pace cny provider network
TRANSCRIPT
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
ACUPUNCTURE
7TH 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
AMERICAN ANESTHESIOLOGY OF NEW YORK PC
Gaffney, Joseph MD Joseph, Cyriac MD Khan, Rashid MD Mostrom, James MD Santos, Kenneth DO Lubinga, Stanley
N/A Yes English
725 Irving Ave, Suite 402 Syracuse, NY 13210 Phone: 315-470-8705 Fax: 315-470-5811
AUDIOLOGY SERVICES
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
EAR Q Keller, Edward RHAD Wood, 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 Street Liverpool, NY 13088 Phone: 315-451-7221 Fax: 315-457-1223
Porter, Catherine RHAD Registered Hearing Aide Dispenser Bagley, Erin Audiologist Thomas, Lisa Audiologist
CARDIOLOGY
CARDIAC ELECTROPHYSIOLOGY CONSULTANTS LLC The Heart Group of Syracuse
Hospital Affiliations: Crouse St. Josephs Upstate
Yes Yes English
6700 Kirkville Rd, Suite 203 East Syracuse, NY 13057 Phone: 315-277-2707 Fax: 315-277-2707
Ahmed, Jamal J MD Anghel, Traian MD
CARDIOLOGY (cont’d)
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
CARDIOVASCULAR GROUP OF SYRACUSE North Medical Cardiovascular Group d/b/a Cardiovascular Group of Syracuse
Hospital Affiliations: St. Joseph’s St. Joseph’s Medical PC
Yes Yes English
4507 Medical Center Dr Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0511
Fayetteville Office Charlamb, Mark J MD Derrick, Lauren C NP Kenien, Gregory G MD Nardone, Christopher MD Waters, Theresa, DO Weinberg, Andrew DO
5100 W Taft Rd, Suite 4J Liverpool, NY 13088 Phone: 315-701-2170 Fax: 315-701-2186
Liverpool Office Aiello, Dana MD Charlamb, Larry S MD Derrick, Lauren C NP Mendzef, Scott D NP Nayeri, Albert Nima MD O'Hern, Matthew S MD Perla, Charles MD Weinberg, Andrew DO
Syracuse Khan, Sheryl L PA
PACE CNY PROVIDER NETWORK
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
COMMUNITY CARDIOLOGY Upstate University at Community 5415 West Genesee St Suite 201, Camillus, NY 13031 Phone: 315-214-5788 Fax: 315-314-6416
Hospital Affiliations: Upstate University at Community Alberti, Martha NP Jaffe, Norman D MD Martinez, 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 MD El-Khally, Ziad MD Fuleihan, Daniel MD Gabris, Michael MD Lozner, Eugene MD Nayeri, Albert MD Zhang, Yi MD Kircher, Barbara MD
Yes Yes English Spanish
6221 Route 31, Suite 112 Cicero, NY 13039 Phone: 315-752-0100 Fax: 315-752-0104
1000 E Genesee St Syracuse, NY 13210 Phone: 315-471-1044 Fax: 315-474-4312
CARDIOLOGY (cont’d)
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
SJH Cardiac Catheterization Assoc. dba SJH CARDIOLOGY ASSOCIATES 4820 West Taft Rd. Suite 209 Liverpool, NY 13088 315-448-6215 Fax: 234-4417
Hospital Affiliations: St. Josephs Iqbal, Uzma MD Ranjbaran-Jahromi, Hooman MD Kazzaz, Nelly MD Simons, Alan MD Grady, Thomas MD Trent, Ross PA Jamal Ahmed, MD- Traian Anghel, MD – Jamie Nelson, PA Bowser, Ryan, PA Migeed, Magdy M. MD
Yes English
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Cardiovascular Specialists;
St. Joseph’s Medical PC
Iskander, Ayman MD Amin, Nishith MD Erich, Dennis MD Fischi, Michael MD Silverman, Russell MD
4939 Brittonfield Parkway, Suite 202 East Syracuse, NY 13057 315-634-6699
Al-Mudamgha, Ali Caputo, Ronald Simons, Alan
COLON & RECTAL SURGERY
COLON RECTAL ASSOCIATES OF CNY, LLP
Halleran, David R MD Moffa, Michael A MD Nesbitt, David A MD
Yes
Yes
English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
North Medical Center 5100 W Taft Rd., Suite 4A Liverpool, NY 13088 Phone: 315-458-2211 Fax: 315-452-9025
Nicholson, John D MD Plocek, Margaret D MD Ziegler, J Alan MD
COLON & RECTAL SURGERY (cont’d)
COLON RECTAL ASSOCIATES OF CNY, LLP (cont’d)
Upstate at Community General Hospital Physician Office Bldg., South, Suite 3F 4900 Broad Rd. Syracuse, NY 13215 Phone: 315-492-5860 Fax: 315-492-5135
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
CONSUMER DIRECTED PERSONAL ASSISTANCE FISCAL INTERMEDIARIES
ARISE Yes Yes English
635 James St Syracuse, NY 13203 Phone: 315-472-3171 Fax: 315-472-9252
ACCESSCNY Yes Yes English
4000 Medical Center Dr., Suite 108 North East Medical Center 1603 Court St Syracuse, NY 13208 Phone: 315-455-7591 Fax: 315-454-4611
MAXIM OF NEW YORK Yes Yes English
1101 West Genesee St., Suite 3 Syracuse, NY 13204 Phone: 315-476-0600 Fax: 315-476-4700
DAY CENTER SERVICES - MEDICAL
LORETTO ADULT DAY HEALTH CARE
Yes Yes English
700 East Brighton Avenue Syracuse, NY 13205 Phone: 315-498-4405 Fax:
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
DAY CENTER SERVICES - PACE
Yes Yes English
MCAULIFFE DAY CENTER PACE-CNY
Yes Yes English
115 Creek Circle E. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737
SALLY COYNE DAY CENTER PACE-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 St Syracuse, NY 13204 Phone: 315-477-9239 Fax: 315-671-5155
DENTAL
CATHERINE MCAULIFFE DENTAL Shivanand, Bharathi DDS Yes Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
115 Creek Circle E. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737
ORION DENTAL Bello, Adesuwa DDS Herman, Gregory DDS Pullano, William DDS
Yes Yes English Spanish
3881 State Route 31, Suite 4 Liverpool, 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 Farah, Ramsey MD
Yes Yes English Arabic French
1000 E Genesee St., Suite 601 Syracuse, NY 13210 Phone: 315-422-8331 Fax: 315-422-3129
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Housel Dermatology 7293 Buckley Road Suite 102 North Syracuse, NY 13212 Phone: 315-452-3376
Housel, Joseph MD Johnson, Elizabeth PA
Yes Yes English
DURABLE MEDICAL EQUIPMENT/SUPPLIES
FRANCISCAN HEALTH SUPPORT SERVICES, LLC
N/A Yes English
333 Butternut Dr., Suite 100 Dewitt, 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
ST JOSEPH'S HOSPITAL HEALTH CENTER
Yes Yes
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
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 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 Street Manlius, NY 13104 Phone: 315-469-3373 Fax: 315-682-2150
Sangani, Geeta MD Yes Yes English
GASTROENTEROLOGY
ASSOCIATED GASTROENTEROLOGYISTS OF CNY
Alder, Kathryn, NP Bailey, Margaret, MD Edison, Scott A MD Granato, Christine MD Hawthorne, Lisa NP Koh, Theodore MD Lee, Thomas C MD Nizam, Rayees MD Sun, John DO Tifft, James G MD Xu, Qun NP
Yes Yes English
4939 Brittonfield Pkwy, Suite 209 E Syracuse, NY 13057 Phone: 315-218-0085 Fax: 315-218-0087
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
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 2U Liverpool, NY 13088 Phone: 315-452-2214 Fax: 315-452-2217
260 Township Blvd, Suite 20 Camillus 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 MD Curreri, Carol NP Diliberto, Judy PA Epstein, Robert MD Laing, Aran MD Lee, Young MD Gosselin, Sara MD Romano, Matthew MD Romano, Thomas MD
Yes Yes English Ukrainian Russian
5000 Brittonfield Pkwy Suite A120 E. Syracuse, NY 13057 Phone: 315-452-3235 Fax: 315-452-5726
5112 W Taft Rd, Suite E Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-452-5726
Gleason-Desimone, Sarah NP Gaulke, Carolyn NP Romano, Thomas MD
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
GERIATRICIANS
UNIVERSITY GERIATRICIANS-Waiver Program
Brangman, Sharon A. MD Berg, Andrea I. MD Bishop, Jeanne E. MD
Yes Yes English
550 Harrison Street Suite A Syracuse, NY 13202 Phone: 315-464-6167 Fax: 315-464-5771
GYNECOLOGY
GYNECOLOGY & UROGYNECOLOGY CENTER
Badalian, Samuel MD Yes Yes English Armenian French Russian
104 Union Ave, Suite 803 Syracuse, NY 13203 Phone: 315-701-5757 Fax: 315-476-8519
COMPREHENSIVE GYNECOLOGY Adelson, Mark D MD Olson, Dina PA
Yes Yes English
770 James Street Suite 100B Syracuse, NY 13203 Phone: 315-423-4222 Fax: 315-423-0305
HOMEBOUND MEALS & MEALS ON WHEELS (MOW)
BALDWINSVILLE MOW N/A Yes
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
76 Canton St Baldwinsville, 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 St N Syracuse, NY 13212 Phone: 315-452-1402
SYRACUSE JEWISH FAMILY SERVICE
N/A Yes
4101 E Genesee St Syracuse, 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
HOME HEALTH AIDE SERVICE
Including Personal Care & Homemaker Services
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
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 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
HOSPITAL SERVICES In-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 Ave Syracuse, NY 13210 Phone: 315- 464-6340
INFUSION SERVICES
CNY INFUSION SERVICES N/A Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
333 Butternut Dr., Suite 102 Dewitt, NY 13214-1981 Phone: 315-424-7027 Fax: 315-424-7638
CRITICAL CARE SYSTEMS OF NEW YORK
N/A Yes English
15 Technology Place E 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 PACE Day Centers Phone: 315-461-3036 Fax: 315-461-3030
LANGUAGE & INTERPRETING SERVICES
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
EMPIRE INTERPRETING SERVICES 518 James Street Syracuse, NY 13203 Phone: 315-472-1383 Fax: 315-472-8032
Yes Yes English Albanian Arabic Azari Bosnian Brazilian Port Burmese Cambodian Cantonese Chinese Creole Croatian Czech Dari Dinka Farsi French German Guzari Haitian Creole Hebrew Hindi Indian Iranian Japanese Katchi Khmer Kirundi Laotian (Lao) Lebanese Luo Macedonian Mandarin
LANGUAGE & INTERPRETING SERVICES (cont’d)
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
EMPIRE INTERPRETING SERVICES (Cont'd)
Mauritian Nepali Polish Portuguese Punjabi Pushto/Pashto Romanian Russian Serbian SerboCroatian Sign Language Sindhi Spanish Thai Tosk Turkish Urdu Ukrainian Vietnamese
MENTAL HEALTH SERVICES
ROGER G LEVINE, MD Levine, Roger G MD Tarallo, Hannah NP
Yes Yes English
4914 W Seneca Tnpk Syracuse, NY 13215 Phone: 315-469-2827 Fax: 888-224-8297
MARK MATLOFF, PhD Matloff, Mark PhD Doctorate in Psychology
Yes Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
409 Standish Dr Syracuse, NY 13224 Phone: 315-446-3101
LEONARD R PHILLIPS, LCSW Phillips, Leonard R LCSW Lic. Clinical Social Worker
Yes Yes English
36 Reed St Marcellus, NY 13108 Phone: 315-289-7689 Fax: 315-673-0840
NEAL QUARTIER, PhD Quartier, Neal PhD LCSW Lic. Clinical Social Worker
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 Ave Syracuse, NY 13203 Phone: 315-422-6548
MENTAL HEALTH SERVICES (cont’d)
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
LIBERTY RESOURCES BROWNELL CENTER FOR BEHAVIORAL HEALTH
Agama, Efrain LMFT Alberts, Kate LMHC
Barnes, JoAnne LMSW
Burnside, Scott NP Carr, Darlene LMSW
Clifford, Alicia LMSW Feldman, Robert LMHC/PhD
Fryar, Khira LMSW
Gaspe, Alyssa LMSW Gehrig, Madeline LMHC
Golden, Rachel LMHC
Gordon, Natalie LMFT Henderson, Heather NP Hopkins, Geoffrey MD
Hueber, Anthony LMSW Johnstone, Erin LMHC Kamps, Celia LCSW-R/PhD Kang, David MD Kelly, Megan LMHC
Liu, Haizhu MD Malaney, Meaghan LMFT Miller, Margaret LMSW Misiaszek, Catherine LMHC
Murphy, Karrigan LMFT Nestrenko, Marina MD
Piorkowski, Leah LMHC Platt, Kristin LMSW
Rogalia, Elizabeth LMSW Sadek, Marianne LMSW
Simmons, Caitlin LMSW
Snyder, Susan LMFT/PhD Stashkiv, Taras LMHC
Williams, Hope LMSW
Yes Yes English Spanish Russian
1045 James St Syracuse, NY 13203 Phone: 315-472-4471 Fax: 315-472-1759 Credentialing Abbreviations: LCSW Lic. Clinical Social Worker LMFT Lic. Marriage & Family Therapist LMHC Lic. Mental Health Counselor MD Medical Doctor NP Nurse Practioner PhD Doctorate of Psychology LIBERTY RESOURCES BROWNELL CENTER FOR BEHAVIORAL HEALTH
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
(cont’d)
PSYCHOLOGICAL HEALTHCARE, PLLC
3300 James Street, Suite 101 Syracuse, NY 13206-2325 (315) 656-6871
Kathleen Cerro – LCSW Yes Yes English
601 E. Genesee St, Suite 200 Syracuse, NY 13202 (315) 671-0717
Denise Frampton – Pearsall – LCSW Annette King – LCSW Joel Richman—PhD
Yes Yes English
890 Seventh North St, Suite 200 Liverpool, NY 13088-6558
Joyce Becker – LCSW Fay Meling – LCSW Joan Meyers – LCSW Susan Fabian – LCSW Madge Flynn - LCSWR
Yes Yes English
NEPHROLOGY
NEPHROLOGY ASSOCIATES OF SYRACUSE, PC
Azar, Antoine MD Chaffin , Matthew G MD Mangat, Smardeep MD Murthy, Bala MD Oguntola, Adebowale MD Ondocin, Philip MD
Yes Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
1304 Buckley Rd, Suite 200 N Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211
Medical Center West 5700 West Genesee Street Suite 201 Camillus, NY 13031 Phone: 315-478-3311 Fax: 315-476-5211
Camillus Mangat, Smardeep MD Fayetteville Mangat, Smardeep MD
Northeast Medical Center 4000 Medical Center Drive Suite 214 Fayetteville, NY 13066 Phone: 315-478-3311 Fax: 315-476-5211
NEPHROLOGY (cont’d)
NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC
Yes Yes English Hindi Spanish
5700 W Genesee St, Suite 105 Camillus, NY 13031 Phone: 315-701-3072 Fax: 315-410-6410
Camillus Gupta, Salil MD
6846 Buckley Rd N Syracuse, NY 13212 Phone: 315-410-6400 Fax: 315-410-6410
N Syracuse Rao, Pawan MD
English Hindi Spanish
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
NURSING SERVICES SKILLED IN HOME
LORETTO LICENSED AGENCY N/A Yes
177 Lawrence Rd E N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-703-3599
FRANCISCAN LICENSED AGENCY N/A Yes
333 Butternut Dr, Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
NEUROLOGY
CROUSE MEDICAL PRACTICE – NEUROLOGY – effective February 2017
Malak, Sami Abdul MD Ma, Jianxin MD Gupta, Vikas MD Jorgensen, Tabatha PA Maloney, Colin PA
Yes Yes Arabic French Spanish English Chinese
739 Irving Avenue, Suite 340 Syracuse, NY 13210 Phone: 315-470-7747
NEUROLOGICAL SURGERY
NEUROSURGICAL ASSOCIATES OF CNY LLP –d/b/a Upstate Brain & Spine
Canal, Gabriella PA Chin, Lawrence MD Hall, Walter MD Krishnamurthy, Satish MD
Yes Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
725 Irving Ave, Suite 503 Syracuse, NY 13210 Phone: 315-464-4470 Fax: 315-464-5520
Tovarspinoza, Zulma MD Karsten, Denise, Chiropractic-Primary Spine Specialist
104 Union Ave, Suite 908 Syracuse, NY 13203 Phone: 315-422-1742 Fax: 315-425-0854
CNY NEUROLOGICAL CONSULTING, PLLC
Flaherty-Thompson, Darren NP Sadowitz, Benjamin MD Shukri, Hassan MD Soto, Rose NP
Yes Yes English Arabic Spanish
5000 Brittonfield Pkwy, Suite A116 E 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
ONCOLOGY
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
HEMATOLOGY-ONCOLOGY ASSOC OF CNY, PC
Agheli, Aref MD Alpert, Tracy MD Cobb, Alexandria PA- Bingham, Daniel M MD Burke, Samantha NP Capria, Elsa M.L. NP Cherny, Richard T MD Colosimo, Autumn NP Conboy, Kimberly L. NP Coughlin, Alexis B NP Friedman, Jeffrey M. MD, PhD Himpler, Benjamin S MD Kirschner, Jeffrey J MD Kligerman, Olga DO Kotlove, Dennis MD Kumar, Santosh MD Leubner, Jenna, NP Loper, Bridget M NP Malone, Emily NP McNally, Lauren NP Meritz, Keith A MD Morbidini-Gaffney MD Morris, Gloria MD Niver, Kristen PA Noble, Nicole NP Pasniciuc, Silviu MD Pichoske, Jennifer Pudusseri, Anita DO Rao, Archana C MD Rayder, Alicia NP
Yes Yes English
5008 Brittonfield Pkwy, Suite 700 E Syracuse, NY 13057 Phone: 315-472-7504 Fax: 315-479-8639
Upstate at Community General Hospital 4900 Broad Rd Syracuse, NY 13215 Phone: 315-472-7504 Fax: 315-479-8639
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Richards, Troy A MD Roman, Angelie D MD Scalzo, Anthony MD Sitnik, Margaret, NP Sousou, Tarek MD Vicks, Kristen NP Wong, Benny M MD Butler, James T, NP Mastropietro, Jennifer, NP Weiler, Kristen, NP Wyluda, Edward, MD Rhodes-Boise,Marina, PA
OPTHALMOLOGY
CATARACT & EYE SPECIALISTS –
Abboud, Elias OD Woodcock Jr., Leslie MD
Yes Yes English
1304 Buckley Rd Suite 205 Syracuse, NY 13212 Phone: 315-458-2020 Fax: 315-458-6522
CNY Eye Center-
Woodcock Jr., Leslie MD
5100 West Taft Road, Suite 3L Liverpool, NY 13088 Phone: 315-452-2211
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Specialty Surgery Center- The Outpatient Surgery Center
Woodcock Jr., Leslie MD
225 Greenfield Parkway 105 Liverpool, NY 13088-6656
OPTHALMOLOGY (cont’d)
CNY EYE CARE Sveen, John MD Shiomos, Christopher OD Weisenthal, Robert MD Wang, Xiaofei MD
Yes Yes English
5109 W Genesee St, Suite 102 Camillus, NY 13031 Phone: 315-487-3937 Fax: 315-488-3563
5770 Commons Park Dr Dewitt, NY 13214 Phone: 315-445-1577 Fax: 315-445-4862
5000 Brittonfield Pkwy, Suite A102 East 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 210 Syracuse, NY 13210 Phone: 315-218-7591 Fax: 315-218-7620
DRUGER EYE CARE Yes Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
28
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
5633 W Genesee St, Camillus, NY 13031 Phone: 315-488-1601 Fax: 315-488-0047
Druger, Robert K MD Wallen, Maureen OD
OPTHALMOLOGY (cont’d)
EYE ASSOCIATES OF CNY Geiss II, Michael MD Geiss III, Michael MD Taggart, Tina MD
Yes Yes English
2215 E Genesee St Syracuse, NY 13210 Phone: 315-472-5329 Fax: 315-472-3211
EYE CONSULTANTS OF SYRACUSE Bushinger, Scott OD DeVincentis III, Anthony F MD Dingman, Diane OD Heater, Samanatha OD Kanter, Allan MD Moore, Michael MD Spitzer, Stephen MD Teitelbaum, Charles S MD (Glaucoma Specialty) – 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 Plaza Syracuse, NY 13214 Phone: 315-422-4412 Fax: 315-422-4690
EYE SURGEONS OF CNY Ashlaw, Chelsea MD Dexter, Justin MD Stewart, Lawrence MD
Yes Yes English Italian Spanish
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
29
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
5100 W Taft Rd, Suite 4M Liverpool, NY 13088 Phone: 315-362-3937 Fax: 315-458-7818
RETINAL-VITREOUS Surgeons of CNY
Brown, Jamin S MD Hampton, Robert G MD Rosenburg, Kevin MD Rutledge, Bryan K, MD Seth, Rajeev K, MD Spaulding III, Sam C, MD
3107 East Genesee St. Syracuse, NY 13224 Phone: 315-445-8166 Fax: 315-445-2697
SYRACUSE EYE PHYSICIANS LLP Coli, Arthur P MD Hanig, Carl MD
Yes Yes English Italian
716 James St, Suite 4M Syracuse, Ny 13203 Phone: 315-472-4467 Fax 315-472-0197
ORTHOTICS & PROSTHETICS
ORTHOPEDIC APPLIANCES OF CNY
507 E Fayette St Syracuse, NY 13202 Phone: 315-474-2464 Fax: 315-474-2465
Hettler, James N CO Ganley, Robert CO VanGorder, 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 CPO Hall, Michael T CPO Certified Prosthestist & Orthotist
Yes Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
30
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
OTOLARYNGOLOGY EAR-NOSE-THROAT
ADVANCED ENT PHYSICIANS & SURGEONS OF CNY
Dubin, Stephen MD Gordon, David MD Krieger, Lawrence MD Museums, Rhonda NP Sall, Edward MD
5700 W Genesee St, Suite 229 Camillus, NY 13031 Phone: 315-234-9861 Fax: 315-234-9864
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
N Syracuse Catunto, Desiderio OD Wolfe, James OD
Yes Yes English
125 Shop City Plaza Syracuse, NY 13206 Phone: 315-463-7700 Fax: 315-463-2938
2921 Erie Blvd E Syracuse, NY 13224 Phone: 315-446-5120 Fax: 315-446-5177
Shop City Gordon, Ross OD Syracuse Kaplan, Steven OD
4109 W. Genesee St. Suite 100 Syracuse, NY 13219
6859 E. Genesee St. Fayetteville, NY 13066
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
MCAULIFFE HEALTH CENTER
115 Creek Circle E. Syracuse, NY 13057 Phone: 315-413-3257 Fax: 315-469-4737
Kass, Howard J. 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 MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD
Yes
Yes
English
5719 Widewaters Pkwy Syracuse, NY 13214 Phone: 315-703-3480 Fax: 315-703-3481
Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
5417 West Genesee St, Suite 1 Camillus, NY 13031 Phone: 315-432-4900
Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD
PATHOLOGY
CROUSE HOSPITAL PATHOLOGY
736 Irving Ave Syracuse, NY 13210 Phone: 315-470-7396 Fax: 315-470-2806
N/A Yes
CLEARPATH DIAGNOSTICS CYTOLOGY OUTREACH PLLC
600 E Genesee St, Suite 305 Syracuse, 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
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
33
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
PERSONAL EMERGENCY RESPONSE SYSTEM (PERS)
FHS SERVICES, INC.
333 Butternut Dr., Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
N/A Yes English
MEDSCOPE AMERICA CORPORATION
259 E Lancaster Ave., Suite 101 Wynnewood, PA 19096 Phone: 800-645-2060 Fax: 610-896-7233
N/A Yes English
PHARMACY
KINNEY DRUGS Delivered to PACE Centers/Homes
OMNICARE (NCS) Delivered to Loretto SNF/Respite Care
N/A Yes
Harbor Pharmacy of Utica, LLC 24 West Bridge Street Oswego, NY 13126
PLASTIC SURGERY
PLASTIC & RECONSTRUCTIVE SURGERY Phone: 446-8313
Branson, Denis MD Yes Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
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 Rd Liverpool, NY 13090 Phone: 315-457-2021 Fax: 315-457-2071
D'Amico, Ronald DPM Yes Yes English
FOOT SPECIALISTS OF CNY
5900 N Burdick St, Suite 104 E Syracuse, NY 13057 Phone: 315-656-2216 Fax: 315-656-2454
Naas, Joseph DPM Saponara, Gerard DPM
Yes Yes English
S Crouse Commons, Suite 304 315 S Crouse Ave Syracuse, NY 13210 Phone: 315-476-7471
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Fax: 315-476-1830
MCAULIFFE HEALTH CENTER Dickson, Douglas DPM
115 Creek Circle E. Syracuse, NY 13057 Phone: 315-413-3257 Fax: 315-469-4737
Yes Yes English
PRIMARY CARE-COMMUNITY BASED
Brangman, Sharon A. MD Berg, Andrea I. MD Bishop, Jeanne E. MD
UNIVERSITY GERIATRICIANS-Waiver Program
Yes Yes English
550 Harrison Street Suite A Syracuse, NY 13202 Phone: 315-464-6167 Fax: 315-464-5771
Dr. David T. Page, MD-Family Care Medical Group
Dr. David T. Page, MD
436 Hinsdale Rd Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955
YES YES English
Dr. Dennis Daly, MD-Family Care Medical Group 5700 W. Genesee Street Camillus, NY 13031 Phone: 315-487-1573
Dr. Dennis Daly, MD YES YES English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Dr. Suzanne Lamanna, DO 792 North Main Street North Syracuse, NY 13212
Dr. Suzanne Lamanna, DO Yes Yes English
PSYCHIATRY / PSYCHOLOGY See MENTAL HEALTH
PULMONOLOGY
PULMONARY HEALTH PHYSICIANS
7250 Janus Park Dr Liverpool, NY 13088 Phone: 315-475-8402 Fax: 315-475-4778 546 Towne Dr. Fayetteville, NY 13066 Phone: 234-0800 Medical Center West 5700 West Genesee St Suite 225 Camillus, NY 13031 Phone: 475-8401 Fax: 475-0824
Liverpool Office: Aiello, Brianne MD Aiello, Thomas R MD Downing, Edward T MD El Bayadi, Sherif G MD Flintrop, Michael J MD Sun, Xiwu (John) MD Fayetteville Office: Downing, Edward T MD El Bayadi, Sherif G MD Flintrop, Michael J MD Sun, Xiwu (John) MD Medical Center West: Aiello, Brianne MD Aiello, Thomas R MD Flintrop, Michael J MD
Yes Yes English
CROUSE LUNG PARTNERS RT SERVICES
Various Respiratory Therapists from Crouse Hospital will be working part time hours at both clinics
RADIOLOGY
CROUSE RADIOLOGY ASSOCIATES LLP
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
37
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
736 Irving Ave Syracuse, 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
8280 Willett Pkwy Baldwinsville, NY 13027 Phone: 315-635-6814 Fax: 315-635-6816
Yes Yes English Chinese
ST JOSEPH’S IMAGING (cont’d)
5700 W Genesee St Camillus, NY 13031 Phone: 315-631-6555 Fax: 315-631-6559
Yes Yes English Chinese
4109 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7555
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
38
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Fax: 315-329-7559
5100 W Taft Rd Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559
104 Union Avenue Suite 905 Syracuse, NY 13203 Phone: 315-703-5116 Fax: 315-703-5014
109 Pine Street Syracuse, NY 13210 Phone: 315-475-1669 Fax: 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 Syracuse, NY 13203 Phone: 315-434-9307 Fax: 315-434-9317
REHABILITATION THERAPIES Physical & Occupational
BRITTONFIELD PHYSICAL THERAPY & AQUATIC THERAPY 4949 Brittonfield Parkway Building B, Suite 103 East Syracuse, NY 13057 Phone: 234-7322
Yes Yes English
LORETTO GERATIC LICENSED AGENCY
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
39
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
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 Pulmonary
RESPITE
BERNARDINE
417 Churchill Ave Syracuse, NY 13205 Phone: 315-378-0359 Fax: 315-469-4048
Yes Yes
HERITAGE
750 E Brighton Ave Syracuse, NY 13205 Phone: 315-492-1329 Fax: 315-492-6076
Yes Yes
LORETTO HEALTH & REHAB
700 E Brighton Ave Syracuse, NY 13205 Phone: 315-469-5570 Fax: 315-469-4737
Yes Yes
RHEUMATOLOGY
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
40
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
ARTHRITIS HEALTH ASSOCIATES
5794 Widewaters Parkway Syracuse, NY 13214 Phone: 315-422-1513 Fax: 315-476-5950
Abdulky, Mary MD Hyla, James F MD Khairallah, Ramzi MD Machovec, Heather PA Mcilvain, Lynne PA Modjinou, Dogi Mtanos, George MD Riccardi, Patrick MD Rybinski, Jane Spink-Palmieri, Sheri PA Slavech, Jeff PA
Yes Yes English
SKILLED NURSING FACILITY
LORETTO HEALTH & REHAB
700 E Brighton Ave Syracuse, NY 13205 Phone: 315-469-5570 Fax: 315-469-4737
Yes Yes
VAN DUYN HOME & HOSPITAL
5075 W Seneca Tnpk Syracuse, NY 13215 Phone: 315-435-7884 Fax: 315-435-5520
Yes Yes
SPEECH THERAPY
FRANCISCAN HEALTH SUPPORT
333 Butternut Dr., Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193
Farsaci, Amy SLP Speech Language Pathologist Leclair, Amy SLP Speech Language Pathologist
Yes Yes English
SUBSTANCE ABUSE
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
41
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
CROUSE CHEMICAL DEPENDENCY SERVICES (OUTPATIENT)
410 S Crouse Ave, Suite 3 Syracuse, NY 13210 Phone: 315-470-8304 Fax: 315-470-8378
Yes Yes English
CROUSE CHEMICAL DEPENDENCY SERVICES (INPATIENT)
Commonwealth Place 6010 E Molloy Rd Syracuse, NY 13211 Phone: 315-434-2470 Toll Free: 800-727-6873
Yes Yes English
CROUSE CHEMICAL DEPENDENCY SERVICES (INPATIENT )
Crouse Hospital 736 Irving Ave Syracuse, NY 13210 Phone: 315-470-8401
Yes Yes English
SUBSTANCE ABUSE (con’t)
ST JOSEPH'S HOSPITAL OUTPATIENT
301 Prospect Ave Syracuse, NY 13203 Phone: 315-448-5111
Yes Yes
SURGERY - GENERAL
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
CNY SURGICAL PHYSICIANS PC
739 Irving Ave., Suite 450 Syracuse, NY 13210 Phone: 315-470-7364 Fax: 315-470-7495
Ahmed, Akbar MD Anderson, Brian P MD Congelli, Tammy J MD Cooper, Kenneth A DO DeSimone, Jeffrey M MD Hartzheim, Thomas S MD Leary, Brandie NP Mendel, Herbert E MD Sadowitz, Benjamin MD Sartori, James MD Schu, William E MD Tyler, David B MD Walker, Tracy NP
Yes Yes English
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Surgical Services
Certo, Thomas MD Dentes, Evan MD Silvakuman, Balasurbramanian “Kumar” MD Oliva, Anthony MD Kort, Kara MD Maini, Atul MD Stevens, Carol MD Webb, Travis MD
4117 Medical Center Drive, Suite 117 Fayetteville, NY 13066 315-634-3399 5100 W. Taft Road, Suite 2E Liverpool, NY 13088 315-634-3399
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
43
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
SURGERY – GENERAL (con’t) Surgery Centers
NORTH SURGERY CENTER (St. Joseph’s)
5100 W. TAFT RD. LIVERPOOL, NY, 13088 Phone: 315-703-5400 Fax: 315-744-1997
NORTHEAST SURGERY CENTER (St. Joseph’s)
4208 MEDICAL CENTER DR FAYETTEVILLE, NY 13066-6642 Phone: 315-329-2500 Fax: 315-744-1944
SPECIALTY SURGERY CENTER OF CNY
225 Greenfield Pkwy, Suite 105 Liverpool, NY 13088 Phone: 315-451-6911 Fax: 315-451-1540
Yes Yes
SURGICAL CARE WEST
5700 W Genesee St., Suite 201N Camillus, NY 13031 Phone: 315-488-5588 Fax: 315-488-2489
Neulander, Ovid MD- Resetarits, Dennis MD
Yes Yes English
SURGICAL CARE EAST
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
4900 Broad Road Physicians Building N Suite 44 Syracuse, 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 714 Syracuse, 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 2R Liverpool, NY 13088 Phone: 315-457-4400 Fax: 315-457-3400
Buerkle, August MD Hootnick, David MD
Yes Yes English
SYRACUSE ORTHOPEDIC SPECIALISTS PC (S0S)
5700 W Genesee St., Suite 225 Camillus, NY 13031 Phone: 315-487-4876 Fax: 315-484-9609
Camillus Battaglia, Todd C MD Bogosian, Stephen P MD Bome, Michael P PT Cullinan, Melissa PA Doolittle, Terri NP Duggal, Naven MD Lake, Kevin PA
Yes Yes English French Spanish
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Leavitt, Gary MD Newman, P James MD Noble Jr, Edward R MD Riggs, Cassandra MD
4115 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7600 Fax: 315-329-7608
Fayetteville Axelrod, Glenn B MD Fatti, Christopher J MD Greenky, Brett B MD Greenky, Seth S MD Lampert, Mary Anne PA Merluzzi, Jill PA Murphy, Daniel J MD Parker, John F MD Smart, L Ryan MD
SYRACUSE ORTHOPEDIC SPECIALISTS PC (S0S) (con’t) 5496 E Taft Rd, Suite C N Syracuse, NY 13212 Phone: 315-883-5881 Fax: 315-449-9923
N Syracuse Bianco, Aaron MD Cullinan, Melissa PA DiStefano, Richard MD Duggal, Naven MD Fatti, Christopher J DPM Hanafin, Craig PA Lake, Kevin PA Lampert, Mary Anne PA Lemley, Frederick MD LoVallo, Sean PA Marcinkowski, Amy MD Merluzzi, Jill PA Parmeter, Kristin NP Schielke, Jodie DO VanArnam, Thomas PA Verrette, Kristin PA Wnorowski, Daniel C MD Wulff , Warren E MD
Yes
English French Spanish
Airport Business Park 5801 East Taft Rd Syracuse, NY 13212 Phone: 315-418-4140
Airport Business Park Axelrod, Glenn B MD Dambrosio, Nicholas MD Fedors, Nathan H MD
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Fax: 315-928-7797 Greenky, Brett B MD Greenky, Seth S MD Hook, Stephanie R DPM Lampert, Mary Anne PA Leverich, Steven James MD Marcinkowski, Amy MD Murphy, Daniel J Jr MD Naim, Farah MD Parker, John F MD Sharma, Aaron MD Sherwood, James W MD Smart, L. Ryan MD Sojewicz, Joseph PA Sullivan, Anne Marie MD Viola, Ronald MD
5000 W Seneca Turnpike Syracuse, NY 13215 Phone: 315-492-3636 Fax: 315-492-8787
Syracuse Ames, Sarah PA Bogosian, Stephen P MD Butler, Melissa NP Clarke, Michael T MD Cullinan, Melissa PA Duggal, Naven MD Everding, Nathan MD Fatti, Christopher J DPM Hook, Stephanie R DPM Keyes, David PA Lemley, Frederick MD Lisick, Daria PA LoVallo, Sean PA Newman, P James MD Sharkey, Janice NP Short, Walter H MD Vella, I Michael MD
Yes
5719 Widewaters Pkwy Dewitt, NY 13214 Phone: 315-251-3100 Fax: 315-251-3272
Widewaters All Providers Listed Above Including: Balmir, Marvin PA Callahan, Adam PA Coffey, Joseph PA Colaneri, Mark W PA
Yes Yes English French Spanish
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Connor, Benjamin PA Dinh, Khanh PA DiStefano, Richard MD Goff, Linda NP Groat, Lindsay PA Harris, Helen PA Hood, Matthew D PA Izzo, Nicole PA Jennings, Julian PA Jones, Nicole PA Kibby, David A PA Kieb, Steven PA Kopko, Kevin MD LoVallo, Hannah PA Marcinkowski, Amy MD Marshall, Todd A PA Masterson, Bryan PA Munson-Burke, Michael PA Pflugh, Deborah NP Riggs, Cassandra MD Schielke, Jodie DO Scioscia, Charles F MD Scozzari, Mary Anne PA Sharma, Aaron MD Sherwood,James W MD Smart, Lawson Ryan MD Sojewicz, Joseph PA Verrette, Kristin PA Weaver, Brandon PA Wolfenden, Brandon PA
475 Irving Avenue, Suite 418 Syracuse, NY 13210 Phone: 315-475-3999 Fax: 315-475-4014
Ambulatory Surgicial Center Raphael, Bradley MD Raphael, Irving MD
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
8324 Oswego Rd, Suite B Liverpool, NY 13090 Phone: 315-418-4188
Ames, Sarah A. (PAC) Axelrod, Glenn B (MD) Battaglia, Todd C (MD) Bogosian, Stephen P (MD) Butler, Melissa R (NP-C) 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 MD Scozzari, Mary K (RPA-C) VanArnam, Thomas W (PA) Weaver, Brandon M (PA) Wnorowski, Daniel C. (MD)
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
49
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Crouse Neurosciences Harris, Collin MD Yes
THORACIC / VASCULAR SURGERY
Yes English
VASCULAR SURGEONS OF CNY PLC-joined St. Joseph’s Surgical Services (TIN 273899821)
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
50
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
104 Union Ave., Suite 1005 Syracuse, NY 13203 Phone: 315-424-0790 Fax: 315-475-0916
Carlin, Robert MD Kahn, Muhammad A., MD Riley, J Timothy MD Semel, Lawrence MD Zaman, Syed MD
Yes Yes English
St. Joseph’s Medical PC d/b/a Cardiac Surgery Division of Vascular, Cardiac & Thoracic
Nazem, Ahmad MD Green, Randall MD Lutz, Charles MD Zhou, Zhandong
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
51
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
104 Union Ave, Suite 1005 Syracuse, NY 13203
St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Thoracic Surgeons
Wormuth, David MD Yerkes, Nicholas
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
52
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
104 Union Ave, Suite 804 Syracuse, NY 13203 P: 315-475-8409 F: 315-703-5097
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
53
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
NORTH AREA VOLUNTEER AMBULANCE CORPS (NAVAC)
603 N Main Street N Syracuse, NY 13212 Phone: 315-458-7514
N/A Yes English
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
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SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
Eastern Paramedics previously RURAL METRO MEDICAL SERVICES – now owned by American Medical Response
488 W Onondaga St Syracuse, NY 13202 Phone: 315-255-1146
N/A Yes English
TRANSPORTATION - Non-Emergency
PACE-CNY Center Sally Coyne
100 Malta Lane N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-452-5739
Yes Yes English
PACE-CNY Center McAuliffe
115 Creek Circle E. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737
Yes Yes English
UROLOGY
UPSTATE UROLOGY INC
750 E Adams St Syracuse, NY 13210 Phone: 315-464-1500 Fax: 315-464-6103
Bratslavsky, Gennady MD Khanna, Rakesh MD Makhuli, Zah MD Nikolavsky, Dmitriy MD
Yes Yes English Russian French
550 Harrison St Syracuse, NY 13202 Phone: 315-464-1500 Fax: 315-464-6103
Riddell, Jonathan MD Shapiro, Oleg MD Trussel, J C MD
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
55
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages
4900 Broad Rd., Suite 4V Syracuse, NY 13215 Phone: 315-492-3700 Fax: 315-492-3596
Bratslavsky, Gennady MD Khanna, Rakesh MD Makhuli, Zah MD Nikolavsky, Dmitriy MD
Bratslavsky, Gennady MD Khanna, Rakesh MD Makhuli, Zah MD Nikolavsky, Dmitriy MD
PACE CNY PROVIDER NETWORK
https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx5/8/2019
56
SPECIALITY PROVIDER NAME W/C Access
New Patients
Languages