Participant Facility Parent Account Participant Type...

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Participant Facility Parent Account Participant Type Address Zip Code County 1199 Greater New York Benefit Fund 1199 SEIU Benefit and Pension Funds Health Plan 330 West 42nd St, New York, NY 10036 New York 1199 SEIU National Benefit Funds 1199 SEIU Benefit and Pension Funds Health Plan 330 West 42nd St, New York, NY 10036 New York 121 A/B Adult Day Health and AIDS Adult Treatment Program Village Care Ambulatory 120 Broadway, Suite 2840, New York, NY 10271 New York A. Holly Patterson Extended Care Facility NuHealth Long Term Care 875 Jerusalem Ave, Uniondale, NY 11553 Nassau Advanced Center for Psychotherapy Medisys Health Network Behavioral Health Organization 17810 Wexford Terrace, #1F, Jamaica, NY 11432 Queens Advantage Care Diagnostic and Treatment Center Advantage Care Diagnostic and Treatment Center Ambulatory 189 Wheatley Rd, Glen Head, NY 11545 Nassau Advantage Care Physicians Advantage Care Physicians Ambulatory 441 9th Ave, New York, NY 10001 New York AgeWell New York AgeWell New York Health Plan 1991 Marcus Ave, Suite M201, Lake Success, NY 11042 Nassau AHRC Health Care Inc., d/b/a ACCESS Community Health Center AHRC Health Care Inc., d/b/a ACCESS Community Health Center Federally Qualified Health Center 83 Maiden Ln, New York, NY 10038 New York Alaaedin Pediatrics, PC Alaaedin Pediatrics, PC Ambulatory 393 Sunrise Highway, #2, West Babylon, NY 11704 Suffolk Allied Physicians Group Allied Physicians Group Ambulatory 3 Huntington Quadrangle, Southeast Tower, Suite #105S, Melville, NY 11747 Suffolk Amida Care Amida Care Health Plan 248 West 35th St, New York, NY 10001 New York Anita I. Ahuja, MD Anita I. Ahuja Ambulatory 95 Seaman Ave, New York, NY 10034 New York Anita-Kay Martin, MD, PC Anita-Kay Martin, MD, PC Ambulatory 205-07 Hillside Ave, #28, Hollis, NY 11423 Queens APICHA Community Health Center APICHA Community Health Center Federally Qualified Health Center 400 Broadway, New York, NY 10013 New York Arcadia OB/GYN, PC Arcadia OB/GYN, PC Ambulatory 148 Madison Ave, Suite 200, New York, NY 10016 New York ArchCare Advantage, Community Life, SeniorLife (PACE) ArchCare - Catholic Health Care System Health Plan 205 Lexington Ave, New York, NY 10016 New York ArchCare VNAB HomeCare ArchCare - Catholic Health Care System Home Care 205 Lexington Ave, New York, NY 10016 New York Argus Community, Inc. Argus Community, Inc. Community Based Organization 760 East 160th Street, Bronx, NY 10456 Bronx Arjun Medical Group, PC Arjun Medical Group, PC Ambulatory 120 East 36th St, New York, NY 10016 New York Arthur Hall, MD, PC Arthur Hall, MD, PC Ambulatory 3018 Colden Ave, Bronx, NY 10469 Bronx Arturo Caesar, MD Arturo Caesar, MD Ambulatory 470 Malcolm X Blvd, New York, NY 10037 New York Associated Medical Group Associated Medical Group Ambulatory 2 Sickles St, New York, NY 10040 New York Association for Mental Health and Wellness Association for Mental Health and Wellness Behavioral Health Organization 939 Johnson Ave, Ronkonkoma, NY 11779 Suffolk AW Medical Office, PC AW Medical Office, PC Ambulatory 1624 University Ave, Bronx, NY 10453 Bronx Barry H. Balot, MD Barry H. Balot, MD Ambulatory 150 East Sunrise Highway, Suite 101, Lindenhurst, NY 11757 Suffolk Beach Garden Rehab and Nursing Center Beach Garden Rehab and Nursing Center Long Term Care 17-11 Brookhaven Ave, Far Rockaway, NY 11691 Queens Beacon Christian Community Health Center Beacon Christian Community Health Center Federally Qualified Health Center 2079 Forest Ave, State Island, NY 10303 Richmond Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

Transcript of Participant Facility Parent Account Participant Type...

Page 1: Participant Facility Parent Account Participant Type …healthix.org/wp-content/uploads/Healthix-Participant...Chhaya Chakrabarti, PC Chhaya Chakrabarti, PC Ambulatory 89-18 Lefferts

Participant Facility Parent Account Participant Type Address Zip Code County

1199 Greater New York Benefit Fund 1199 SEIU Benefit and Pension Funds Health Plan 330 West 42nd St, New York, NY 10036 New York

1199 SEIU National Benefit Funds 1199 SEIU Benefit and Pension Funds Health Plan 330 West 42nd St, New York, NY 10036 New York

121 A/B Adult Day Health and AIDS Adult Treatment Program Village Care Ambulatory 120 Broadway, Suite 2840, New York, NY 10271 New York

A. Holly Patterson Extended Care Facility NuHealth Long Term Care 875 Jerusalem Ave, Uniondale, NY 11553 Nassau

Advanced Center for Psychotherapy Medisys Health Network Behavioral Health Organization 17810 Wexford Terrace, #1F, Jamaica, NY 11432 Queens

Advantage Care Diagnostic and Treatment Center Advantage Care Diagnostic and Treatment Center Ambulatory 189 Wheatley Rd, Glen Head, NY 11545 Nassau

Advantage Care Physicians Advantage Care Physicians Ambulatory 441 9th Ave, New York, NY 10001 New York

AgeWell New York AgeWell New York Health Plan 1991 Marcus Ave, Suite M201, Lake Success, NY 11042 Nassau

AHRC Health Care Inc., d/b/a ACCESS Community Health Center AHRC Health Care Inc., d/b/a ACCESS Community Health Center Federally Qualified Health Center 83 Maiden Ln, New York, NY 10038 New York

Alaaedin Pediatrics, PC Alaaedin Pediatrics, PC Ambulatory 393 Sunrise Highway, #2, West Babylon, NY 11704 Suffolk

Allied Physicians Group Allied Physicians Group Ambulatory 3 Huntington Quadrangle, Southeast Tower, Suite #105S, Melville, NY 11747 Suffolk

Amida Care Amida Care Health Plan 248 West 35th St, New York, NY 10001 New York

Anita I. Ahuja, MD Anita I. Ahuja Ambulatory 95 Seaman Ave, New York, NY 10034 New York

Anita-Kay Martin, MD, PC Anita-Kay Martin, MD, PC Ambulatory 205-07 Hillside Ave, #28, Hollis, NY 11423 Queens

APICHA Community Health Center APICHA Community Health Center Federally Qualified Health Center 400 Broadway, New York, NY 10013 New York

