contact Name: Amster, Rachel Phone Number: 631-872-7834Pharmacy Name: Rite Aid Pharmacy Number: 631-758-2800

Page 67: Web Enabled

Patient Name: Brian Andersen HStreet Address: Mailing Address: 87 Swan Lake Dr Patchogue NY 11772-2962Home Phone: 631-730-6772Work Phone: (631) 244-0915 Leave a Message: Date of Birth: 04/18/1944 Social Security Number: 134-34-0775 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Andersen, Judith K Date of Birth : 05/09/1949Subscriber ID: POP82974274 Group Number: 720059

Employer Information

Employer Name: Guns & Ammo Phone Number: (631) 244-0915Address :

Emergency Contact Name: Anderson , Judith Phone Number: 631-730-6772Pharmacy Name: Lighthouse Pharmacy Number: 631-654-2444

Page 68: Web Enabled

Patient Name: George Andersen Street Address: Mailing Address: 68 Park Street Blue Point NY 11715Home Phone: 631-363-5271Work Phone: Leave a Message: Date of Birth: 11/19/1945 Social Security Number: 116-36-6246 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Andersen, George Date of Birth : 11/19/1945Subscriber ID: YLV87720585 Group Number: 376506 D2

Employer Information

Employer Name: We Transport Phone Number: Address :

Emergency Contact Name: Andersen, Rosemary Phone Number: 631-363-5271Pharmacy Name: Pharmacy Number:

Page 69: Web Enabled

Patient Name: Rosemary Andersen Street Address: Mailing Address: 68 Park St Blue Point NY 11715Home Phone: 631-363-5271Work Phone: Leave a Message: Date of Birth: 01/16/1947 Social Security Number: 110-36-9071 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Andersen, Rosemary Date of Birth : 01/16/1947Subscriber ID: YLV89979154 Group Number: 376506 D2

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Andersen, George Phone Number: 631-363-5271Pharmacy Name: Pharmacy Number:

Page 70: Web Enabled

Patient Name: Barbara Anderson Street Address: Mailing Address: 10 Salem St N. Patchogue NY 11772Home Phone: 631-730-3917Work Phone: Leave a Message: Date of Birth: 04/30/1945 Social Security Number: Marital Status: Widowed Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Senior Plan Phone Number: 800-441-2411PO Box 1407, New York, NY, 10008 Subscriber Name: Anderson, Barbara Date of Birth : 04/30/1945Subscriber ID: YLV915302149 Group Number: 920097 X

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Jermann, Alex Phone Number: 631-772-1706Pharmacy Name: Pharmacy Number:

Page 71: Web Enabled

Patient Name: Bernadette Anderson Street Address: Mailing Address: 214D springmeadow Dr Holbrook NY 11741Home Phone: 631-868-0374Work Phone: (631) 261-4400-7449 Leave a Message: Date of Birth: 02/10/1950 Social Security Number: 062-44-6634 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Anderson, Bernadette Date of Birth : 02/10/1950Subscriber ID: R24024183 Group Number:

Employer Information

Employer Name: Phone Number: (631) 261-4400-7449Address :

Emergency Contact Name: D'Angelo, Regina Phone Number: 631-314-4978Pharmacy Name: Pharmacy Number:

Page 72: Web Enabled

Patient Name: Donald Anderson CharlesStreet Address: Mailing Address: 7 Carman Blvd Brookhaven NY 11719Home Phone: 631-286-7460Work Phone: (631) 361-8200 Leave a Message: Date of Birth: 09/22/1963 Social Security Number: 120-62-7986 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: GHI CBP Phone Number: 212-501-4444PO BOX 3000, NEW YORK, NY, 10116 Subscriber Name: Anderson, Donald Charles Date of Birth : 09/22/1963Subscriber ID: 931760966 Group Number:

Employer Information

Employer Name: NYPD Phone Number: (631) 361-8200Address :

Emergency Contact Name: Anderson, Alicia Phone Number: 631-286-7460Pharmacy Name: CVS Pharmacy Number: 631-286-2222

Page 73: Web Enabled

Patient Name: Victoria Anderson Street Address: Mailing Address: 12a Ozark St Lk Ronkonkoma NY 11779Home Phone: 631-466-2495Work Phone: Leave a Message: Date of Birth: 06/04/1986 Social Security Number: Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Americhoice Phone Number: 866-362-3368PO Box 5240, Kingston, NY, 12402-5240 Subscriber Name: Anderson, Victoria Date of Birth : 06/04/1986Subscriber ID: 100452071 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Anderson, Robert Phone Number: 516-491-9783Pharmacy Name: Pharmacy Number:

Page 74: Web Enabled

Patient Name: Christine Angeles Street Address: Mailing Address: 106 Brookwood Ln E. Patchogue NY 11772Home Phone: 631-286-0070Work Phone: Leave a Message: Date of Birth: 12/12/1949 Social Security Number: 114-40-3731 Marital Status: Widowed Email Address: [email protected]

Insurance Information

Primary Insurance: HIP Medicaid/HMO Phone Number: 800-447-8255PO BOX 2803, New York, NY, 10116 Subscriber Name: Angeles, Christine Date of Birth : 12/12/1949Subscriber ID: 17254109 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Saylor, Virginia Phone Number: 631-245-7272Pharmacy Name: Pharmacy Number:

Page 75: Web Enabled

Patient Name: Elizabeth Angelillo Street Address: Mailing Address: 54 Stratler Dr Shirley NY 11967Home Phone: 631-924-7348Work Phone: Leave a Message: Date of Birth: 02/14/1942 Social Security Number: 125-32-1091 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: GHI Medicare Phone Number: 866-557-7300PO Box 2830, NY, NY, 10116 Subscriber Name: Angelillo, Elizabeth Date of Birth : 02/14/1942Subscriber ID: 937005383 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Schwartz, Chris Phone Number: 631-286-5419Pharmacy Name: Pharmacy Number:

Page 76: Web Enabled

Patient Name: Therese Annunziato Street Address: Mailing Address: 1219 Pondview Dr. Patchogue NY 11772Home Phone: 631-289-1255Work Phone: Leave a Message: Date of Birth: 04/22/1954 Social Security Number: 121-46-5458 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Annunziato, Therese Date of Birth : 04/22/1954Subscriber ID: 121465458A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: --, Carolyn Phone Number: 631-588-4369Pharmacy Name: Pharmacy Number:

Page 77: Web Enabled

Patient Name: John Anthony Street Address: Mailing Address: 47 South Colman Rd Centereach NY 11720Home Phone: 631-736-0842Work Phone: Leave a Message: Date of Birth: 01/01/1963 Social Security Number: 063-54-7768 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Health Care Partners Phone Number: 888-746-2200501 Franklin Avenue Suite 300, Garden City, NY, 11530 Subscriber Name: Anthony, John Date of Birth : 01/01/1963Subscriber ID: AEF36378D01 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Anthony, Nacy Phone Number: 516-909-9005Pharmacy Name: Pharmacy Number:

Page 78: Web Enabled

Patient Name: Mindy Antieri DStreet Address: Mailing Address: 986 Old Medford Ave Farmingville NY 11738Home Phone: 516-790-6034Work Phone: Leave a Message: Date of Birth: 04/23/1960 Social Security Number: 082-54-2970 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Oxford Phone Number: 800-666-1353PO Box 29130, Hot Springs, AR, 71903 Subscriber Name: Antieri, Wayne Date of Birth : Subscriber ID: 1045204502 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Hasset, Sandra Phone Number: 631-767-8217Pharmacy Name: Pharmacy Number:

Page 79: Web Enabled

Patient Name: Joseph Apicella AStreet Address: Mailing Address: 1202 Orchid Cirlce Bellport NY 11713Home Phone: Work Phone: Leave a Message: Date of Birth: 03/21/1959 Social Security Number: 093-48-3782 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Fidelis Care Phone Number: 888-343-3547PO Box 898, Amherst, NY, 14226-0898 Subscriber Name: Apicella, Joseph A Date of Birth : 03/21/1959Subscriber ID: 740302314 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Ketiga, Angela Phone Number: 631-375-8523Pharmacy Name: CVS Pharmacy Number: 631-654-0329

Page 80: Web Enabled

Patient Name: John Apmann RStreet Address: Mailing Address: 91 Moriches Ave East Moriches NY 11940-1200Home Phone: 631-878-2524Work Phone: Leave a Message: Date of Birth: 08/18/1935 Social Security Number: 103-28-1095 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Apmann, John R Date of Birth : 08/18/1935Subscriber ID: 103281095A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Apmann, Cecily Phone Number: 631-878-2524Pharmacy Name: CVS Pharmacy Number: 631-878-0001

