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PACE CNY PROVIDER NETWORK SPECIALITY PROVIDER NAME W/C Access New Patien ts Languages ACUPUNCTURE 7 TH GENERATION RUI WANG, LLC Yes Yes English Chinese 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 ALLERGY IMMUNOLOGY ALLERGY, ASTHMA, RHEUMATOLOGY ASSOC Yes Yes English 5793 Widewaters Parkway Suite 250 Syracuse, NY 13214 Phone: 478-2339 Sheehan, Michael MD Singh, Harcharan MD ANESTHESIOLOGY CNY ANESTHESIA GROUP/American Anesthesiology of New York Gaffney, Joseph MD Joseph, Cyriac MD Khan, Rashid MD N/A Yes English /home/website/convert/temp/convert_html/608959a6ccdb095a59105dfb/document.docx1/8/2022 1

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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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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Languages

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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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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Languages

(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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Languages

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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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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Languages

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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Languages

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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Languages

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

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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

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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

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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

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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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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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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

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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

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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

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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

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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

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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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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

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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

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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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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

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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

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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

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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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