Arcadia OB/GYN, PC Arcadia OB/GYN, PC Ambulatory 148 Madison Ave, Suite 200, New York, NY 10016 New York

ArchCare Advantage, Community Life, SeniorLife (PACE) ArchCare - Catholic Health Care System Health Plan 205 Lexington Ave, New York, NY 10016 New York

ArchCare VNAB HomeCare ArchCare - Catholic Health Care System Home Care 205 Lexington Ave, New York, NY 10016 New York

Argus Community, Inc. Argus Community, Inc. Community Based Organization 760 East 160th Street, Bronx, NY 10456 Bronx

Arjun Medical Group, PC Arjun Medical Group, PC Ambulatory 120 East 36th St, New York, NY 10016 New York

Arthur Hall, MD, PC Arthur Hall, MD, PC Ambulatory 3018 Colden Ave, Bronx, NY 10469 Bronx

Arturo Caesar, MD Arturo Caesar, MD Ambulatory 470 Malcolm X Blvd, New York, NY 10037 New York

Associated Medical Group Associated Medical Group Ambulatory 2 Sickles St, New York, NY 10040 New York

Association for Mental Health and Wellness Association for Mental Health and Wellness Behavioral Health Organization 939 Johnson Ave, Ronkonkoma, NY 11779 Suffolk

AW Medical Office, PC AW Medical Office, PC Ambulatory 1624 University Ave, Bronx, NY 10453 Bronx

Barry H. Balot, MD Barry H. Balot, MD Ambulatory 150 East Sunrise Highway, Suite 101, Lindenhurst, NY 11757 Suffolk

Beach Garden Rehab and Nursing Center Beach Garden Rehab and Nursing Center Long Term Care 17-11 Brookhaven Ave, Far Rockaway, NY 11691 Queens

Beacon Christian Community Health Center Beacon Christian Community Health Center Federally Qualified Health Center 2079 Forest Ave, State Island, NY 10303 Richmond

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Bedford Medical Family Health Center Bedford Medical Family Health Center Ambulatory 100 Ross St, Brooklyn, NY 11249 Kings

Bedford Stuyvesant Family Health Center Bedford Stuyvesant Family Health Center Federally Qualified Health Center 1456 Fulton St, Brooklyn, NY 11216 Kings

Belinda A. Marquis, MD, PC Belinda A. Marquis, MD, PC Ambulatory 1543 Straight Path, Wyandanch, NY 11798 Suffolk

Belle Mead Pharmacy, Inc. Belle Mead Pharmacy, Inc. Retail Pharmacy 196 North Belle Mead Rd., Setauket, NY 11733 Suffolk

Bellerose Medical Care, PC Bellerose Medical Care, PC Ambulatory 8602 Musket St, Queens Village, NY 11427 Queens

Betances Medical Center Betances Medical Center Federally Qualified Health Center 280 Henry St, # A, New York, NY 10002 New York

Bezalel Rehabilitation and Nursing Center Bezalel Rehabilitation and Nursing Center Long Term Care 2938 Far Rockaway Blvd, Far Rockaway, NY 11691 Queens

BioReference Laboratories BioReference Laboratories, Inc. Laboratory 481 E. H. Ross Dr, Elmwood Park, NJ 07407 Bergen

Bodhi Medical Care, LLC d/b/a Apple Pediatrics Bodhi Medical Care, LLC d/b/a Apple Pediatrics Ambulatory 330 West 58th St, Suite 414, New York, NY 10019 New York

Boro Park Center for Rehabilitation and Healthcare Boro Park Center for Rehabilitation and Healthcare Long Term Post Acute Care 4915 10th Ave, Brooklyn, NY 11219 Kings

Boro Park Pediatric Associates Boro Park Pediatric Associates Ambulatory 4406 12th Ave, Brooklyn, NY 11219 Kings

Bredy Pierre-Louis, MD Bredy Pierre-Louis, MD Ambulatory 1368 Nostrand Ave, Brooklyn, NY 11226 Kings

Brighton Pediatrics PC Brighton Pediatrics PC Ambulatory 706 Banner Ave, # 1, Brooklyn, NY 11235 Kings

Brightpoint Health Brightpoint Health Federally Qualified Health Center 71 West 23rd St, 8th Floor, New York, NY 10010 New York

Broadlawn Manor Nursing and Rehabilitation Center Northwell Health System Long Term Care 399 County Line Rd, Amityville, NY 11701 Suffolk

Broadway Pediatrics Broadway Pediatrics Ambulatory 4250 Broadway, #1c, New York, NY 10033 New York

Bronx Psychiatric Center New York State Office of Mental Health Behavioral Health Organization 1500 Waters Place, Bronx, NY 10461 Bronx

Brookdale Family Care Center Brookdale University Hospital and Medical Center Ambulatory 1 Brookdale Plaza, Brooklyn, NY 11212 Kings

Brookdale Family Health Center Health Network - Urban Strategies Brookdale University Hospital and Medical Center Ambulatory 1 Brookdale Plaza, Brooklyn, NY 11212 Kings

Brookdale University Hospital and Medical Center Brookdale University Hospital and Medical Center Hospital 1 Brookdale Plaza, Brooklyn, NY 11212 Kings

Brookhaven Behavioral Health Brookhaven Memorial Hospital Medical Center Behavioral Health Organization 101 Hospital Rd, Patchogue, NY 11772 Suffolk

Brookhaven Heart, PLLC Brookhaven Heart, PLLC Ambulatory 100 Hospital Rd, Suite 120, East Patchogue, NY 11772 Suffolk

Brookhaven Memorial Hospital Medical Center Brookhaven Memorial Hospital Medical Center Hospital 101 Hospital Rd, Patchogue, NY 11772 Suffolk

Brooklyn Community Services Brooklyn Community Services Community Based Organization 285 Schermerhorn St, Brooklyn, NY 11217 Kings

Brooklyn Gardens Nursing & Rehabilitation Center Brooklyn Gardens Nursing & Rehabilitation Center Long Term Care 835 Herkimer St, Brooklyn, NY 11233 Kings

Brooklyn Health Home Brooklyn Health Home NYS Medicaid Health Home 4802 10th Ave, Brooklyn, NY 11219 Kings

Brooklyn Perinatal Network Brooklyn Perinatal Network Community Based Organization 76 Nevins St, Brooklyn, NY 11217 Kings

Brooklyn Plaza Medical Center, Inc. Brooklyn Plaza Medical Center, Inc. Federally Qualified Health Center 650 Fulton St, Brooklyn, NY 11217 Kings

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Brooklyn United Methodist Church Home Brooklyn United Methodist Church Home Long Term Care 1485 Dumont Ave, Brooklyn, NY 11208 Kings

Brownsville Multi-Service Family Health Center Brownsville Multi-Service Family Health Center Federally Qualified Health Center 592 Rockaway Ave, Brooklyn, NY 11212 Kings