Page 81: Web Enabled

Patient Name: Carmen Aponte Street Address: Mailing Address: 4 Maple Lane Shirley NY 11967Home Phone: 631-872-8230Work Phone: (631) 732-3400 Leave a Message: Date of Birth: 03/10/1937 Social Security Number: 067-28-3361 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Aponte, Carmen Date of Birth : 03/10/1937Subscriber ID: 581367475B6 Group Number:

Employer Information

Employer Name: Phone Number: (631) 732-3400Address :

Emergency Contact Name: Pacheci, Ibis Phone Number: 631-872-8230Pharmacy Name: Pharmacy Number:

Page 82: Web Enabled

Patient Name: JoyAnna Appignani Street Address: Mailing Address: 9 Lillan Place Patchogue NY 11772Home Phone: 631-569-5609Work Phone: (631) 286-8100 Leave a Message: Date of Birth: 06/19/1978 Social Security Number: 060-74-2560 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: United Health Care Phone Number: 877-842-3210PO Box 740800, Atlanta, GA, 30374-0800 Subscriber Name: Appignani, JoyAnna Date of Birth : 06/19/1978Subscriber ID: 942586631 Group Number:

Employer Information

Employer Name: Bellhaven Phone Number: (631) 286-8100Address :

Emergency Contact Name: Phone Number: Pharmacy Name: Pharmacy Number:

Page 83: Web Enabled

Patient Name: Daniel Arcieri Street Address: Mailing Address: 62 Middle Rd Blue Point NY 11715Home Phone: 631-363-7223Work Phone: (631) 420-2141 Leave a Message: Date of Birth: 10/05/1955 Social Security Number: 104-50-1255 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: The Empire Plan UHC Phone Number: 877-769-7447PO Box 1600, Kingston, NY, 12402-2300 Subscriber Name: Arcieri, Daniel Date of Birth : 10/05/1955Subscriber ID: 890105085 Group Number:

Employer Information

Employer Name: SUNY Farmingdale Phone Number: (631) 420-2141Address :

Emergency Contact Name: Arcieri, Sandra Phone Number: 631-363-7223Pharmacy Name: Pharmacy Number:

Page 84: Web Enabled

Patient Name: Lawrence Arena Street Address: Mailing Address: 238 Mt Vernon Avenue Medford NY 11763-3622Home Phone: 631-569-2925Work Phone: Leave a Message: Date of Birth: 07/06/1944 Social Security Number: 064-36-9895 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Senior Plan Phone Number: 800-441-2411PO Box 1407, New York, NY, 10008 Subscriber Name: Arena, Lawrence Date of Birth : 07/06/1944Subscriber ID: YLV85648727 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Arena, Barbara Phone Number: 631-758-2739Pharmacy Name: Express Scripts EDI MailOrder Pharmacy Pharmacy Number: 800-763-5502

Page 85: Web Enabled

Patient Name: Lorena Argueta Street Address: Mailing Address: 653 Bellport Ave Bellport NY 11713Home Phone: 631-803-6941Work Phone: Leave a Message: Date of Birth: 04/19/1984 Social Security Number: 114-90-1951 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: District Council Welfare Fund Phone Number: 718-762-613335-30 Francis Lewis Blvd Suite 201, Flushing, NY, 11358 Subscriber Name: Argueta, Jose Date of Birth : Subscriber ID: CCW4182676 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Argueta, Jose Phone Number: 631-926-9709Pharmacy Name: Pharmacy Number:

Page 86: Web Enabled

Patient Name: Zoilos Argyros Street Address: Mailing Address: PO.BOX 172 Coram NY 11727Home Phone: Work Phone: Leave a Message: Date of Birth: 12/13/1960 Social Security Number: 051-60-6654 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Neighbourhood Health Phone Number: 800-763-9132P.O. Box 6008, Hauppauge, NY, 11788 Subscriber Name: Argyros, Zoilos Date of Birth : 12/13/1960Subscriber ID: EM52756J Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Argyros, Gus Phone Number: 631-331-8208Pharmacy Name: CVS Pharmacy Number: 631-474-1950

Page 87: Web Enabled

Patient Name: Joseph Armagno Street Address: Mailing Address: 2291 Julia Goldbach Ave. Ronkonkoma NY 11779Home Phone: 917-642-7312Work Phone: Leave a Message: Date of Birth: 01/23/1952 Social Security Number: Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Armagno, Joseph Date of Birth : 01/23/1952Subscriber ID: YLK84854160 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Hull, Martha Phone Number: 773-220-5930Pharmacy Name: Pharmacy Number:

Page 88: Web Enabled

Patient Name: Melissa Arocho Street Address: Mailing Address: 81 Winges Ave Patchogue NY 11772Home Phone: 631-730-6931Work Phone: Leave a Message: Date of Birth: 07/19/1977 Social Security Number: 053-82-9023 Marital Status: Divorced Email Address: [email protected]

Insurance Information

Primary Insurance: Americhoice Phone Number: 866-362-3368PO Box 5240, Kingston, NY, 12402-5240 Subscriber Name: Arocho, Melissa Date of Birth : 07/19/1977Subscriber ID: 100451242 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Schoolden, April Phone Number: 631-627-9750Pharmacy Name: Walgreens Pharmacy Number: 631-207-9234

Page 89: Web Enabled

Patient Name: Neelam Arora Street Address: Mailing Address: 42 Grenville Ave Patchogue NY 11772Home Phone: 631-730-8318Work Phone: Leave a Message: Date of Birth: 08/13/1955 Social Security Number: 059-80-0983 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: GEHA Phone Number: 800-821-6136PO Box 4665, Independence, MO, 64051 Subscriber Name: Arora, Neelam Date of Birth : 08/13/1955Subscriber ID: 23842668 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Mr., Arora Phone Number: 631-605-2615Pharmacy Name: Pharmacy Number:

Page 90: Web Enabled

Patient Name: Marilyn Arroyo Street Address: Mailing Address: 36 Mercury Ave East Patchogue NY 11772Home Phone: 631-730-2955Work Phone: (631) 687-8026 Leave a Message: Date of Birth: 12/28/1950 Social Security Number: 113-44-1788 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire - Fed. Employee Program Phone Number: 800-441-2411PO Box 3876 Church Street Station, New York, NY, 10008-3876 Subscriber Name: Arroyo, Marilyn Date of Birth : 12/28/1950Subscriber ID: R60124090 Group Number:

Employer Information

Employer Name: Phone Number: (631) 687-8026Address :

Emergency Contact Name: arroyo, brienne Phone Number: 631-827-9134Pharmacy Name: Pharmacy Number:

Page 91: Web Enabled

Patient Name: Gwendelyn Artis Street Address: Mailing Address: 74 Wooded Ct Calverton NY 11933Home Phone: 631-591-2652Work Phone: Leave a Message: Date of Birth: 04/12/1965 Social Security Number: Marital Status: Legally Separated Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Artis, Gwendelyn Date of Birth : 04/12/1965Subscriber ID: YLF88672653 Group Number: 377650 4NS

Employer Information

Employer Name: St. Charles Hospital Phone Number: Address :

Emergency Contact Name: Harrell, Evonne Phone Number: 631-803-0624Pharmacy Name: CVS Pharmacy Number: 631-727-9000

Page 92: Web Enabled

Patient Name: Joseph Asaro Street Address: Mailing Address: 3 Alcolade Dr W Shirley NY 11967Home Phone: 631-399-1756Work Phone: Leave a Message: Date of Birth: 04/18/1946 Social Security Number: 054-36-1754 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Asaro, Joseph Date of Birth : 04/18/1946Subscriber ID: 054361754A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Asaro, Maria Phone Number: 631-399-1756Pharmacy Name: Pharmacy Number:

Page 93: Web Enabled

Patient Name: Carmen Ascencio JStreet Address: Mailing Address: 155 Southaven Ave Medford NY 11763-3744Home Phone: 631-758-3579Work Phone: Leave a Message: Date of Birth: 03/19/1944 Social Security Number: 088-34-5618 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Ascencio, Carmen J Date of Birth : 03/19/1944Subscriber ID: 088345618A Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Ascencio, Alan Phone Number: 631-714-4172Pharmacy Name: CVS Pharmacy Number: 631-654-0329

Page 94: Web Enabled

Patient Name: David Asencio Street Address: Mailing Address: 52 Stackyard Dr Mastic Beach NY 11951Home Phone: 631-281-3459Work Phone: Leave a Message: Date of Birth: 10/05/1963 Social Security Number: Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire - Fed. Employee Program Phone Number: 800-441-2411PO Box 3876 Church Street Station, New York, NY, 10008-3876 Subscriber Name: Asencio, Doreen Date of Birth : Subscriber ID: R59706242 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Asencio, Michelle Phone Number: 631-566-5982Pharmacy Name: Pharmacy Number:

Page 95: Web Enabled

Patient Name: Penny Asencio Street Address: Mailing Address: Home Phone: 631-803-2589Work Phone: Leave a Message: Date of Birth: 08/04/1970 Social Security Number: Marital Status: Email Address: [email protected]

Insurance Information

Primary Insurance: Alicare Phone Number: 212-539-5109PO Box 1452, New York, NY, 10116-1452 Subscriber Name: Asencio, Eric Date of Birth : 11/20/1974Subscriber ID: 055662184 Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Phone Number: Pharmacy Name: Pharmacy Number:

Page 96: Web Enabled

Patient Name: Sandra Ashby Street Address: Mailing Address: 460 Third Ave Bayport NY 11705Home Phone: 631-567-2038Work Phone: Leave a Message: Date of Birth: 05/03/1971 Social Security Number: 080-72-9721 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: AETNA Phone Number: 888-562-8111PO Box 14586, Lexington, KY, 40512 Subscriber Name: Ashby, Sandra Date of Birth : 05/03/1971Subscriber ID: W074727006 Group Number:

Employer Information

Employer Name: CVS Pharmacy Phone Number: Address :

Emergency Contact Name: Ashby, Timothy Phone Number: 631-872-0569Pharmacy Name: Pharmacy Number:

Page 97: Web Enabled

Patient Name: Khalda Ashraf Street Address: Mailing Address: 15 Marigold Ct Holtsville NY 11742Home Phone: 631-730-8419Work Phone: Leave a Message: Date of Birth: 11/03/1935 Social Security Number: 119-80-6171 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Medicare Part B Phone Number: 866-837-0241PO Box 4751, SYRACUSE, NY, 13221 Subscriber Name: Ashraf, Khalda Date of Birth : 11/03/1935Subscriber ID: 119806171M Group Number:

Employer Information

Employer Name: Phone Number: Address :

Emergency Contact Name: Ashraf, Suboohi Phone Number: 631-278-3861Pharmacy Name: Pharmacy Number:

Page 98: Web Enabled

Patient Name: Suboohi Ashraf Street Address: Mailing Address: 15 Marigold Ct Holtsville NY 11742Home Phone: 631-730-8419Work Phone: (631) 404-3762 Leave a Message: Date of Birth: 06/12/1966 Social Security Number: 100-60-0241 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Ashraf, Javed Date of Birth : 12/31/1956Subscriber ID: CDK85666747 Group Number: 720059

Employer Information

Employer Name: Medical Action Industries Phone Number: (631) 404-3762Address :

Emergency Contact Name: Zafar, Yasmin Phone Number: 631-286-3752Pharmacy Name: Pharmacy Number:

Page 99: Web Enabled

Patient Name: Recai Aslan Street Address: Mailing Address: 61 Seawanhaka Ave Nesconset NY 11767Home Phone: Work Phone: (631) 852-2638 Leave a Message: Date of Birth: 05/30/1960 Social Security Number: 122-84-2662 Marital Status: Single Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Aslan, Recai Date of Birth : 05/30/1960Subscriber ID: SUF86662158 Group Number: 720059

Employer Information

Employer Name: SC Courts Phone Number: (631) 852-2638Address :

Emergency Contact Name: Dereli, John Phone Number: 631-316-2813Pharmacy Name: Pharmacy Number:

Page 100: Web Enabled

Patient Name: Diane Attisano Street Address: Mailing Address: 32 Midway Street Patchogue NY 11772Home Phone: 631-654-3969Work Phone: (631) 451-4327 Leave a Message: Date of Birth: 09/11/1954 Social Security Number: 051-48-1427 Marital Status: Married Email Address: [email protected]

Insurance Information

Primary Insurance: Empire BC/BS Phone Number: 800-982-8089PO Box 1407 Church Street Station, New York, NY, 10008-1407 Subscriber Name: Attisano, Diane Date of Birth : 09/11/1954Subscriber ID: CDKSC7677631 Group Number:

Employer Information

Employer Name: Suffolk County Community College Phone Number: (631) 451-4327Address :

Emergency Contact Name: Phone Number: Pharmacy Name: Pharmacy Number: