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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
ACUPUNCTURE
7TH GENERATION RUI WANG, LLC Yes Yes EnglishChinese
4000 Medical Center Dr., Suite 209 North East Medical Center Fayetteville, NY 13066 Phone: 315-329-7666 Fax: 315-632-4597
Wang, Rui LAc Licensed Acupuncturist
ALLERGYIMMUNOLOGY
ALLERGY, ASTHMA, RHEUMATOLOGY ASSOC
Yes Yes English
5793 Widewaters ParkwaySuite 250Syracuse, NY 13214 Phone: 478-2339
Sheehan, Michael MDSingh, Harcharan MD
ANESTHESIOLOGY
CNY ANESTHESIA GROUP/American Anesthesiology of New York
Gaffney, Joseph MDJoseph, Cyriac MDKhan, Rashid MDMostrom, James MDGerson, John MD
N/A Yes English
725 Irving AveSyracuse, NY 13210 Phone: 315-470-5811 Fax: 315-362-5120
AUDIOLOGY SERVICES
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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EAR Q Keller, Edward RHADWood, Tammy RHAD Registered Hearing Aide Dispenser
Yes Yes English
1011 W Genesee St Ste 5 Syracuse, NY 13204 Phone: 315-468-1926 Fax: 315-468-2169
7220 E Genesee St Fayetteville, NY 13066 Phone: 315-446-0055 Fax: 315-446-0077
MAICO HEARING Yes Yes English
1001 Vine StreetLiverpool, NY 13088 Phone: 315-451-7221 Fax: 315-457-1223
Porter, Catherine RHAD Registered Hearing Aide Dispenser Bagley, Erin AudiologistThomas, Lisa Audiologist
CARDIOLOGY
CARDIAC ELECTROPHYSIOLOGY CONSULTANTS LLC The Heart Group of Syracuse
Hospital Affiliations:CrouseSt. JosephsUpstate
Yes Yes English
6700 Kirkville Rd, Suite 203East Syracuse, NY 13057 Phone: 315-277-2707 Fax: 315-277-2707
Ahmed, Jamal J MDAnghel, Traian MD
CARDIOLOGY (cont’d)
CARDIOVASCULAR GROUP OF SYRACUSE
Hospital Affiliations:St. Joseph’s
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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North Medical Cardiovascular Group d/b/a Cardiovascular Group of Syracuse
St. Joseph’s Medical PC (Tax ID: 273899821/NPI: 1942501747)-effective 12/1/2016
4507 Medical Center Dr Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0514
Fayetteville OfficeCharlamb, Mark J MDDerrick, Lauren C NPKenien, Gregory G MDNardone, Christopher MD Waters, Theresa, DOWeinberg, Andrew DO
5100 W Taft Rd, Suite 4JLiverpool, NY 13088 Phone: 315-701-2170 Fax: 315-701-2186
Liverpool OfficeAiello, Dana MDCharlamb, Larry S MDDerrick, Lauren C NP Mendzef, Scott D NP Nayeri, Albert Nima MD O'Hern, Matthew S MD Perla, Charles MD Weinberg, Andrew DO
SyracuseKhan, Sheryl L PA
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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COMMUNITY CARDIOLOGYUpstate University at Community
5415 West Genesee StSuite 201, Camillus, NY 13031
Phone: 315-214-5788 Fax: 315-314-6416
Hospital Affiliations:Upstate University at Community
Alberti, Martha NPJaffe, Norman D MDMartinez, Jorge MD
Yes Yes English
CARDIOLOGY (cont’d)
NEW YORK HEART CENTER CARDIOVASCULAR SPECIALISTS-d/b/a New York Heart Center
Hospital Affiliations:St. Josephs
Ahnan, Morcos MDEl-Khally, Ziad MDFuleihan, Daniel MDGabris, Michael MDLozner, Eugene MDNayeri, Albert MDZhang, Yi MDKircher, Barbara MD
Yes Yes EnglishSpanish
6221 Route 31, Suite 112 Cicero, NY 13039 Phone: 315-752-0100 Fax: 315-752-0104
1000 E Genesee StSyracuse, NY 13210 Phone: 315-471-1044 Fax: 315-474-4312
CARDIOLOGY (cont’d)
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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SJH Cardiac Catheterization Assoc. dba SJH CARDIOLOGY ASSOCIATES4820 West Taft Rd. Suite 209 Liverpool, NY 13088315-448-6215
Fax: 234-4417
Hospital Affiliations:St. Josephs
Iqbal, Uzma MD
Ranjbaran-Jahromi, Hooman MD
Kazzaz, Nelly MDSimons, Alan MD
Grady, Thomas MDeffective 03/01/18
Trent, Ross PAeffective 02/01/2018
Jamal Ahmed, MD-effective 06/01/17
Traian Anghel, MD – effective 06/01/17
Jamie Nelson, PAEffective 07/01/17
Bowser, Ryan, PAEffective 09/05/17
Oluwadamilola OjutalayoEffective 07/01/17
Yes English
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Cardiovascular Specialists; St. Joseph’s Medical PC (Tax ID: 273899821/NPI: 1942501747
Iskander, Ayman MDAmin, Nishith MDErich, Dennis MDFischi, Michael MDSilverman, Russell MD-resigned Crouse only-2017
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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4939 Brittonfield Parkway, Suite 202East Syracuse, NY 13057315-634-6699
Effective 05/15/17-joined St. Joseph’s Medical PC dba St. Joseph’s Physicians Cardiology:Al-Mudamgha, AliCaputo, RonaldSimons, Alan
COLON & RECTAL SURGERY
COLON RECTAL ASSOCIATES OF CNY, LLP
Halleran, David R MDMoffa, Michael A MDNesbitt, David A MDNicholson, John D MDPlocek, Margaret D MDZiegler, J Alan MD
Yes
Yes
English
North Medical Center5100 W Taft Rd., Suite 4ALiverpool, NY 13088 Phone: 315-458-2211 Fax: 315-452-9025
COLON & RECTAL SURGERY(cont’d)COLON RECTAL ASSOCIATES OF CNY, LLP (cont’d)
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Upstate at Community General HospitalPhysician Office Bldg., South, Suite 3F 4900 Broad Rd.Syracuse, NY 13215 Phone: 315-492-5860 Fax: 315-492-5135
CONSUMER DIRECTED PERSONAL ASSISTANCE FISCAL INTERMEDIARIES
ARISE Yes Yes English
635 James St Syracuse, NY 13203 Phone: 315-472-3171 Fax: 315-472-9252
ENABLE Yes Yes English
4000 Medical Center Dr., Suite 108 North East Medical Center 1603 Court StSyracuse, NY 13208 Phone: 315-410-3300 Fax: 315-454-4611
DAY CENTER SERVICES - MEDICAL
LORETTO ADULT DAY HEALTH CARE
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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700 East Brighton AvenueSyracuse, NY 13205 Phone: 315-498-4405 Fax:
DAY CENTER SERVICES - PACE
Yes Yes English
MCAULIFFE DAY CENTER PACE-CNY
Yes Yes English
115 Creek CircleE. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737
SALLY COYNE DAY CENTERPACE-CNY
Yes Yes English
100 Malta Lane N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-452-5739
VNA HOMECARE ADULT DAY PROGRAM (Social)
Yes Yes English
1050 W Genesee StSyracuse, NY 13204 Phone: 315-477-9239 Fax: 315-671-5155
DENTAL
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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CATHERINE MCAULIFFE DENTAL Shivanand, Bharathi DDS Yes Yes English
115 Creek CircleE. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737
ORION DENTAL Bello, Adesuwa DDSHerman, Gregory DDSPullano, William DDS
Yes Yes EnglishSpanish
3881 State Route 31, Suite 4Liverpool, NY 13090 Phone: 315-622-4200 Fax: 315-622-4222
SJH HEALTH CTR DENTAL OFFICE Dental Residents under guidance of attending Dentist
Yes Yes English
101 Union Ave, Suite 714 Syracuse, NY 13203 Phone: 315-448-5477 Fax: 315-448-6314
STONE DENTAL, PLLC Aman, Naveed DMD Doctor of Dental Medicine
Yes Yes English
5663 E Circle Dr., Suite 600 Cicero, NY 13039 Phone: 315-214-0004 Fax: 315-214-0005
DERMATOLOGY
FARAH DERMATOLOGY Farah, Joyce MD Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Farah, Ramsey MD
ArabicFrench
1000 E Genesee St., Suite 601 Syracuse, NY 13210 Phone: 315-422-8331 Fax: 315-422-3129
Housel Dermatology7293 Buckley RoadSuite 102North Syracuse, NY 13212 Phone: 315-452-3376
Housel, Joseph MDJohnson, Elizabeth PA
Yes Yes English
DURABLE MEDICAL EQUIPMENT/SUPPLIES
FRANCISCAN HEALTH SUPPORT SERVICES, LLC
N/A Yes English
333 Butternut Dr., Suite 100Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-8640
PACE CNY N/A Yes English
100 Malta Lane N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-452-5739
EMERGENCY SERVICES
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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ST JOSEPH'S HOSPITAL HEALTH CENTER
Yes Yes
301 Prospect Ave Syracuse, NY 13203 Phone: 315-448-5111
CROUSE HOSPITAL Yes Yes
736 Irving Ave Syracuse, NY 13210 Phone: 315-448-5111
ENDOCRINOLOGY
MARYA GENDZIELEWSKI, MD Gendzielewski, Marya MD-resigned Upstate and Crouse only-2017
Yes Yes English
104 Union Ave, Suite 801 Syracuse, NY 13203 Phone: 315-422-4983 Fax: 315-422-8072
Geeta Sangani, MD
308 W. Seneca StreetManlius, NY 13104 Phone: 315-469-3373 Fax: 315-682-2150
Sangani, Geeta MD Yes Yes English
GASTROENTEROLOGY
ASSOCIATED GASTROENTEROLOGYISTS OF CNY
Alder, Kathryn, NPBailey, Margaret, MD
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Edison, Scott A MDGranato, Christine MD (as of 07/01/16)Hawthorne, Lisa NPKoh, Theodore MDLee, Thomas C MDNizam, Rayees MDSun, John DOTifft, James G MDXu, Qun NP
4939 Brittonfield Pkwy, Suite 209 E Syracuse, NY 13057 Phone: 315-218-0085 Fax: 315-218-0087
ASSOCIATED GASTROENTEROLOGYISTS OF CNY (cont’d) 4309 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7300 Fax: 315-329-7308
5112 W Taft Rd, Suite 2ULiverpool, NY 13088 Phone: 315-452-2214 Fax: 315-452-2217
260 Township Blvd, Suite 20Camillus NY, 13031 Phone: 315-708-0190 Fax: 315-488-2031
GASTROENTEROLOGY & HEPATOLOGY OF CNY
5700 W Genesee St, Suite 211 N Camillus, NY 13031 Phone: 315-488-6800 Fax: 315-488-3177
Buniak, Borys MDCurreri, Carol NPDiliberto, Judy PA Epstein, Robert MD-resigned per Karen Fekete Q3 HECLaing, Aran MDLee, Young MDMitchell, Sara MDRomano, Matthew MD
Yes Yes English Ukrainian Russian
5000 Brittonfield PkwySuite A120E. Syracuse, NY 13057
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Phone: 315-452-3235 Fax: 315-452-5726
Romano, Thomas MD
5112 W Taft Rd, Suite E Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-452-5726
Gleason-Desimone, Sarah NP Gaulke, Carolyn NPRomano, Thomas MD
GERIATRICIANS
UNIVERSITY GERIATRICIANS-Waiver Program
Brangman, Sharon A. MDBerg, Andrea I. MDBishop, Jeanne E. MD
Yes Yes English
550 Harrison StreetSuite ASyracuse, NY 13202Phone: 315-464-6167Fax: 315-464-5771
GYNECOLOGY
GYNECOLOGY & UROGYNECOLOGY CENTER
Badalian, Samuel MD Yes Yes EnglishArmenianFrenchRussian
104 Union Ave, Suite 803Syracuse, NY 13203 Phone: 315-701-5757 Fax: 315-476-8519
COMPREHENSIVE GYNECOLOGY Adelson, Mark D MDOlson, Dina PA
Yes Yes English
770 James StreetSuite 100BSyracuse, NY 13203 Phone: 315-423-4222 Fax: 315-423-0305
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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HOMEBOUND MEALS & MEALS ON WHEELS (MOW)
BALDWINSVILLE MOW N/A Yes
76 Canton StBaldwinsville, NY 13027 Phone: 315-638-2171
ECHO MOW N/A Yes
4600 W Genesee St Syracuse, NY 13219 Phone: 315-487-2878
HOMEBOUND MEALS & MEALS ON WHEELS (MOW)NORTH AREA MOW N/A Yes
413 Church StN Syracuse, NY 13212 Phone: 315-452-1402
SYRACUSE JEWISH FAMILY SERVICE
N/A Yes
4101 E Genesee StSyracuse, NY 13214 Phone: 315-445-0820 Fax: 315-445-0859
SYRACUSE MOW N/A Yes
300 Burt St Syracuse, NY 13202 Phone: 315-478-5948 Fax: 315-478-6770