Call Nine Call Nine Ambulatory - Urgent Care 295 Fulton St, Westbury, NY 11590 Nassau

Callen-Lorde Community Health Center Callen-Lorde Community Health Center Federally Qualified Health Center 356 West 18th St, New York, NY 10011 New York

Cambria Health Medical, PC Cambria Health Medical, PC Ambulatory 11751 220th St, Cambria Heights, NY 11411 Queens

Camelot of Staten Island, Inc Camelot of Staten Island, Inc Behavioral Health Organization 4442 Arthur Kill Rd, Suite 4, Staten Island, NY 10309 Richmond

Camkids Pediatrics, PC Camkids Pediatrics, PC Ambulatory 117-6 225th St, 1st Floor, Cambria Heights, NY 11411 Queens

Carewell Medical Associates, PC Carewell Medical Associates, PC Ambulatory 169-95 137th Ave, Jamaica, NY 11434 Queens

Carmel Richmond Healthcare and Rehabilitation Center ArchCare - Catholic Health Care System Long Term Care 205 Lexington Ave, New York, NY 10016 New York

Catholic Charities Brooklyn and Queens Catholic Charities Brooklyn and Queens Behavioral Health Organization 191 Joralemon St, 11th Floor, Brooklyn, NY 11201 Kings

Catholic Charities of the Diocese of Rockville Center Catholic Charities of the Diocese of Rockville Center Behavioral Health Organization 90 Cherry Ln, Hicksville, NY 11801 Nassau

Catholic Health Services of Long Island Catholic Health Services of Long Island Health System 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Catholic Home Care Catholic Health Services of Long Island Home Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Cathy Carron, MD Cathy Carron, MD Ambulatory 111 Broadway, New York, NY 10006 New York

Center for Specialty Therapy Premier Health Care Behavioral Health Organization 406 10th Ave, 9th Floor, New York, NY 10001 New York

Center for Urban and Community Services Center for Urban and Community Services Community Based Organization 198 East 121st St, New York, NY 10035 New York

Central Island Healthcare Central Island Healthcare Long Term Care 825 Old Country Rd, Plainview, NY 11803 Nassau

Central Nassau Guidance and Counseling Services Inc. Central Nassau Guidance and Counseling Services, Inc. Behavioral Health Organization 950 S Oyster Bay Rd, Hicksville, NY 11801 Nassau

Charles B. Wang Community Health Center Charles B. Wang Community Health Center Federally Qualified Health Center 268 Canal St, New York, NY 10013 New York

Chhaya Chakrabarti, PC Chhaya Chakrabarti, PC Ambulatory 89-18 Lefferts Blvd, Richmond Hill, NY 11418 Queens

Children's Aid Society Children's Aid Society Community Based Organization 711 3rd Ave, New York, NY 10017 New York

CityDrug & Surgical (C&C Drug, Inc.) CityDrug & Surgical (C&C Drug, Inc.) Retail Pharmacy 1-7 Audubon Ave, New York, NY 10032 New York

CityDrug & Surgical (Heights Pharmacy, Inc.) CityDrug & Surgical (Heights Pharmacy, Inc.) Retail Pharmacy 719 West 181 St, New York, NY 10033 New York

CityDrug & Surgical, Inc. CityDrug & Surgical, Inc. Retail Pharmacy 2039 Amsterdam Ave, New York, NY 10032 New York

CityMD CityMD Urgent Care 1140 Avenue of the Americas, 11th Floor, New York, NY 10036 New York

Clove Lakes Nursing Home Clove Lakes Nursing Home Long Term Care 25 Fanning St, Staten Island, NY 10314 Richmond

Columbia Doctors Columbia Doctors Ambulatory 630 W 168th St, Box 123, New York, NY 10032 New York

Community Access Community Access Behavioral Health Organization 2 Washington St, 9th Floor, New York, NY 10004 New York

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Community Health Center of Richmond Community Health Center of Richmond Federally Qualified Health Center 235 Port Richmond Ave, Staten Island, NY 10302 Richmond

Community Health Initiatives, Inc. Community Health Initiatives, Inc. Federally Qualified Health Center 2882 West 15th St, Brooklyn, NY 11224 Kings

Community Healthcare Network Community Healthcare Network Federally Qualified Health Center 60 Madison Ave, 5th Floor, New York, NY 10010 New York

Comprehensive Geriatric Medicine, PC / Doctors On Call Comprehensive Geriatric Medicine, PC / Doctors On Call Ambulatory 6010 Bay Parkway, Suite 901, Brooklyn, NY 11204 Kings

Correctional Health Services New York City Health and Hospitals Public Health Organization 55 Water St, 18th Floor, New York, NY 10041 New York

CREATE, Inc. CREATE, Inc. Community Based Organization 73 Lenox Ave, New York, NY 10026 New York

Creedmoor Psychiatric Center New York State Office of Mental Health Behavioral Health Organization 79-25 Winchester Blvd, Queens Village, NY 11427 Queens

Cross County Medical Care, PC Cross County Medical Care, PC Ambulatory 238-11 Braddock Ave, Bellerose, NY 11426 Queens

Crown Medical, P.C. Crown Medical, P.C. Ambulatory 358 Kingston Ave, Brooklyn, NY 11213 Kings

Daleview Care Center Daleview Care Center Long Term Care 574 Fulton St, Farmingdale, NY 11735 Nassau

Daniel Fisher, MD Daniel Fisher, MD Ambulatory 530 First Ave, Suite 7G, New York, NY 10016 New York

Debevoise Healthcare Center Debevoise Healthcare Center Ambulatory 5 Debevoise St, Brooklyn, NY 11215 Kings

Delmont Medical Care Delmont Medical Care Ambulatory 55 N Main St, Freeport, NY 11520 Nassau

Dr. Yu Family Practice, PLLC Dr. Yu Family Practice, PLLC Ambulatory 87-04A Rockaway Beach Blvd, Rockaway Beach, NY 11693 Queens

Eddy Vincent, MD Eddy Vincent, MD Ambulatory 224 New York Ave, Brooklyn, NY 11216 Kings

Educa Pediatrics Educa Pediatrics Ambulatory 353 Fort Washington Ave, New York, NY 10033 New York

Edward Fitzpatrick, MD Edward Fitzpatrick, MD Ambulatory 7220 17th Ave, Brooklyn, NY 11204 Kings

Eger Lutheran Homes and Services, Inc Eger Lutheran Homes and Services, Inc Long Term Post Acute Care 140 Meisner Ave, Staten Island, NY 10306 Richmond

Elderplan Metropolitan Jewish Health System Health Plan 745 64th St, #1, Brooklyn, NY 11220 Kings

Elliott Fuhrer, MD Elliott Fuhrer, MD Ambulatory 1332 44th St, Brooklyn, NY 11219 Kings

Elmhurst Care Center Elmhurst Care Center Long Term Care 100-17 23rd Ave, Flushing, NY 11369 Queens

