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PARTICIPATING DENTIST PROGRAM Administered by DENTISTS September 201 DIRECTORY OF PARTICIPATING www .uftdental.com FOR AN UPDATED LIST, LOG ON:

PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

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Page 1: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

PARTICIPATINGDENTIST

PROGRAM

Administered by

DENTISTS

September 201

DIRECTORYOF

PARTICIPATING

www.uftdental.com

FOR AN UPDATED LIST, LOG ON:

Page 2: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures
Page 3: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

ContentsGENERAL INFORMATIONGENERAL PRACTITIONERS

NEW YORKBronx.............................................................. 1Brooklyn ......................................................... 2Dutchess ........................................................Manhattan ......................................................Nassau...........................................................Orange ...........................................................Queens ..........................................................Rensselaer.....................................................Rockland ........................................................ 1Staten Island ..................................................Suffolk ............................................................ 1Ulster.............................................................. 1Westchester ................................................... 1

NEW JERSEYBergen ........................................................... 1Essex ............................................................. 1Hudson........................................................... 1Mercer............................................................Middlesex.......................................................Monmouth ......................................................Ocean ............................................................Passaic ..........................................................Union..............................................................

ARIZONAMaricopa ........................................................

CONNECTICUTFairfield ..........................................................New Haven ....................................................

FLORIDABroward..........................................................

Dade ..............................................................Palm Beach ...................................................

MARYLANDBaltimore City ................................................ 2

SPECIALISTS............................................................... 2 -3EndodontistsOral SurgeonsOrthodontistsPediatric DentistsPeriodontistsProsthodontists

SATISFACTION QUESTIONNAIRE .............................. 3

.. ...................... ........ ................ 2

. ............................................................. 2

1

. ...................... ........ ................ 22

. ...................... ........ ................ 22

............................ ..............................

.. ...................... ........ ......... ....... 2

Page 4: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures
Page 5: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL INFORMATIONThe UFT Welfare Fund Participating Dentist Program isdesigned to provide you with comprehensive dental serviceswhile reducing or eliminating your out-of-pocket expenses.

If you or a member of your family who is covered for dentalbenefits wish to use a Participating Dentist, select one fromthis Director of Participating Dentists and call for an appointment. Updated listings are also available at www.uftdental.com. Be sure to identify yourself as an eligible member of the United Federation of TeachersWelfare Fund. Be aware that although several dentists may practice at the same location, only the dentist whosename appears in this Director is a UFT Participating Dentist.

When you obtain your services from a Participating Dentist it does not in any way change the nature of your dental plan.Plan allowances are the same for services provided by a participating or non-participating dentist. However, if you use a Participating Dentist, the Fund will pay your dentistdirectly. If you use a non-participating dentist, the Fund willpay up to the maximum allowance set forth in the dentalschedule and you will be responsible for the differencebetween that allowance and your dentist’s charge.

This program was developed in cooperation with SIDSConsultants, who will monitor the performance of participatingproviders to ensure that appointments are freely given andhonored and that charges for services do not exceedMaximum Charges listed in the UFT Welfare Fund DentalSchedule. You will not be required to pay the dentist anymoney except in the following few instances.

For a covered, but non-reimbursable service.There are services listed in the dental schedule which, at times, are not payable by the plan. For example: restorations for cosmetic improvement; services for which the Alternate Benefit Provision isapplied; where frequency limitations and/or plan maximums have been met. In these instances theParticipating Dentist may not charge more than the Dental Schedule would have paid for those services, plus any applicable co-payments.

For a specified co-payment.You are responsible to pay the dentist the patient co-payment amount for services listed in red in the Dental Schedule for certain high-cost services (crowns, bridges, dentures, root therapy, orthodontic treatment, intravenous anesthesia and treatment appliances).

Page 6: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

For a non-covered service.The Participating Dentist may not charge you morethan his/her usual and customary charge for procedures that are not covered by the Dental Plan.

Dental Implants: The surgical placement of an implant is nota covered expense. However, participating dentists haveagreed to limit their charge for placement of an implant to$1,200. Refer to the UFT Welfare Fund Dental Schedule Item14; UFT DISCOUNT ON NON-COVERED SERVICE (LISTED IN GREEN). Although the restoration or prosthesis placed on an implant is not covered, the plan will provide a Special Reimbursement to offset part of thecost for that service. Refer to the Dental Schedule Item 15; SPECIAL REIMBURSEMENT (LISTED IN BLUE).

Your dental plan applies certain payment limitations basedon frequency. For example, the plan will not pay for more than one oral examination in a six-month period, or more thanone prophylaxis in a three-month period. Since it is not possible to determine in advance whether benefits will beavailable for these services, the dentist is entitled to requestpayment from you pending submission and adjudication ofclaim. If benefits are available, that money will be refunded.

If you are eligible for dental benefits under another groupdental plan in addition to the UFT Welfare Fund Dental Plan,the dentist is entitled to the benefits available from bothplans. The combined payment for any procedure may notexceed the dentist’s usual and customary fee, and paymentfrom the second plan will be applied first to reduce or eliminate any co-payments.

It is important to understand that neither SIDS nor the UFTWelfare Fund recommends any particular dentist. You areresponsible to select the dentist of your choice, and shouldexercise the same care and apply the same criteria in selecting a Participating Dentist that you would in selecting anon-participating dentist.

Maintaining high standards of care and patient satisfaction is fundamental to the success of this program. To help in thisregard, please complete the Member SatisfactionQuestionnaire you can access at www.uftdental.com.

If you need any help or have questions, concerns or sugges-tions regarding the program, please contact:

SIDSP.O. Box 9005

Lynbrook, NY 11563-9005516-394-9408

1-866-679-SIDS (7437)

www.uftdental.com

Page 7: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERS

NEW YORKBRONX

DR. DAVID BARNETT1645 Grand Concourse #1JBronx, NY 10452718-299-7012

DR. ROBERT BOGAN5606 BroadwayBronx, NY 10463718-549-5544

DR. PEPPINO BONELLIDR. PHILIP D`ARRIGO

1475 Astor AveBronx, NY 10469718-653-2411

DR. TONY CHEN100 Elgar PlaceBronx, NY 10475718-671-6650

DR. CHRISTOPHER CHOE2426 Eastchester Rd #207Bronx, NY 10469718-325-3250

DR. OFER COHEN2169 White Plains RdBronx, NY 10462718-597-6314

DR. OFER COHEN1 East Fordham Rd #4Bronx, NY 10468718-365-0990

DR. OFER COHEN183 W 231st StBronx, NY 10463718-543-1123

DR. LIA DATIKASHVILI293 E 149Th StBronx, NY 10451646-404-5005

DR. CHRISTOPHER DILLON64 Metropolitan Oval #9Bronx, NY 10462718-892-5095

DR. VINCENT D`APPOLONIA860 Grand Concourse #1MBronx, NY 10451718-993-4343

DR. RONALD FENER1049 E 163rd StBronx, NY 10459718-842-5020

DR. RONALD FENER3050 White Plains RdBronx, NY 10467718-842-5020

DR. JAY FENSTERSTOCK55 E Mosholu Pkwy NBronx, NY 10467718-652-7370

DR. DAVID FRAENKEL2374 Grand ConcourseBronx, NY 10458718-365-6402

DR. GREGORY GANG140-1 Casals Pl Co-op CityBronx, NY 10475718-671-6000

DR. APTIN GHODS-DJURABCHI2505 University AveBronx, NY 10468718-733-6600

DR. MOSHE GLICK3534 Riverdale AveBronx, NY 10463718-601-0100

DR. JEFFREY GOLDEN2505 Williamsbridge RdBronx, NY 10469718-654-2320

DR. ERIC GOLDFARB466 E Fordham RdBronx, NY 10458718-365-4300

DR. JASON GORDON724 Pelham Pkwy SBronx, NY 10462347-281-9444

DR. PETER GROSS2967 Morgan AveBronx, NY 10469718-655-1972

DR. NANDOR HALPERT7 Hugh J. Grant CircleBronx, NY 10462718-792-0137

DR. JAE JIN HONG47 Westchester SqBronx, NY 10461718-239-4300

DR. BORIS KATAYEV417 E 138th StBronx, NY 10454718-292-6311

DR. WALI KHAN1268 White Plains RdBronx, NY 10472718-792-6991

DR. VICTORIA KUSHENSKY1200 Waters Pl #M-107Bronx, NY 10461718-822-8787

DR. JESSICA LEE1959A Westchester AveBronx, NY 10462718-822-6086

DR. KERN HO LEE3600 Fieldston Rd #2CBronx, NY 10463718-884-2600

1

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GENERAL PRACTITIONERSDR. TAMARA MARSH-VEIRA

563 E Tremont AveBronx, NY 10457718-466-4500

DR. ALEXANDER MIKHAILOV961 E 174th St #B150Bronx, NY 10460718-861-8060

DR. SHAHRIAR MOINAMINI120 Elgar Pl #BBronx, NY 10475718-708-7171

DR. TAD PICKER910 Grand ConcourseBronx, NY 10451718-538-2410

DR. AARON POLINSKY2532 University AveBronx, NY 10468718-295-0203

DR. JOHN RINAUDO3975 Sedgwick Ave #1HBronx, NY 10463718-796-4600

DR. HOWARD ROTH2580 East Tremont Ave.Bronx, NY 10461718-824-4597

DR. PEARL SUSSMAN5683A Riverdale AveRiverdale, NY 10471718-884-8808

DR. GODRICK TAYLOR230 E 161 St #90Bronx, NY 10451718-992-8200

DR. KIRTI TEWARI3754 White Plains RdBronx, NY 10467718-547-7570

DR. ANTIGONI TSAMPARLIS2300 Westchester Ave #301Bronx, NY 10462718-823-8787

DR. VADIM VASSERMAN1144 Pelham Pkwy SBronx, NY 10461718-822-6896

BROOKLYNDR. ROBERT ADLER

5824 14th AveBrooklyn, NY 11219718-438-8400

DR. OMID ARASTEHMANESH5313 New Utrecht AveBrooklyn, NY 11219718-435-3400

DR. SIDNEY AURBACH425 Neptune AveBrooklyn, NY 11224718-449-7676

DR. PAUL BACALL2501 Nostrand Ave #1RBrooklyn, NY 11210718-338-3202

DR. FRANTZ BACKER32 Court St. #500Brooklyn, NY 11201718-797-0267

DR. MAURICE BENJAMIN624 Kings HwyBrooklyn, NY 11223718-336-1109

DR. MARTIN BIENENSTOCK2940 Ocean Pkwy #2GBrooklyn, NY 11235718-996-0300

DR. MARTIN BODEK1491 Flatbush AveBrooklyn, NY 11210718-859-3440

DR. MARIYA BRAYLOVSKAYA2250 86Th St 2nd FloorBrooklyn, NY 11214718-372-2800

DR. ROSALIE CASTANO7508 13th AveBrooklyn, NY 11228718-833-6500

DR. IVAN CHAPLIK105 Smith StBrooklyn, NY 11201718-858-1218

DR. DAVID CHO1569 Ralph AveBrooklyn, NY 11236718-251-7167

DR. STEVEN CHU3371 Fulton StBrooklyn, NY 11208718-827-7812

DR. RICHARD COPELL23 Bond StBrooklyn, NY 11201718-237-0222

DR. GLEN COSMANDR. GEORGE DIACOUMAKOS

7815 5Th AveBrooklyn, NY 11209718-745-4422

DR. MARINA DRABKINADR. GYULNARA KYAZIMOVA

1906 Mermaid Ave 1st FlBrooklyn, NY 11224718-333-1991

DR. MOUNIRA FARHAT6904 11th AveBrooklyn, NY 11228718-680-8686

DR. MURRAY FRYD592 5th AveBrooklyn, NY 11215718-788-3290

2

Page 9: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. YEVGENIYA GELMAN

7601 3rd AveBrooklyn, NY 11209718-833-3417

DR. MICHAEL GEYLIKMAN2415 Ave UBrooklyn, NY 11229718-646-6646

DR. ALLAN GOLDFARB7713 13th AveBrooklyn, NY 11228718-232-2100

DR. STEVEN GOUNARDES351 87th StBrooklyn, NY 11209718-238-2776

DR. ANDRIJ GOUZ502 Atlantic AveBrooklyn, NY 11217718-643-9010

DR. EVAN HOMBURGERDR. GARY RAFAL

9915 Seaview AveBrooklyn, NY 11236718-763-7799

DR. MICHAEL IRLINDR. ANNA SULER

3029 Ave VBrooklyn, NY 11229718-332-4060

DR. JAMES KEENAN2709 Ocean Ave suite A8Brooklyn, NY 11229718-474-4075

DR. LAWRENCE KESSLER183 N 6th StBrooklyn, NY 11211718-388-3737

DR. BRIAN KETOVER580 5th AveBrooklyn, NY 11215718-768-8400

DR. ALEXANDER KIRZHNER9401 Seaview AveBrooklyn, NY 11236718-251-5858

DR. NATHAN KORN2201 Ralph AveBrooklyn, NY 11234718-531-5151

DR. JONATHAN KORNGOLD1801 Ave MBrooklyn, NY 11230718-252-8989

DR. MICHAEL KORNGOLD1801 Ave MBrooklyn, NY 11230718-252-8989

DR. LEO KOZLOWSKI1704 Ave JBrooklyn, NY 11230718-252-3090

DR. ROSS KRASNOV139 Flatbush Ave #B10Brooklyn, NY 11217718-622-6100

DR. OLEG KRUGLYANSKYDR. VERA PAVLOVA

8415 4th Ave #A16Brooklyn, NY 11209718-836-1716

DR. YULIVA KUSHNIR59 Flatbush AvenueBrooklyn, NY 11217718-722-7700

DR. VERA KUZNETSOVA79 Prospect Park SWBrooklyn, NY 11218718-768-4774

DR. CHUNG HIN LAU6306 18Th Ave 2Nd FlBrooklyn, NY 11204718-232-4044

DR. EDWARD LEE506 3rd Street 1st FloorBrooklyn, NY 11215718-962-0808

DR. GARRY LEVINGART208 Smith StBrooklyn, NY 11201718-834-9400

DR. DAVID LEVINSKY372 86th StBrooklyn, NY 11209718-680-6901

DR. JOSEPH LICHTER1420 Avenue P 2nd FlBrooklyn, NY 11229718-339-7878

DR. JASON LIEM2102 Bay Ridge PkwyBrooklyn, NY 11204718-259-3828

DR. GARY LOCKEDR. RICHARD LOCKE

6410 Veterans Ave #205Brooklyn, NY 11234718-531-4900

DR. OLEG LYALIN4903 Church AveBrooklyn, NY 11203718-922-0237

DR. BARRY MAGIDDR. MAUREEN MAGID

439 9th StBrooklyn, NY 11215718-788-3079

DR. MICHELLE MAGID8516 23rd AveBrooklyn, NY 11214718-232-2215

3

Page 10: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. GEORGE MANOLARAKIS