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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HOME HEALTH AIDE SERVICE Including Personal Care & Homemaker Services
LORETTO LICENSED AGENCY N/A Yes English
177 Lawrence Rd E N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-703-3599
FRANCISCAN LICENSED AGENCY N/A Yes English
333 Butternut Dr., Suite 100Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
HOSPITAL SERVICESIn-hospital, Physician Services, Anesthesiology, Inpatient Psychiatric Care
ST JOSEPH'S HOSPITAL Yes Yes
301 Prospect Ave Syracuse, NY 13203 Phone: 315-449-0513 Fax: 315-362-5120
CROUSE HOSPITAL Yes Yes
725 Irving AveSyracuse, NY 13210 Phone: 315- 464-6340
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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INFUSION SERVICES
CNY INFUSION SERVICES N/A Yes English
333 Butternut Dr., Suite 102Dewitt, NY 13214-1981 Phone: 315-424-7027 Fax: 315-424-7638
CRITICAL CARE SYSTEMS OF NEW YORK
N/A Yes English
15 Technology PlaceE Syracuse, NY 13057 Phone: 315-434-1980 Fax: 315-434-1985
LABORATORY
CLEARPATH DIAGNOSTICS N/A Yes English
Services provided at Specialist Provider Offices Phone: 315-234-3300 Fax: 315-234-3305
LABORATORY ALLIANCE of CNY
N/A Yes English
Services provided at PACEDay Centers Phone: 315-461-3036 Fax: 315-461-3030
LANGUAGE & INTERPRETING SERVICES
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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EMPIRE INTERPRETING SERVICES
518 James StreetSyracuse, NY 13203 Phone: 315-472-1383 Fax: 315-472-8032
Yes Yes EnglishAlbanianArabicAzariBosnianBrazilian PortBurmeseCambodianCantoneseChineseCreoleCroatianCzechDariDinkaFarsiFrenchGermanGuzariHaitian CreoleHebrewHindiIndianIranianJapaneseKatchiKhmerKirundiLaotian (Lao)LebaneseLuoMacedonianMandarin
LANGUAGE & INTERPRETING SERVICES (cont’d)
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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EMPIRE INTERPRETING SERVICES (Cont'd)
MauritianNepaliPolishPortuguesePunjabiPushto/PashtoRomanianRussianSerbianSerboCroatianSign LanguageSindhiSpanish ThaiToskTurkishUrduUkrainianVietnamese
MENTAL HEALTH SERVICES
ROGER G LEVINE, MD Levine, Roger G MDTarallo, Hannah NP
Yes Yes English
4914 W Seneca TnpkSyracuse, NY 13215 Phone: 315-469-2827 Fax: 888-224-8297
MARK MATLOFF, PhD Matloff, Mark PhDDoctorate in Psychology
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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409 Standish DrSyracuse, NY 13224 Phone: 315-446-3101
LEONARD R PHILLIPS, LCSW Phillips, Leonard R LCSW Lic. Clinical Social Worker
Yes Yes English
36 Reed StMarcellus, NY 13108 Phone: 315-289-7689 Fax: 315-673-0840
NEAL QUARTIER, PhD Quartier, Neal PhD Doctorate in Psychology
Yes Yes English
249 E Onondaga St, Suite 420 Syracuse, NY 13202 Phone: 315-345-9073 Fax: 315-474-1045
ST JOSEPH'S HOSPITAL HEALTH CENTER
Yes Yes
301 Prospect AveSyracuse, NY 13203 Phone: 315-422-6548
MENTAL HEALTH SERVICES (cont’d)
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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LIBERTY RESOURCESBROWNELL CENTER FOR BEHAVIORAL HEALTH
Adamek, Kathleen LCSW-RAgama, Efrain LMFTBalcom, Wesleyann LMSWBrock, Ahmy LMFTBrown, Nicole LMHCBurnside, Scott NPCarnie, David LMHCCarr, Darlene LMSWChambers, Angelque LMSWEschmann, Megam, LMSWFazzino, Anthony LMSWFeldman, Robert LMHC/PhDFerris, Elizabeth LCSWFuller, Jennifer LMHCGillespie, Rachel LMFTGlenwright, Kathryn LMSW/LMFTGordon, Natalie LMFTHenderson, Heather NPHobbs, Theresa LMSWHopkins, Geoffrey MD
Hueber, Anthony LMSWIppoliti, Lauren LMSWJohnstone, Erin LMHCJoseph, Christine LMSWKamps,Celia LCSW-R/PhDKang, David MDKelly, Megan LMHCKolodziejski, Kelly LMSW
Liu, Haizhu MDMalaney, Meaghan LMFTMcGraw, Tracy LCSWMcMahon, Catherine LMSWMiller, Margaret LMSWMurphy, Karrigan LMFTNestrenko, Marina MDNowark, Alic LMFTPfau, Taylor LCSW
Picciotto, Lisa LMSWPierce, Meaghen LMSW
Yes Yes EnglishSpanishRussian
1045 James St Syracuse, NY 13203 Phone: 315-472-4471 Fax: 315-472-1759
Credentialing Abbreviations:LCSW Lic. Clinical Social WorkerLMFT Lic. Marriage & Family TherapistLMHC Lic. Mental Health CounselorMD Medical DoctorNP Nurse PractionerPhD Doctorate of Psychology
LIBERTY RESOURCESBROWNELL CENTER FOR BEHAVIORAL HEALTH
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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(cont’d) Platt, Kristin LMSWRinko, Doug LCSW-RRood, Tammara LMFTRusso, Regina LMSWSavas, Nicole LMHCSimmons, Caitlin LMSW
Snyder, Susan LMFT/PhDSpeach, Christa LMHCWhite, Kasi LMHCWilliams, Hope LMSW
PSYCHOLOGICAL HEALTHCARE, PLLC
3300 James Street, Suite 101Syracuse, NY 13206-2325(315) 656-6871
Kathleen Cerro – LCSW Yes Yes English
601 E. Genesee St, Suite 200Syracuse, NY 13202(315) 671-0717
Denise Frampton – Pearsall – LCSWAnnette King – LCSW
Yes Yes English
890 Seventh North St, Suite 200Liverpool, NY 13088-6558
Joyce Becker – LCSWFay Meling – LCSWJoan Meyers – LCSWSusan Fabian – LCSWMadge Flynn - LCSWR
Yes Yes English
NEPHROLOGY
NEPHROLOGY ASSOCIATES OF SYRACUSE, PC
Azar, Antoine MDChaffin , Matthew G MDMangat, Smardeep MDMurthy, Bala MDOguntola, Adebowale MDOndocin, Philip MD
Yes Yes English
1304 Buckley Rd, Suite 200N Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211
Medical Center West 5700 West Genesee Street
CamillusMangat, Smardeep MD