Emblem Health Emblem Health Health Plan 250 Broadway, New York, NY 10007 New York

Empire State Medical Associates, PC Empire State Medical Associates, PC Ambulatory 501 Main St, Suite C, New York, NY 10044 New York

Epilepsy Foundation of Long Island - EPIC Epilepsy Foundation of Long Island - EPIC Community Based Organization 1500 Hempstead Turnpike, East Meadow, NY 11554 Nassau

ER Medical, PC ER Medical, PC Ambulatory 864 Eastern Pkwy, Brooklyn NY 11213 Kings

Erie Augustin MD Primary Care, PC Erie Augustin MD Primary Care, PC Ambulatory 57-18 Woodside Ave, Woodside, NY 11377 Queens

Excellent Home Care Services Excellent Home Care Services Home Care 91-93 South Third St, Brooklyn, NY 11249 Kings

Ezra Medical Center Ezra Medical Center Federally Qualified Health Center 1312 38th St, Brooklyn, NY 11218 Kings

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Family Medicine Center South Nassau Communities Hospital Ambulatory 1 Healthy Way, Oceanside, NY 11572 Nassau

Family Residences and Essential Enterprises Family Residences and Essential Enterprices, Inc. Behavioral Health Organization 191 Bethpage-Sweet Hollow Rd, Bethpage, NY 11804 Nassau

Family Service League, Inc. Family Service League, Inc. Behavioral Health Organization 790 Park Ave, Huntington, NY 11743 Suffolk

Fatima Pediatric Medical Care, PC Fatima Pediatric Medical Care, PC Ambulatory 2552 Steinway St, #A, Astoria, NY 11103 Queens

Ferncliff Nursing Home and Rehabilitation Center ArchCare - Catholic Health Care System Long Term Care 205 Lexington Ave, New York, NY 10016 New York

Fortune Society The Fortune Society, Inc. Behavioral Health Organization 29-76 Northern Blvd, Long Island City, NY 11101 Queens

Four Seasons Nursing and Rehabilitation Center Four Seasons Nursing and Rehabilitation Center Long Term Care 1555 Rockaway Parkway, Brooklyn, NY 11236 Kings

Frances Stern, MD Frances Stern, MD Ambulatory 2500 Marcus Ave, # 110, New Hyde Park, NY 11042 Nassau

Godwin Medical Godwin Medical Ambulatory 3054 Godwin Terrace, Suite A, Bronx, NY 10463 Bronx

Golda Johnson, MD, PLLC Golda Johnson, MD, PLLC Ambulatory 910 Park Place, #1, Brooklyn, NY 11216 Kings

Good Samaritan Certified Home Health Agency Catholic Health Services of Long Island Home Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Good Samaritan Long Term Home Health Agency Catholic Health Services of Long Island Home Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Good Samaritan Nursing Home Catholic Health Services of Long Island Long Term Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Good Shepherd Hospice Catholic Health Services of Long Island Long Term Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Greene Avenue Medical, PC Greene Avenue Medical, PC Ambulatory 1350 Greene Ave, #2, Brooklyn, NY 11237 Kings

Greenwich House Greenwich House Behavioral Health Organization 122 West 27th St, 6th Floor, New York, NY 10001 New York

Gurwin Jewish Nursing and Rehabilitation Center (Home Care) Gurwin Jewish Nursing and Rehabilitation Center Home Care 68 Hauppauge Rd, Commack, NY 11725 Suffolk

Gurwin Jewish Nursing and Rehabilitation Center (Long Term Care) Gurwin Jewish Nursing and Rehabilitation Center Long Term Care 68 Hauppauge Rd, Commack, NY 11725 Suffolk

Halsey Family Health Nurse Practioner Services of NY Halsey Family Health Nurse Practioner Services of NY Ambulatory 1086 Broadway #3, Brooklyn, NY 11221 Kings

Hanna Lesicka, MD, FAAP, PC Hanna Lesicka, MD, FAAP, PC Ambulatory 217 Calyer St, Brooklyn, NY 11222 Kings

Harlem Gynecology Practice, PC Harlem Gynecology Practice, PC Ambulatory 2597 Frederick Douglass Blvd, New York, NY 10030 New York

Harlem United Harlem United Federally Qualified Health Center 306 Lenox Ave, 3rd Floor, New York, NY 10027 New York

Hebrew Home for the Aged at Riverdale (formerly Hebrew Home for the Aged at Riverdale

and Palisade Nursing Home)RiverSpring Health Long Term Care 5901 Palisade Ave, Riverdale, NY 10471 Bronx

Hema Sabapathy, MD, PC Hema Sabapathy, MD, PC Ambulatory 251-15B Union Turnpike, Bellerose, NY 11426 Queens

Henry Sardar, MD Henry Sardar, MD Ambulatory 406 Stockholm St, Brooklyn, NY 11237 Kings

Heritage Health and Housing FQHC Heritage Health and Housing FQHC Federally Qualified Health Center 1727 Amsterdam Ave, 4th Floor, New York, NY 10031 New York

Hillside Medical Care NYC PC Hillside Medical Care NYC PC Ambulatory 87 46 Chelsea St. Suite LC, Jamaica, NY 11432 Queens

Home Care Network Northwell Health System Home Care 972 Brush Hollow Rd, Westbury, NY 11590 Nassau

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Hospice Care Network Northwell Health System Home Care 99 Sunnyside Blvd, Suite 2, Woodbury, NY 11797 Nassau

Hospice Care Network Catholic Health Services of Long Island Home Care 5907 175th Place, #2, Flushing, NY 11365 Queens

Hospital for Special Surgery Hospital for Special Surgery Hospital 535 East 70th St, New York, NY 10021 New York

Housing Works Housing Works Ambulatory 57 Willoughby St, 2nd Floor, Brooklyn, NY 11201 Kings

HP Medical PC HP Medical PC Ambulatory 333 Lafayette Ave, Brooklyn, NY 11238 Kings

Huntington Hills Center Huntington Hills Center Long Term Care 400 S Service Rd, Melville, NY 11747 Suffolk

ICL (Institute for Community Living) Institute for Community Living Behavioral Health Organization 125 Broad St, New York, NY 10004 11201 Kings

ICL HealthCare Choices Institute for Community Living Federally Qualified Health Center 6209 16th Ave, Brooklyn, NY 11204 Kings

Interfaith Medical Center Interfaith Medical Center Hospital 1545 Atlantic Ave, Brooklyn, NY 11213 Kings

Isabella Geriatric Center Isabella Geriatric Center Long Term Care 515 Audubon Ave, New York, NY 10040 New York

Island Kids Pediatrics, P.C. Island Kids Pediatrics, P.C. Ambullatory 2066 Richmond Ave, FL 1, Staten Island, NY 10314 Richmond

Island Nursing and Rehab Center Island Nursing and Rehab Center Long Term Care 5537 Expressway Dr North, Holtsville, NY 11742 Suffolk

Jamaica Hospital Medical Center Diagnostic and Treatment Center Medisys Health Network Ambulatory 8900 Van Wyck Expressway, Jamaica, NY 11418 Queens

JASA Jewish Association Serving the Aging JASA Jewish Association Serving the Aging Community Based Organization 247 West 37th St, New York, NY 10018 New York

Jeffrey A. Buckner, MD Jeffrey A. Buckner, MD Ambulatory 30 E 40th St, New York, NY 100116 New York

Jeffrey Leo Teitelbaum, M.D., P.C. Jeffrey Leo Teitelbaum, M.D., P.C. Ambulatory 913 Avenue L, Brooklyn, NY 11230 Kings

Jewish Board of Family and Children's Services Jewish Board of Family and Children's Services Community Based Organization 135 West 50th St, New York, NY 10020 New York

John T. Mather Memorial Hospital John T. Mather Memorial Hospital Hospital 75 N Country Rd, Port Jefferson, NY 11777 Suffolk

Jose C. Ortiz, MD, PC Jose C. Ortiz, MD, PC Ambulatory 435 Fort Washington Ave, New York, NY 10033 New York

Joseph P. Addabbo Family Health Centers Joseph P. Addabbo Family Health Centers Federally Qualified Health Center 120 Richards St, Brooklyn, NY 11231 Kings

Judith Benstein, MD Judith Benstein, MD Ambulatory 530 First Ave, Suite 7G, New York, NY 10016 New York

Judith C. Morris-DeCelis, MD Judith C. Morris-DeCelis, MD Ambulatory 343 E 30th St, New York, NY 10022 New York

King David Center for Nursing and Rehabilitation King David Center for Nursing and Rehabilitation Long Term Care 2266 Cropsey Ave, Brooklyn, NY 11214 Kings

Kings Highway Best Medical, PC Kings Highway Best Medical, PC Ambulatory 372 Utica Ave, # 1, Brooklyn, NY 11213 Kings

Kingsboro Psychiatric Center New York State Office of Mental Health Behavioral Health Organization 681 Clarkson Ave, Brooklyn, NY 11203 Kings

Kingsbrook Jewish Medical Center Kingsbrook Jewish Medical Center Hospital 585 Schenectady Ave, Brooklyn, NY 11203 Kings

Laleh Moazen, MD Laleh Moazen, MD Ambulatory 530 First Ave, Suite 7G, New York, NY 10016 New York

LiveOnNY LiveOnNY Public Health Organization 460 West 34th St, 15th Floor, New York, NY 10001 New York

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Long Island Federally Qualified Health Centers, Inc. NuHealth Federally Qualified Health Center 380 Nassau Rd, Roosevelt, NY 11575 Nassau

Long Island Home Northwell Health System Long Term Care 400 Sunrise Hwy, Amityville, NY 11701 Suffolk

Long Island Pediatrics of Brentwood, PC Long Island Pediatrics of Brentwood, PC Ambulatory 55 Second Ave, Brentwood, NY 11717 Suffolk

Lower East Side Family Medicine Lower East Side Family Medicine Ambulatory 260 E Broadway, #2, New York, NY 10002 New York

Lucien D. Mocombe, MD, PC Lucien D. Mocombe, MD, PC Ambulatory 3016 Glenwood Rd, Brooklyn, NY 11210 Kings

Ludmilla Bronfin, MD Ludmilla Bronfin Ambulatory 650 First Ave, New York, NY 10016 New York

Lyudmila Sverkunova Medical P.C. Lyudmila Sverkunova Medical P.C. Ambulatory 3280 Nostrand Ave, Brooklyn, NY 11229 Kings

M & H Family Health Care M & H Family Health Care Ambulatory 562 East 93rd St, Brooklyn, NY 11236 Kings

Magalie Alfred MD Pediatric Office, PC Magalie Alfred MD Pediatric Office, PC Ambulatory 196-02 Hillside Ave, Hollis, NY 11423 Queens

Maimonides Medical Center Maimonides Medical Center Hospital 4802 10th Ave, Brooklyn, NY 11219 Kings

Manhattan Psychiatric Center New York State Office of Mental Health Behavioral Health Organization 600 East 125th St, New York, NY 10035 New York

Mann Vin Medical PC Mann Vin Medical PC Ambulatory 45 I U Willets Road, Albertson, NY 11507 Nassau

Marie Lourdes Roche, MD Marie Lourdes Roche, MD Ambulatory 870 Central Ave, Far Rockaway, NY 11691 Queens

Marissa T. Santos MD PC Marissa T. Santos MD PC Ambulatory 64-14 41st Ave, C2, Woodside, NY 11377 Queens

Mary Manning Walsh Home ArchCare - Catholic Health Care System Long Term Care 205 Lexington Ave, New York, NY 10016 New York

Meadowbrook Care Center Meadowbrook Care Center Long Term Care 320 West Merrick Rd, Freeport, NY 11520 Nassau

MediSys Health Network MediSys Health Network Health System 8900 Van Wyck Expressway, Jamaica, NY 11418 Queens

Menorah Center for Rehabilitation and Nursing Care Metropolitan Jewish Health System Long Term Care 1516 Oriental Blvd, Brooklyn, NY 11235 Kings

Mental Health Association of NYC Mental Health Association of NYC Behavioral Health Organization 50 Broadway, New York, NY 10004 New York

Metro Community Health Centers, Inc. Metro Community Health Centers, Inc. Federally Qualified Health Center 330 West 34th St, New York, NY 10001 New York

Metro True Care Medical, PC Metro True Care Medical, PC Ambulatory 139 Centre Street, Suite 709, New York, NY 10013 New York

Michael Richter, MD Michael Richter, MD Ambulatory 92-15 63rd Dr, Rego Park, NY 11374 Queens

Mid Rockland Imaging Partners Mid Rockland Imaging Partners, Inc. Radiology 315 West 57th St, New York, NY 10019 New York

Minsheng Pain Management and Anesthesia, PLLC Minsheng Pain Management and Anesthesia, PLLC Ambulatory 3916 Prince St, 313 Unit, Flushing, NY 11354 Queens

MJHS Home Care Metropolitan Jewish Health System Home Care 1516 Oriental Blvd, Brooklyn, NY 11235 Kings

Mohammad Fouladvand, MD Mohammad Fouladvand, MD Ambulatory 333 E 34th St, New York, NY 10016 New York

Mohammed K Rashid MD PC Mohammed K Rashid MD PC Ambulatory 16832 Highland Ave, Jamaica, NY 11432 Queens

Mount Sinai Doctors Faculty Practice Mount Sinai Health System Ambulatory 5 E 98th St, New York, NY 10029 New York

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Mount Sinai Health System Mount Sinai Health System Health System 1 Gustave L. Levy Place, New York, NY 10029 New York