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Suite 201Camillus, NY 13031 Phone: 315-478-3311 Fax: 315-476-5211
FayettevilleMangat, Smardeep MD
Northeast Medical Center4000 Medical Center DriveSuite 214Fayetteville, NY 13066 Phone: 315-478-3311 Fax: 315-476-5211
NEPHROLOGY (cont’d)
NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC
Yes Yes English HindiSpanish
5700 W Genesee St, Suite 105Camillus, NY 13031 Phone: 315-701-3072 Fax: 315-410-6410
CamillusGofran, Anita MDGupta, Salil MD
6846 Buckley RdN Syracuse, NY 13212 Phone: 315-410-6400 Fax: 315-410-6410
N SyracuseRao, Pawan MD
English HindiSpanish
NURSING SERVICES SKILLED IN HOME
LORETTO LICENSED AGENCY N/A Yes
177 Lawrence Rd E N Syracuse, NY 13212 Phone: 315-452-5800
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Fax: 315-703-3599FRANCISCAN LICENSED AGENCY N/A Yes
333 Butternut Dr, Suite 100Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
NEUROLOGY
CROUSE MEDICAL PRACTICE – NEUROLOGY – effective February 2017
Malak, Sami Abdul MDMa, Jianxin MD Gupta, Vikas MD Jorgensen, Tabatha PA Maloney, Colin PA
Yes Yes ArabicFrenchSpanishEnglishChinese
739 Irving Avenue, Suite 340Syracuse, NY 13210Phone: 315-470-7747
NEUROLOGICAL SURGERY
NEUROSURGICAL ASSOCIATES OF CNY LLP –d/b/a Upstate Brain & Spine – only a name change. Same Tax ID and Same NPI as previous.
Canal, Gabriella PAChin, Lawrence MDHall, Walter MDKrishnamurthy, Satish MDTovarspinoza, Zulma MDKarsten, Denise, Chiropractic-Primary Spine Specialist
Yes Yes English
725 Irving Ave, Suite 503Syracuse, NY 13210 Phone: 315-464-4470 Fax: 315-464-5520
104 Union Ave, Suite 908 Syracuse, NY 13203 Phone: 315-422-1742 Fax: 315-425-0854
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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CNY NEUROLOGICAL CONSULTING, PLLC
Flaherty-Thompson, Darren NPSadowitz, Benjamin MDShukri, Hassan MD Soto, Rose NP
Yes Yes EnglishArabicSpanish
5000 Brittonfield Pkwy, Suite A116E Syracuse, NY 13057 Phone: 315-634-5550 Fax: 315-634-5553
NABIL AZIZ, MD Aziz, Nabil MD Yes Yes English
5100 W Taft Rd., Suite 3R Liverpool, NY 13088 Phone: 315-452-2240 Fax: 315-452-2237
ONCOLOGYAgheli, Aref MDAlpert, Tracy MDBenn, Alexandria PA- Bingham, Daniel M MDBurke, Samantha NP Cherny, Richard T MDConboy, Kimberly L. NP Difino, Santo M MDFriedman, Jeffrey M. MD, PhD Gullo, John J MDHimpler, Benjamin S MD
HEMATOLOGY-ONCOLOGY ASSOC OF CNY, PC
Yes Yes English
5008 Brittonfield Pkwy, Suite 700E Syracuse, NY 13057 Phone: 315-472-7504 Fax: 315-479-8639
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Kirschner, Jeffrey J MDKligerman, Olga DOKotlove, Dennis MDKumar, Santosh MDLeubner, Jenna, NPLoper, Bridget M NPMalone, Emily NPMcNally, Lauren NPMeritz, Keith A MD Morbidini-Gaffney MDMorris, Gloria MDNiver, Kristen PANoble, Nicole NPPasniciuc, Silviu MDPichoske, Jennifer Pudusseri, Anita DORao, Archana C MDRayder, Alicia NPRichards, Troy A MD Roman, Angelie D MDScalzo, Anthony MDSitnik, Margaret, NPSousou, Tarek MDVicks, Kristen NPWong, Benny M MD Butler, James T, NP Mastropietro, Jennifer, NPWyluda, Edward, MD Rhodes-Boise,Marina, PA
Upstate at Community General Hospital4900 Broad RdSyracuse, NY 13215 Phone: 315-472-7504 Fax: 315-479-8639
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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OPTHALMOLOGY
CATARACT & EYE SPECIALISTS – Leslie D. Woodcock Jr. is now the new owner – effective Jan 2017Scheduling and billing is under Leslie D. Woodcock Jr and Cataract & Eye Specialist is inactive
Abboud, Elias OD
Woodcock Jr., Leslie MD
Yes Yes English
1304 Buckley Rd Suite 205Syracuse, NY 13212 Phone: 315-458-2020 Fax: 315-458-6522
CNY Eye Center-Leslie D. Woodcock Jr. is the owner
Woodcock Jr., Leslie MD
5100 West Taft Road, Suite 3LLiverpool, NY 13088
Phone: 315-452-2211
Specialty Surgery Center-The Outpatient Surgery Center
Woodcock Jr., Leslie MD
225 Greenfield Parkway 105Liverpool, NY 13088-6656
OPTHALMOLOGY (cont’d)
CNY EYE CARE Sveen, John MD Shiomos, Christopher ODWeisenthal, Robert MDWang, Xiaofei MD
Yes Yes English
5109 W Genesee St, Suite 102Camillus, NY 13031 Phone: 315-487-3937 Fax: 315-488-3563
5770 Commons Park Dr Dewitt, NY 13214
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Phone: 315-445-1577 Fax: 315-445-4862
5000 Brittonfield Pkwy, Suite A102East Syracuse, NY 13057 Phone: 315-432-0555 Fax: 315-445-4862
CNY RETINAL ASSOCIATES
Charles A Mango MD
Yes Yes English
1101 Erie Blvd E, Suite 210Syracuse, NY 13210 Phone: 315-218-7591 Fax: 315-218-7620
DRUGER EYE CARE Yes Yes English
5633 W Genesee St,Camillus, NY 13031 Phone: 315-488-1601 Fax: 315-488-0047
Druger, Robert K MDWallen, Maureen OD
OPTHALMOLOGY(cont’d)
EYE ASSOCIATES OF CNYGeiss II, Michael MDGeiss III, Michael MD
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Taggart, Tina MD2215 E Genesee StSyracuse, NY 13210 Phone: 315-472-5329 Fax: 315-472-3211
EYE CONSULTANTS OF SYRACUSE
Bushinger, Scott ODDeVincentis III, Anthony F MD-resigned St. Joseph’s only-2017
Dingman, Diane ODHeater, Samanatha OD Kanter, Allan MD –retired per Karen Fekete Q3 HECSpitzer, Stephen MD Teitelbaum, Charles S MD (Glaucoma Specialty) –resigned St. Joseph’s only- effective 2017
Liegel, Katharine MD
Jackowski, Mary MD- rents a space from the office of Eye Consultants. She is not part of their group. She specializes in low vision.
Yes Yes English
5792 Widewaters PlazaSyracuse, NY 13214 Phone: 315-422-4412 Fax: 315-422-4690
EYE SURGEONS OF CNY Ashlaw, Chelsea MDDexter, Justin MDStewart, Lawrence MD
Yes Yes EnglishItalianSpanish
5100 W Taft Rd, Suite 4MLiverpool, NY 13088 Phone: 315-362-3937 Fax: 315-458-7818
RETINAL-VITREOUS Surgeons of CNY
Brown, Jamin S MDHampton, Robert G MD
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Rosenburg, Kevin MDRutledge, Bryan K, MDSeth, Rajeev K, MDSpaulding III, Sam C, MD
3107 East Genesee St.Syracuse, NY 13224 Phone: 315-445-8166 Fax: 315-445-2697
SYRACUSE EYE PHYSICIANS LLPColi, Arthur P MD Hanig, Carl MD-resigned SJHHC only per Karen Fekete Q3 HEC.
Yes Yes English Italian
716 James St, Suite 4MSyracuse, Ny 13203 Phone: 315-472-4467 Fax 315-472-0197
ORTHOTICS & PROSTHETICS
CENTER FOR ORTHOTICS AND PROSTHETICS
522 Liberty St, Suite 1 Syracuse, NY 13204 Phone: 315-218-6706 Fax: 315-314-4652
Willis, Keith CPOEgli, Laura CO
Yes Yes English
ORTHOPEDIC APPLIANCES OF CNY507 E Fayette StSyracuse, NY 13202 Phone: 315-474-2464 Fax: 315-474-2465
Hettler, James N COGanley, Robert COVanGorder, Richard CO Certified Orthotist
Yes Yes English
REHAB TECHNOLOGIES OF SYRACUSE
Erie Medical Plaza, Suite 209 Syracuse, NY 13210 Phone: 315-426-9920 Fax: 315-426-1254
Hall, Jeremiah CPOHall, Michael T CPO Certified Prosthestist & Orthotist
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
OTOLARYNGOLOGY EAR-NOSE-THROAT
ADVANCED ENT PHYSICIANS & SURGEONS OF CNY
5700 W Genesee St, Suite 229 Camillus, NY 13031 Phone: 315-234-9861 Fax: 315-234-9864
Dubin, Stephen MDGordon, David MDKrieger, Lawrence MDMuseums, Rhonda NPSall, Edward MD
Yes Yes English
Northeast Medical Ctr, Suite 404 4000 Medical Center Dr Fayetteville, NY 13066 Phone: 315-671-8796 Fax: 315-637-3694
OPTOMETRY AND GLASSES
VISION WORKS d/b/a Empire Vision
125 Lawrence Rd N Syracuse, NY 13212 Phone: 315-455-5500 Fax: 315-455-8619
Yes Yes English
125 Shop City Plaza Syracuse, NY 13206 Phone: 315-463-7700 Fax: 315-463-2938
N SyracuseCatunto, Desiderio ODWolfe, James OD
2921 Erie Blvd ESyracuse, NY 13224 Phone: 315-446-5120 Fax: 315-446-5177
Shop CityGordon, Ross ODSyracuseKaplan, Steven OD
4109 W. Genesee St.Suite 100Syracuse, NY 13219
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
6859 E. Genesee St.Fayetteville, NY 13066
MCAULIFFE HEALTH CENTER
115 Creek CircleE. Syracuse, NY 13057 Phone: 315-413-3257 Fax: 315-469-4737
Campagna, Astrid OD Yes Yes English
PAIN MANAGEMENT
NEW YORK SPINE & WELLNESS CENTER
5496 East Taft Rd N Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6768
Alcuri, Raymond MDCalkins, Anne MDCatania, Joseph A MDDavis, Rina C MDEl Bayadi, Sherif G MD-effective 05/03/2016Lok, Jason MDTallarico, Eric A MDTiso, Robert L MDTrusilo, Mary MD
Yes Yes English
5719 Widewaters PkwySyracuse, NY 13214 Phone: 315-703-3480 Fax: 315-703-3481
PATHOLOGY
CROUSE HOSPITAL PATHOLOGY
736 Irving Ave N/A Yes
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Languages
Syracuse, NY 13210 Phone: 315-470-7396 Fax: 315-470-2806CLEARPATH DIAGNOSTICSCYTOLOGY OUTREACH PLLC
600 E Genesee St, Suite 305Syracuse, NY 13202 Phone: 315-234-3300 Fax: 315-234-3305
N/A Yes
ST JOSEPH'S HOSPITAL PATHOLOGY
301 Prospect Ave Syracuse, NY 13203 Phone: 315-434-9309 Fax: 315-454-0136
N/A Yes
PERSONAL EMERGENCY RESPONSE SYSTEM(PERS)
FHS SERVICES, INC.