NADAP NADAP Community Based Organization 355 Lexington Ave, New York, NY 10017 New York

New Alternatives for Children New Alternatives for Children, Inc. Behavioral Health Organization 37 West 26th St, New York, NY 10010 New York

New York Center for Rehabilitation Care Management, LLC New York Center for Rehabilitation Care Management, LLC Long Term Post Acute Care 26-13 21 Street, Astoria, NY 11102 Queens

New York City Children's Center - Bronx Campus New York State Office of Mental Health Behavioral Health Organization 1000 Waters Place, Bronx, NY 10461 Bronx

New York City Children's Center - Brooklyn Campus New York State Office of Mental Health Behavioral Health Organization 1819 Bergen St, Brooklyn, NY 11233 Kings

New York City Children's Center - Queens Campus New York State Office of Mental Health Behavioral Health Organization 74-03 Commonwealth Blvd, Bellrose, NY 11426 Queens

New York City Department of Health and Mental Hygiene New York City Department of Health and Mental Hygiene Public Health Organization 42-09 28th St, Long Island City, NY 11101 Queens

New York Methodist Hospital New York Methodist Hospital Hospital 506 6th St, Brooklyn, NY 11215 Kings

New York Psychiatric Institute New York State Office of Mental Health Behavioral Health Organization 1051 Riverside Dr, New York, NY 10032 New York

New York State Department of Health New York State Department of Health Public Health Organization 90 Church St, New York, NY 10007 New York

NewYork-Presbyterian Health System NewYork-Presbyterian Health System Health System 523 East 68th St, New York, NY 10065 New York

Nicasio I. Arana, MD Nicasio I. Arana, MD Ambulatory 8801 Parsons Blvd, Jamaica, NY 11432 Queens

North Valley Medical, PC North Valley Medical, PC Ambulatory 227-19 Merrick Blvd, Laurelton, NY 11413 Queens

Northwell Health Medical Group Northwell Health System Ambulatory 145 Community Dr, Great Neck, NY 11021 Nassau

Northwell Health System Northwell Health System Health System 145 Community Dr, Great Neck, NY 11021 Nassau

NuHealth NuHealth Health System 2201 Hempstead Turnpike, East Meadow, NY 11554 Nassau

NYU Langone Health System NYU Langone Health System Health System 550 1st Ave, New York, NY 10016 New York

NYU Lutheran Augustana Center for Extended Care and Rehabilitation NYU Langone Medical Center Long Term Care 5434 2nd Ave, Brooklyn, NY 11220 Kings

NYU Lutheran Family Health Centers Sunset Park NYU Langone Medical Center Federally Qualified Health Center 150 55th St, Brooklyn, NY 11220 Kings

NYU Lutheran Medical Center NYU Langone Health System Hospital 150 55th St, Brooklyn, NY 11220 Kings

ODA Primary Health Care Network ODA Primary Health Care Network Federally Qualified Health Center 14-16 Heyward St, Brooklyn, NY 11249 Kings

Oded Preis, M.D Oded Preis, M.D Ambulatory 1729 East 12th St, #1, Brooklyn, NY 11229 Kings

Odyssey House Odyssey House Behavioral Health Organization 120 Wall St, New York, NY 10005 New York

Ohel Children's Home and Family Services Ohel Children's Home and Family Services Behavioral Health Organization 4510 16th Ave, Brooklyn, NY 11204 Kings

Ola Pediatrics Ola Pediatrics Ambulatory 3054 Godwin Terrace, Suite C, Bronx, NY 10463 Bronx

Olitsa Roth, MD, PC Olitsa Roth, MD, PC Ambulatory 5211 15th Ave #1, Brooklyn, NY 11219 Kings

One Hanson Place Pediatrics One Hanson Place Pediatrics Ambulatory 1 Hanson Place, #708, Brooklyn, NY 11243 Kings

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Orris MD, PLLC Orris MD, PLLC Ambulatory 1192 Broadway, Brooklyn, NY 11215 Kings

Orzac Center for Extended Care Northwell Health System Long Term Care 900 Franklin Ave, Valley Stream, NY 11580 Nassau

Oscar Insurance Corporation Oscar Insurance Corporation Health Plan 295 Lafayette St, 6th Floor, New York, NY 10012 New York

Our Lady of Consolation Geriatric Care Center Catholic Health Services of Long Island Long Term Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Our Lady of Consolation Long Term Home Health Agency Catholic Health Services of Long Island Home Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

Oxford Nursing Home Oxford Nursing Home Long Term Care 144 South Oxford St, Brooklyn, NY 11217‎ Kings

Park Nursing Home Park Nursing Home Long Term Care 128 Beach 115th St, Rockaway Park, NY 11694 Queens

Parker Jewish Institute for Healthcare and Rehabilitation (Home Care) Parker Jewish Institute for Healthcare and Rehabilitation Home Care 271-11 76th Ave, New Hyde Park, NY 11040 Nassau

Parker Jewish Institute for Healthcare and Rehabilitation (Long Term Care) Parker Jewish Institute for Healthcare and Rehabilitation Long Term Care 271-11 76th Ave, New Hyde Park, NY 11040 Nassau

Pathways to Wellness - CBC Health Home Pathways to Wellness - CBC Health Home NYS Medicaid Health Home 123 William St, 19th Floor, New York, NY 10038 New York

Pederson Krag Promoting Specialized Care & Health (PSCH) Behavioral Health Organization 142-02 20th Ave, 3rd Floor, Flushing, NY 11351 Queens

Pediatrics 2000 @ 207 PLLC Pediatrics 2000 @ 207 PLLC Ambulatory 515 West 207 St, New York, NY 10034 New York

Pediatrics 2000 II, PC Pediatrics 2000 II, PC Ambulatory 3332 Broadway, New York, NY 10031 New York

Peninsula Counseling Center Promoting Specialized Care & Health (PSCH) Behavioral Health Organization 142-02 20th Ave, 3rd Floor, Flushing, NY 11351 Queens

Phoenix House New York Phoenix House New York Behavioral Health Organization 164 West 74th St, New York, NY 10023 New York

Pilgrim Psychiatric Center New York State Office of Mental Health Behavioral Health Organization 998 Crooked Hill Rd, West Brentwood, NY 11717 Suffolk

PMP Pediatrics Associates PLLC PMP Pediatrics Associates PLLC Ambulatory 2378 Ralph Ave, Brooklyn, NY 11234 Kings

Postgraduate Center for Mental Health Postgraduate Center for Mental Health Behavioral Health Organization 158 East 35th St, New York, NY 10016 New York

Premier Health Care Premier Health Care Behavioral Health Organization 406 10th Ave, 9th Floor, New York, NY 10001 New York

Primary Care Medicine Associates P.C. Primary Care Medicine Associates P.C. Ambulatory 39-07 Prince Street, Suite 2D, Flushing, NY 11354 Queens

Primary Partner Care ACO Primary Partner Care ACO Accountable Care Organization 1010 Northern Blvd, Suite 314, Great Neck, NY 11021 Nassau

ProHEALTH Care Associates LLP ProHEALTH Care Associates LLP Ambulatory 2800 Marcus Ave, Lake Success, NY 11042 Nassau

Project Renewal Project Renewal Federally Qualified Health Center 200 Varick St, New York, NY 10014 New York

Prominis Medical Services, PC Prominis Medical Services, PC Ambulatory 381 5th St, Brooklyn, NY 11215 Kings

Promoting Specialized Care & Health (PSCH) Promoting Specialized Care & Health (PSCH) Behavioral Health Organization 142-02 20th Ave, 3rd Floor, Flushing, NY 11351 Queens

Queens Multicare Psychiatry Services, PC Queens Multicare Psychiatry Services, PC Ambulatory 209-22 Hillside Ave, Queens Village, NY 11427 Queens

Queens-Long Island Renal Institute, Inc. Parker Jewish Institute for Health Care and Rehabilitation Ambulatory 271-11 76th Ave, Lobby Level, New Hyde Park, NY 11040 Nassau

Revival Home Health Care Revival Home Health Care Home Care 5350 Kings Highway, Brooklyn, NY 11203 Kings

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Richmond Center for Rehabilitation and Specialty Healthcare Richmond Center for Rehabilitation and Specialty Healthcare Long Term Post Acute Care 91 Tompkins Ave, Staten Island, NY 10304 Richmond

Richmond University Medical Center Richmond University Medical Center Hospital 355 Bard Ave, Staten Island, NY 10310 Richmond

Richmond University Medical Center - Bayley Seton Campus Richmond University Medical Center Behavioral Health Organization 75 Vanderbilt Ave, Staten Island, NY 10304 Richmond

Riverdale Family Practice Riverdale Family Practice Ambulatory 3050 Corlear Ave, Bronx, NY 10463 Bronx

Rivington House Village Care Long Term Care 120 Broadway, Suite 2840, New York, NY 10271 New York

Robert Press, MD Robert Press, MD Ambulatory 530 First Ave, Suite 7G, New York, NY 10016 New York

Rockaway Care Center Rockaway Care Center Long Term Care 353 Beach 48th St, Far Rockaway, NY 11691 Queens

Ronald Jacques, MD, PC Ronald Jacques, MD, PC Ambulatory 3009 Glendwood Rd, Brooklyn, NY 11210 Kings

Royale Pediatrics Healthcare, PC Royale Pediatrics Healthcare, PC Ambulatory 1335 Linden Blvd. Suite 126, Brooklyn, NY 11212 Kings

Rusk Rehabilitation NYU Langone Medical Center Long Term Care 240 East 38th St, New York, NY 10016 New York

Rutland Nursing Home Kingsbrook Jewish Medical Center Long Term Care 585 Schenectady Ave, Brooklyn, NY 11203 Kings

Ryan/Adair Community Health Center William F. Ryan Community Health Center Federally Qualified Health Center 565 Manhattan Ave, New York, NY 10027 New York

Ryan/Chelsea-Clinton Community Health Center, Inc. William F. Ryan Community Health Center Federally Qualified Health Center 645 Tenth Ave, New York, NY 10036 New York

Ryan-Nena Community Health Center William F. Ryan Community Health Center Federally Qualified Health Center 279 East 3rd St, New York, NY 10009 New York

Saba Medical Care Saba Medical Care Ambulatory 921 Coney Island Ave, Brooklyn, NY 11230 Kings

Sagamore Children's Psychiatric Center New York State Office of Mental Health Behavioral Health Organization 197 Half Hollow Rd, Dix Hills, NY 11746 Suffolk

Saint Joseph's Medical Center Saint Joseph's Hospital, Yonkers Behavioral Health Organization 127 South Broadway, Yonkers, NY 10701 Westchester

Sal Volpe, MD Sal Volpe, MD Ambulatory 2760 Amboy Rd, Staten Island, NY 10306 Richmond

Sameer K. Misra, MD Sameer K. Misra, MD Ambulatory 196-02 Hillside Ave, Hollis, NY 11423 Queens

San Vicente De Paul Skilled Nursing and Rehabilitation Center ArchCare - Catholic Health Care System Long Term Care 205 Lexington Ave, New York, NY 10016 New York

Sara Kramer, MD Sara Kramer, MD Ambulatory 343 East 30th St, New York, NY 10022 New York

Schervier Nursing Care Center Bon Secours Health System, Inc. Long Term Care 2975 Independence Ave, Bronx, NY 10463 Bronx

Schulman & Schachne Institute for Nursing and Rehabilitation Brookdale University Hospital and Medical Center Long Term Care 1 Brookdale Plaza, Brooklyn, NY 11212 Kings

Services for the UnderServed (and Palladia) Services for the UnderServed (and Palladia) Behavioral Health Organization 305 Seventh Ave, 10th Floor, New York, NY 10001 New York

Settlement Health Settlement Health Federally Qualified Health Center 212 East 106th St, #1, New York, NY 10029 New York

Silvercrest Center for Nursing and Rehabilitation Silvercrest Center for Nursing and Rehabilitation Long Term Care 144-45 87th Ave, Briarwood, NY 11435 Queens

Skills Unlimited Skills Unlimited, Inc. Behavioral Health Organization 405 Locust Ave, Oakdale, NY 11769 Suffolk

SLB Medical Associates SLB Medical Associates Ambulatory 3765 104th St, Corona, NY 11368 Queens

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

South Beach Psychiatric Center New York State Office of Mental Health Public Health Organization 777 Seaview Ave, Staten Island, NY 10305 Richmond

South Nassau Communities Hospital South Nassau Communities Hospital Hospital 1 Healthy Way, Oceanside, NY 11572 Nassau

South Nassau Communities Hospital Mental Health Counseling Center South Nassau Communities Hospital Behavioral Health Organization 1 Healthy Way, Oceanside, NY 11572 Nassau

South Nassau Home Care South Nassau Communities Hospital Home Care 1 Healthy Way, Oceanside, NY 11572 Nassau

South Oaks Hospital Northwell Health System Long Term Care 400 Sunrise Hwy, Amityville, NY 11701 Suffolk

South Shore Physicians, P.C. South Shore Physicians, P.C. Ambulatory 3589 Hylan Blvd, Staten Island, NY 10308 Richmond

Southeast Nassau Guidance Center Southeast Nassau Guidance Center Behavioral Health Organization 2146 Jackson Ave, Seaford, NY 11783 Nassau

St. Catherine of Siena Nursing Home Catholic Health Services of Long Island Long Term Care 992 N Village Ave, Rockville Centre, NY 11570 Nassau

St. John's Episcopal Hospital St. John's Episcopal Hospital Hospital 327 Beach 19th St, Far Rockaway, NY 11691 Queens