333 Butternut Dr., Suite 100Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
N/A Yes English
MEDSCOPE AMERICA CORPORATION259 E Lancaster Ave., Suite 101Wynnewood, PA 19096 Phone: 800-645-2060 Fax: 610-896-7233
N/A Yes English
PHARMACY
KINNEY DRUGS Delivered to PACE Centers/Homes
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Languages
OMNICARE (NCS)Delivered to Loretto SNF/Respite Care
N/A Yes
Harbor Pharmacy of Utica, LLC24 West Bridge StreetOswego, NY 13126
PLASTIC SURGERY
PLASTIC & RECONSTRUCTIVE SURGERYPhone: 446-8313
Branson, Denis MD-effective 10/01/16
Yes Yes English
PODIATRY
MELISSA COHEN DPM
7750 Frontage Rd Cicero, NY 13039 Phone: 315-452-1676 Fax: 315-452-4567
Cohen, Melissa DPM Yes Yes English
MICHAEL COUCH DPM
1024 Court St Syracuse, NY 13208 Phone: 315-422-7274 Fax: 315-634-6978
Couch, Michael DPM Yes Sisters of Saint Francis ONLY
English
PODIATRY (cont’d)
RONALD D'AMICO DPM
7593 Morgan RdLiverpool, NY 13090 Phone: 315-457-2021 Fax: 315-457-2071
D'Amico, Ronald DPM Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Languages
FOOT SPECIALISTS OF CNY
5900 N Burdick St, Suite 104E Syracuse, NY 13057 Phone: 315-656-2216 Fax: 315-656-2454
Naas, Joseph DPM Saponara, Gerard DPM
Yes Yes English
S Crouse Commons, Suite 304315 S Crouse AveSyracuse, NY 13210 Phone: 315-476-7471 Fax: 315-476-1830
MCAULIFFE HEALTH CENTER Dickson, Douglas DPM
115 Creek CircleE. Syracuse, NY 13057 Phone: 315-413-3257 Fax: 315-469-4737
Yes Yes English
PRIMARY CARE-COMMUNITY BASEDUNIVERSITY GERIATRICIANS-Waiver Program
Brangman, Sharon A. MDBerg, Andrea I. MDBishop, Jeanne E. MD
Yes Yes English
550 Harrison StreetSuite ASyracuse, NY 13202Phone: 315-464-6167Fax: 315-464-5771
Dr. David T. Page, MD-Family Care Medical Group
Dr. David T. Page, MD
436 Hinsdale RdCamillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955
YES YES English
Dr. Dennis Daly, MD-Family Care Dr. Dennis Daly, MD YES YES English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Languages
Medical Group
5700 W. Genesee StreetCamillus, NY 13031 Phone: 315-487-1573
Dr. Suzanne Lamanna, DO
792 North Main StreetNorth Syracuse, NY 13212
Dr. Suzanne Lamanna, DO Yes Yes English
PSYCHIATRY / PSYCHOLOGY
See MENTAL HEALTH
PULMONOLOGY
PULMONARY HEALTH PHYSICIANS
7250 Janus Park DrLiverpool, NY 13088 Phone: 315-475-8402 Fax: 315-475-4778
546 Towne Dr.Fayetteville, NY 13066 Phone: 234-0800
Medical Center West5700 West Genesee StSuite 225Camillus, NY 13031Phone: 475-8401Fax: 475-0824
Liverpool Office:Aiello, Brianne MDAiello, Thomas R MDDowning, Edward T MDEl Bayadi, Sherif G MDFlintrop, Michael J MDSun, Xiwu (John) MD
Fayetteville Office:Downing, Edward T MDEl Bayadi, Sherif G MDFlintrop, Michael J MDSun, Xiwu (John) MD
Medical Center West:Aiello, Brianne MD
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Aiello, Thomas R MDFlintrop, Michael J MD
CROUSE LUNG PARTNERS RT SERVICES
Various Respiratory Therapists from Crouse Hospital will be working part time hours at both clinics –effective 10/01/16
RADIOLOGY
CROUSE RADIOLOGY ASSOCIATES LLP
736 Irving AveSyracuse, NY 13210 Phone: 315-470-7551 Fax: 315-470-7002
Yes Yes English
K & A RADIOLOGIC TECHNOLOGY SERVICES
Services provided at PACE Day Centers and Participant's Home(s) Phone: 315-437-1622 Fax: 315-437-3190
N/A Yes English
MEDICAL IMAGING CENTER (owned by Crouse Radiology Associates)
5008 Brittonfield Pkwy., Suite 100 E Syracuse, NY 13057 Phone: 315-470-7551 Fax: 315-470-2719
Yes Yes English
ST JOSEPH'S IMAGING
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
8280 Willett PkwyBaldwinsville, NY 13027 Phone: 315-635-6814 Fax: 315-635-6816
Yes Yes EnglishChinese
ST JOSEPH’S IMAGING(cont’d)5700 W Genesee StCamillus, NY 13031 Phone: 315-631-6555 Fax: 315-631-6559
Yes Yes EnglishChinese
4109 Medical Center DrFayetteville, NY 13066 Phone: 315-329-7555 Fax: 315-329-7559
5100 W Taft RdLiverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559
104 Union AvenueSuite 905Syracuse, NY 13203Phone: 315-703-5116Fax: 315-703-5014109 Pine StreetSyracuse, NY 13210Phone: 315-475-1669Fax: 315-475-518
PROSPECT HILL RADIOLOGY GROUP
5100 W Taft Rd Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559
Yes Yes English
301 Prospect Ave
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Languages
Syracuse, NY 13203 Phone: 315-434-9307 Fax: 315-434-9317REHABILITATION THERAPIES Physical & OccupationalBRITTONFIELD PHYSICAL THERAPY & AQUATIC THERAPY4949 Brittonfield ParkwayBuilding B, Suite 103East Syracuse, NY 13057Phone: 234-7322
Yes Yes English
LORETTO GERATIC LICENSED AGENCY
Services provided at Participant's Home(s)
N/A Yes English
PACE CNY
Services provided at PACE Day Centers
Yes Yes English
PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK
Services provided at The Villa
RESPIRATORY THERAPIES See PulmonaryRESPITEBERNARDINE
417 Churchill AveSyracuse, NY 13205 Phone: 315-378-0359 Fax: 315-469-4048
Yes Yes
HERITAGE
750 E Brighton AveSyracuse, NY 13205
Yes Yes
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Languages
Phone: 315-492-1329 Fax: 315-492-6076LORETTO HEALTH & REHAB
700 E Brighton AveSyracuse, NY 13205 Phone: 315-469-5570 Fax: 315-469-4737
Yes Yes
RHEUMATOLOGY
ARTHRITIS HEALTH ASSOCIATES
5794 Widewaters ParkwaySyracuse, NY 13214 Phone: 315-422-1513 Fax: 315-476-5950
Abdulky, Mary MDHyla, James F MDKhairallah, Ramzi MDMachovec, Heather PAMcilvain, Lynne PAModjinou, DogiMtanos, George MDRiccardi, Patrick MDRybinski, JaneSpink-Palmieri, Sheri PASlavech, Jeff PA
Yes Yes English
SKILLED NURSING FACILITY
ELDERWOOD AT LIVERPOOL
4800 Bear RdLiverpool, NY 13088 Phone: 315-457-0456 Fax: 315-457-8290
Yes Yes
LORETTO HEALTH & REHAB
700 E Brighton Ave Syracuse, NY 13205 Phone: 315-469-5570 Fax: 315-469-4737
Yes Yes
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
VAN DUYN HOME & HOSPITAL
5075 W Seneca TnpkSyracuse, NY 13215 Phone: 315-435-7884 Fax: 315-435-5520
Yes Yes
SPEECH THERAPY
FRANCISCAN HEALTH SUPPORT
333 Butternut Dr., Suite 100Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
Farsaci, Amy SLP Speech Language PathologistLeclair, Amy SLP Speech Language Pathologist
Yes Yes English
SUBSTANCE ABUSE
CROUSE CHEMICAL DEPENDENCY SERVICES (OUTPATIENT)
410 S Crouse Ave, Suite 3Syracuse, NY 13210 Phone: 315-470-8304 Fax: 315-470-8378
Yes Yes English
CROUSE CHEMICAL DEPENDENCY SERVICES (INPATIENT)
Commonwealth Place6010 E Molloy RdSyracuse, NY 13211 Phone: 315-434-2470 Toll Free: 800-727-6873
Yes Yes English
CROUSE CHEMICAL DEPENDENCY SERVICES (INPATIENT )
Crouse Hospital736 Irving Ave Syracuse, NY 13210
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Phone: 315-470-8401SUBSTANCE ABUSE (con’t)
ST JOSEPH'S HOSPITAL OUTPATIENT
301 Prospect AveSyracuse, NY 13203 Phone: 315-448-5111
Yes Yes
SURGERY - GENERAL
CNY SURGICAL PHYSICIANS PC
739 Irving Ave., Suite 450Syracuse, NY 13210 Phone: 315-470-7364 Fax: 315-470-7495
Ahmed, Akbar MDAnderson, Brian P MD-resigned Upstate only-2017
Barker, Stephen MDCongelli, Tammy J MD-resigned Upstate only-2017
Cooper, Kenneth A DODeSimone, Jeffrey M MDHartzheim, Thomas S MDLeary, Brandie NPMendel, Herbert E MDSadowitz, Benjamin MDSartori, James MDSchu, William E MDTyler, David B MDWalker, Tracy NP
Yes Yes English
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Surgical Services
Certo, Thomas MDDentes, Evan MDSilvakuman, Balasurbramanian “Kumar” MD
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Oliva, Anthony MDKort, Kara MDMaini, Atul MDStevens, Carol MDWebb, Travis MD
4117 Medical Center Drive, Suite 117Fayetteville, NY 13066315-634-3399
5100 W. Taft Road, Suite 2ELiverpool, NY 13088315-634-3399
SURGERY – GENERAL (con’t)Surgery Centers
NORTH SURGERY CENTER (St. Joseph’s)
5100 W. TAFT RD.LIVERPOOL, NY, 13088Phone: 315-703-5400Fax: 315-744-1997
NORTHEAST SURGERY CENTER(St. Joseph’s)
4208 MEDICAL CENTER DRFAYETTEVILLE, NY 13066-6642Phone: 315-329-2500Fax: 315-744-1944
SPECIALTY SURGERY CENTER OF CNY225 Greenfield Pkwy, Suite 105 Liverpool, NY 13088 Phone: 315-451-6911 Fax: 315-451-1540
Yes Yes
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
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Languages
SURGICAL CARE WEST
5700 W Genesee St., Suite 201N Camillus, NY 13031 Phone: 315-488-5588 Fax: 315-488-2489
Neulander, Ovid MD-resigned St. Joseph’s only-2017
Resetarits, Dennis MD
Yes Yes English
SURGICAL CARE EAST
4900 Broad RoadPhysicians Building NSuite 44Syracuse, NY 13215 Phone: 315-492-5777 Fax: 315-492-5892
Resetarits, Dennis MD
SURGERY - ORAL
ST JOSEPH'S HOSPITAL DENTAL OFFICE
101 Union Ave, Suite 714Syracuse, NY 13203 Phone: 315-448-5477 Fax: 315-448-6314
Dental Residents under guidance of attending Dentist
Yes Yes
SURGICAL ORTHOPEDICS
DR AUGUST BUERKLE
5100 W. Taft Rd Suite 2RLiverpool, NY 13088 Phone: 315-457-4400 Fax: 315-457-3400
Buerkle, August MDHootnick, David MD
Yes Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
SYRACUSE ORTHOPEDIC SPECIALISTS PC (S0S)
8276 Willett Pkwy, Suite 102 Baldwinsville, NY 13027-office closed effective 09/15/17 Phone: 315-883-4915 Fax: 315-638-2214
Yes Yes English French Spanish
5700 W Genesee St., Suite 225 Camillus, NY 13031 Phone: 315-487-4876 Fax: 315-484-9609
BaldwinsvilleCullinan, Melissa PADiStefano, Richard MDDuggal, Naven MDEverding, Nathan MDFatti , Christopher J DPMIzant, Timothy H MDLemley, J Alan MDMahon, Lisa PASmith, Nikki PAVanArnam, Thomas PAWnorowski, Daniel C MD
SYRACUSE ORTHOPEDIC SPECIALISTS PC (S0S) (con’t)
CamillusBattaglia, Todd C MDBogosian, Stephen P MDBome, Michael P PTCambareri, John J MDCullinan, Melissa PADoolittle, Terri NPDuggal, Naven MDFatti, John F MDLake, Kevin PALeavitt, Gary MDNewman, P James MDNoble Jr, Edward R MDRiggs, Cassandra MD
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
5586 Legionnaire DrCicero, NY 13039-office closed effective 09/15/17
Phone: 315-487-4876 Fax: 315-698-7744
CiceroBogosian, Stephen P MDButler, Melissa NPGreenky, Seth S MDLemley, Frederick MDLemley, J. Alan MDLoVallo, Sean PAMahone, Lisa PANewman, P James MDSharkey, Janice NPShort, Walter H MD
Yes Yes EnglishFrenchSpanish
4115 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7600 Fax: 315-329-7608
FayettevilleAxelrod, Glenn B MDFatti, Christopher J MDGreenky, Brett B MDGreenky, Seth S MDLampert, Mary Anne PAMerluzzi, Jill PAMurphy, Daniel J MDParker, John F MDSmart, L Ryan MD
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
5100 W Taft RdLiverpool, NY 13088 Phone: 315-452-2120 Fax: 315-452-2118