St. Mary's Hospital for Children St. Mary's Healthcare System for Children Hospital 29-01 216th St, Bayside, NY 11360 Queens

Stages Pediatrics, PC Stages Pediatrics, PC Ambulatory 128 Fort Washington Ave, 1J, New York, NY 10032 New York

Staten Island Performing Provider System, LLC Staten Island Performing Provider System, LLC DSRIP PPS 1 Edgewater Plaza, Suite 700, Staten Island, NY 10305 Richmond

Stephen D. Hassenfeld Children's Center for Cancer and Blood Disorders NYU Langone Medical Center Ambulatory 160 East 32nd St, L3-Medical, 2nd Floor, New York, NY 10016 New York

Stepping Stones Pediatrics, PLLC Stepping Stones Pediatrics, PLLC Ambulatory 1407 46th St, Brooklyn, NY  11219 Kings

Stern Family Center for Rehabilitation Northwell Health System Long Term Care 330 Community Dr, Manhasset, NY 11030 Suffolk

SUNY Downstate Medical Center SUNY Downstate Medical Center Hospital 450 Clarkson Ave, Brooklyn, NY 11203 Kings

Taubman & Korn Taubman & Korn Ambulatory 900 Northern Blvd, #240, Great Neck, NY 11021 Nassau

Terence Cardinal Cooke Health Care Center ArchCare - Catholic Health Care System Long Term Care 205 Lexington Ave, New York, NY 10016 New York

The Bridge The Bridge Community Based Organization 248 West 108th St, New York, NY 10025 New York

The Brooklyn Hospital Center The Brooklyn Hospital Center Hospital 121 Dekalb Ave, Brooklyn, NY 11205 Kings

The Institute for Family Health The Institute for Family Health Federally Qualified Health Center 2006 Madison Ave, New York, NY 10035 New York

The New Jewish Home (formerly Jewish Home Lifecare, Manhattan) The New Jewish Home (formerly Jewish Home Lifecare, Manhattan) Long Term Care 120 West 106th St, New York, NY 10025 New York

The New York Foundling The New York Foundling Community Based Organization 590 Avenue of the Americas, New York, NY 10011 New York

The Ryan Women and Children's Center William F. Ryan Community Health Center Federally Qualified Health Center 801 Amsterdam Ave, New York, NY 10025 New York

The Womens Health Pavilion The Womens Health Pavilion Ambulatory 82-12 151 Ave, Howard Beach, NY 11414 Queens

TJH Medical Services, PC Medisys Health Network Ambulatory 8900 Van Wyck Expressway, Jamaica, NY 11418 Queens

Town Drug & Surgical (58th Street Pharmacy, Inc.) Town Drug & Surgical (58th Street Pharmacy, Inc.) Retail Pharmacy 428 West 59th St, New York, NY 10019 New York

Town Drug & Surgical (J.J. Columbus Drug Co. Inc.) Town Drug & Surgical (J.J. Columbus Drug Co. Inc.) Retail Pharmacy 1009 Columbus Ave, New York, NY 10025 New York

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016

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Participant Facility Parent Account Participant Type Address Zip Code County

Town Drug (Lerin Drug, Inc.) Town Drug (Lerin Drug, Inc.) Retail Pharmacy 501 West 113th St, New York, NY 10025 New York

Trump Pavilion For Nursing and Rehabilitation at Jamaica Hospital Medical Center Medisys Health Network Long Term Care 8940 135th St, Jamaica, NY 11418 Queens

University Physicians Group University Physicians Group Ambulatory 1‎Edgewater‎Plaza‎–‎Suite‎704,‎Staten‎Island,‎NY‎ 10305 Richmond

Upper Manhattan Mental Health Center, Inc. Upper Manhattan Mental Health Center, Inc. Behavioral Health Organization 1727 Amsterdam Ave, New York, NY 10031 New York

Uptown Medical Uptown Medical Ambulatory 305 E 149th St, #1, Bronx, NY 10451 Bronx

Urban Health Plan Urban Health Plan Federally Qualified Health Center 1065 Southern Blvd, Bronx, NY 10049 Queens

Verlaine Brunot, MD Verlaine Brunot, MD Ambulatory 3009 Glendwood Rd, Brooklyn, NY 11210 Kings

Verrazano Nursing Home Verrazano Nursing Home Long Term Care 100 Castleton Ave, Staten Island, NY 10301 Richmond

Victory Internal Medicine Victory Internal Medicine Ambulatory 2315 Victory Blvd, Staten Island, NY 10314 Richmond

Village Care Village Care Long Term Care 120 Broadway, Suite 2840, New York, NY 10271 New York

Village Park Medical Village Park Medical Ambulatory 31 Washington Pl #4, New York, NY 10011 New York

VillageCare @ 46&10 Village Care Long Term Care 120 Broadway, Suite 2840, New York, NY 10271 New York

VillageCare at Home Village Care Home Care 120 Broadway, Suite 2840, New York, NY 10271 New York

Visiting Nurse Service of New York Visiting Nurse Service of New York Home Care 107 East 70th St, New York, NY 10021 New York

VNSNY CHOICE VNSNY CHOICE Health Plan 1250 Broadway, 11th Floor, New York, NY 10001 New York

Weill Cornell Physicians Weill Cornell Medical College - Cornell Univeristy Ambulatory 40 Worth St, Suite 402, New York, NY 10013 New York

West Midtown Medical Group West Midtown Medical Group Behavioral Health Organization 505 Eighth Ave, New York, NY 10018 New York

William F. Ryan Community Health Center William F. Ryan Community Health Center Federally Qualified Health Center 110 West 97th St, New York, NY 10025 New York

Women's Health Professionals LLP Women's Health Professionals LLP Ambulatory 48 Route 25 A, Suite 207, Smithtown, NY 11787 Suffolk

Wyckoff Heights Ambulatory Health Center Wyckoff Heights Medical Center Ambulatory 374 Stockholm St, Brooklyn, NY 11237 Kings

Wyckoff Heights Medical Center Wyckoff Heights Medical Center Hospital 374 Stockholm St, Brooklyn, NY 11237 Kings

Xinru Qian, M.D. P.C. Xinru Qian, M.D. P.C. Ambulatory 140-37 Cherry Ave, Suite 1A, Flushing, NY 11355 Queens

Yelena Vayntrub Medical, PC Yelena Vayntrub Medical, PC Ambulatory 387 Eastern Pkwy, Brooklyn, NY 11216 Kings

Yuancong Wang DO, PLLC Yuancong Wang DO, PLLC Ambulatory 43-73 Union Street Suite C-B, Flushing, NY 11355 Queens

Zucker Hillside Hospital Northwell Health System Long Term Care 75-59 263rd St, Glen Oaks, NY 11004 Queens

Please check facility websites for additional locations. Additionally, for Health Systems, hospital names associated with the system can be found on their respective websites. 6/13/2016