Liverpool,Axelrod , Glenn B MDGreenky, Brett B MDFitzgerald, Michael MD-effective 08/01/16Lampert, Mary Anne PAMerluzzi, Jill PAMurphy, Daniel J MDPaidy, Srinivas MD-effective 03/01/17Parker John F MD,Smart, L Ryan MD
Yes
5496 E Taft Rd, Suite C N Syracuse, NY 13212 Phone: 315-883-5881 Fax: 315-449-9923
N SyracuseBianco, Aaron MDCullinan, Melissa PADiStefano, Richard MDDuggal, Naven MDFatti, Christopher J DPMHanafin, Craig PALake, Kevin PALampert, Mary Anne PALemley, Frederick MDLoVallo, Sean PAMarcinkowski, Amy MDMerluzzi, Jill PAParmeter, Kristin NPSchielke, Jodie DOVanArnam, Thomas PAVerrette, Kristin PAWnorowski, Daniel C MDWulff , Warren E MD
Yes EnglishFrenchSpanish
5000 W Seneca TurnpikeSyracuse, NY 13215 Phone: 315-492-3636
SyracuseAmes, Sarah PABogosian, Stephen P MD
Yes
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Fax: 315-492-8787 Butler, Melissa NPCambareri, John J MDClarke, Michael T MDCooke, C Perry MDCullinan, Melissa PADuggal, Naven MDEverding, Nathan MDFatti, Christopher J DPMHook, Stephanie R DPM-effective 11/1/16Keyes, David PALemley, Frederick MDLisick, Daria PALoVallo, Sean PANewman, P James MDSharkey, Janice NPShort, Walter H MDVella, I Michael MD
5719 Widewaters Pkwy Dewitt, NY 13214 Phone: 315-251-3100 Fax: 315-251-3272
WidewatersAll Providers Listed Above Including:Balmir, Marvin PACallahan, Adam PACoffey, Joseph PAColaneri, Mark W PAConnor, Benjamin PADinh, Khanh PADiStefano, Richard MDGoff, Linda NPGroat, Lindsay PAHarris, Helen PAHood, Matthew D PAIzzo, Nicole PAJennings, Julian PAJones, Nicole PAKibby, David A PAKieb, Steven PAKopko, Kevin MDLoVallo, Hannah PAMarcinkowski, Amy MDMarshall, Todd A PA
Yes Yes EnglishFrenchSpanish
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Masterson, Bryan PAMunson-Burke, Michael PAPflugh, Deborah NPRiggs, Cassandra MDSchielke, Jodie DOScioscia, Charles F MDScozzari, Mary Anne PASharma, Aaron MDSherwood,James W MDSmart, Lawson Ryan MDSojewicz, Joseph PAVerrette, Kristin PAWeaver, Brandon PAWolfenden, Brandon PA
8100 Oswego Rd, Suite 105Liverpool, NY 13090-office closed effective 09/15/17
Phone: 315-703-4000
Yes English French Spanish
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
475 Irving Avenue, Suite 418Syracuse, NY 13210 Phone: 315-475-3999 Fax: 315-475-4014
Raphael, Bradley MDRaphael, Irving MD
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
8324 Oswego Rd, Suite BLiverpool, NY 13090 Phone: 315-418-4188Effective 09/18/17
Ames, Sarah A. (PAC) Axelrod, Glenn B (MD) Battaglia, Todd C (MD) Bogosian, Stephen P (MD) Butler, Melissa R (NP-C) Cambareri, John J (MD) Cooke, C. Perry III (MD) Cullinan, Melissa A (PA) Everding, Nathan G. (MD) Fatti, Christopher J. (DPM) Fitzgerald, Michael G. (MD) Greenky, Seth S (MD) Izant, Timothy H (MD) Kopko, Kevin A (MD) Lake, Kevin C. (RPA-C) Lemley, James Alan (MD) Mahon, Lisa Doyle (PA) Newman, P. James (MD) Parker, John F (MD) Pflugh, Deborah B. (NP) Raphael, Bradley S. (MD) Raphael, Irving G. (MD) Riccelli, James P (PT) Riggs, Cassandra MDScozzari, Mary K (RPA-C) VanArnam, Thomas W (PA) Weaver, Brandon M (PA) Wnorowski, Daniel C. (MD)
Crouse Neurosciences Harris, Collin MD Yes
TELEMONITORING Yes English
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
Telehealth Franciscan Companies; Health Care Management Administration, Inc.
N/A
THORACIC / VASCULAR SURGERY
Yes English
VASCULAR SURGEONS OF CNY PLC-joined St. Joseph’s Surgical Services (TIN 273899821)
104 Union Ave., Suite 1005Syracuse, NY 13203 Phone: 315-424-0790 Fax: 315-475-0916
Carlin, Robert MDKahn, Muhammad A., MD
Riley, J Timothy MDSemel, Lawrence MDZaman, Syed MD
Yes
Yes English
St. Joseph’s Medical PC d/b/a Cardiac Surgery Division of Vascular, Cardiac & Thoracic
Nazem, Ahmad MDGreen, Randall MD-resigned Upstate only-2017
Lutz, Charles MDZhou, Zhandong
104 Union Ave, Suite 1005Syracuse, NY 13203
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Thoracic Surgeons
Wormuth, David MDYerkes, Nicholas
104 Union Ave, Suite 804Syracuse, NY 13203P: 315-475-8409F: 315-703-5097
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
NORTH AREA VOLUNTEER AMBULANCE CORPS (NAVAC)
603 N Main StreetN Syracuse, NY 13212 Phone: 315-458-7514
N/A Yes English
Eastern Paramedics previously RURAL METRO MEDICAL SERVICES – now owned by American Medical Response
488 W Onondaga StSyracuse, NY 13202 Phone: 315-255-1146
N/A Yes English
TRANSPORTATION - Non-Emergency
PACE-CNY Center Sally Coyne
100 Malta LaneN Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-452-5739
Yes Yes English
PACE-CNY Center McAuliffe
115 Creek CircleE. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737
Yes Yes English
UROLOGY
UPSTATE UROLOGY INC
750 E Adams StSyracuse, NY 13210 Phone: 315-464-1500 Fax: 315-464-6103
Bratslavsky, Gennady MDKhanna, Rakesh MDMakhuli, Zah MDNikolavsky, Dmitriy MD
Yes Yes English RussianFrench
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PACE CNY PROVIDER NETWORKSPECIALITY PROVIDER NAME W/C
AccessNew Patients
Languages
550 Harrison StSyracuse, NY 13202 Phone: 315-464-1500 Fax: 315-464-6103
Riddell, Jonathan MDShapiro, Oleg MDTrussel, J C MD
4900 Broad Rd., Suite 4VSyracuse, NY 13215 Phone: 315-492-3700 Fax: 315-492-3596
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