2420 Ocean AveBrooklyn, NY 11229718-645-1367

DR. VICTORIA MARYANSKY260 Ave XBrooklyn, NY 11223718-336-8855

DR. ALEXANDER MIKHAILOVDR. ENGIN SANGIRAY

5412 Kings Plaza MallBrooklyn, NY 11234718-258-0011

DR. SVETLANA MONASTYRSKHYA161 Atlantic AveBrooklyn, NY 11201718-625-3106

DR. NADEEM NASEEM947 Manhattan Ave.Brooklyn, NY 11222718-389-4266

DR. YURIY NEKTALOV1390 Pennsylvania AveBrooklyn, NY 11239718-642-8600

DR. HENRY NOGID234 Hewes StBrooklyn, NY 11211718-782-9425

DR. SALAMON RAFAILOV3071 Avenue UBrooklyn, NY 11229718-736-0123

DR. AHRON RAZIEL2270 Kimball St #204Brooklyn, NY 11234718-338-4800

DR. JAMIE ROSEN4401 Avenue DBrooklyn, NY 11203718-451-1888

DR. RICHARD ROSEN402 Court StBrooklyn, NY 11231718-834-1446

DR. PRESTON SCHAFFER1901 Emmons Ave #210Brooklyn, NY 11235718-646-6600

DR. PATRICK SCIORTINO459 Bay Ridge PkwyBrooklyn, NY 11209718-748-1123

DR. CANDY SEBOLD2248 E 21st StBrooklyn, NY 11229718-646-1378

DR. JACK SHERMAN2103 E 64th StBrooklyn, NY 11234718-763-4343

DR. ANNA SHNAYDERMAN2865 Nostrand AveBrooklyn, NY 11229718-338-3487

DR. ALEXANDER SOLOVEY749 Nostrand AveBrooklyn, NY 11216718-493-2000

DR. JEFFREY STEIN805 Stanley AveBrooklyn, NY 11207718-272-9292

DR. MALCOLM STEWART263 Brooklyn AveBrooklyn, NY 11213718-676-1138

DR. VIOLETTA THIERBACH8116 3rd AveBrooklyn, NY 11209718-833-1847

DR. PERCY THOMAS263 Brooklyn AveBrooklyn, NY 11213718-209-9338

DR. LESTER TOPOROVSKY177 Livingston StBrooklyn, NY 11201718-403-0700

DR. TOM TZIVAS368 97th St #1FBrooklyn, NY 11209718-238-1882

DR. VALERIE VENTERINA8510 Bay 16th StBrooklyn, NY 11214718-232-8289

DR. THOMAS VERDONI51 Wilson AveBrooklyn, NY 11237718-564-5432

DR. MICHAEL WEISS41-09 9th AveBrooklyn, NY 11232718-435-6858

DR. LARITA WOODS160 Parkside Ave STE 1GBrooklyn, NY 11226718-287-3700

DR. IRINA YESINA602 Flatbush AveBrooklyn, NY 11225718-778-7600

DR. OKSANA ZAK7806 Flatlands AveBrooklyn, NY 11236718-975-4998

DR. ANGELA ZAVULUNOVA6830 Ridge Blvd #1BBrooklyn, NY 11220718-333-5185

4

Page 11: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDUTCHESS

DR. JOSEPH FERTUCCI200 Westage Business Ctr SteFishkill, NY 12524845-897-2097

DR. JOSEPH FERTUCCI2600 South Rd #21Poughkeepsie, NY 12601845-437-4380

DR. JUSTIN SIEGEL1983 Rte 52Hopewell Junction, NY 12533845-896-7788

MANHATTANDR. MAURICE BENJAMIN

161 Madison AveNew York, NY 10016212-252-8893

DR. MAIA BERGER1841 Broadway #609New York, NY 10023212-757-3183

DR. HOWARD BERMAN30 Central Park S #14CNew York, NY 10019212-755-6818

DR. STACEY BLAU4960 Broadway (207th St)New York, NY 10034212-567-1592

DR. VAN MADISON BROWN20 E 35th St #2ANew York, NY 10016212-685-4217

DR. OFER COHEN427 Fort Washington Ave # 1CNew York, NY 10033212-923-7644

DR. ROBERT CONVISSAR200 Park Ave S #1414New York, NY 10003212-255-5730

DR. NADER DAYANI66 W 94th StNew York, NY 10025212-662-4700

DR. SLAVKO DUZDEVICH53 W 72nd St 2nd FlNew York, NY 10023212-799-8040

DR. GENE FANG139 Centre St #322New York, NY 10013212-240-0028

DR. JAY FENSTERSTOCK657 Amsterdam AvenueNew York, NY 10025212-203-4792

DR. ROBERT FRIEDMAN18 E 50th St 8th FlNew York, NY 10022212-688-2452

DR. JOSEPH GULBENKIAN162 W 56th St #503New York, NY 10019212-977-6765

DR. CHARLES HASHIM122 Fulton StNew York, NY 10038212-406-3421

DR. JERROLD HELLER425 Grand StNew York, NY 10002212-674-2258

DR. PAUL ILAN409 E 14 St #GNew York, NY 10009212-358-1200

DR. DAVID JANASHDR. NICHOLAS TEDESCO

230 W 41st St 2nd FlNew York, NY 10036212-398-9690

DR. ROSS KRASNOV330 W 42nd St 1st Fl Ste 111New York, NY 10036212-631-0222

DR. GARRY LEVINGART25 Central Park W #1TNew York, NY 10023212-581-0707

DR. GARY LIPPIN210 E 63rd St #1CNew York, NY 10065212-759-8281

DR. JONANTHAN LIPPIN210 E 63rd St #1CNew York, NY 10065212-759-8281

DR. RODERICK LUCENTE525 E 12TH STNew York, NY 10009212-777-1969

DR. BARRY MAGID285 West End Ave #5YWNew York, NY 10023212-787-0791

DR. MARTIN MAN185 Park Row #5New York, NY 10038212-962-1305

DR. KLODIANA MARGARITI45 East End Ave #1NNew York, NY 10028212-988-5377

DR. EVANTHIA MIGADAKI29 Cooper St #1ANew York, NY 10034212-567-3368

DR. DEMETRIOS MIHALOS115 E 61st St #6ANew York, NY 10065212-355-1100

5

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GENERAL PRACTITIONERSDR. ALEXANDER MIKHAILOV

3928 BroadwayNew York, NY 10032212-543-0200

DR. NATALYA MODLIN1501 Broadway #520New York, NY 10036212-398-1969

DR. MARK NADOLNE120 E 42nd St 5TH FlNew York, NY 10017212-867-8862

DR. MARK NADOLNE49 W 23rd St 12th FlNew York, NY 10010212-206-7215

DR. PORFIRIO NUNEZ612 W 178th St #1New York, NY 10033212-795-3248

DR. MARK ORENSHEIN255 W 23rd St #1AENew York, NY 10011212-929-4234

DR. STEVEN ROSEN30 East 60th St #801New York, NY 10022212-223-4229

DR. KENNETH RUBIN30 E 40th St #207New York, NY 10016212-696-4979

DR. MIKHAIL SEGURITAN247 3rd Avenue Ste 504New York, NY 10010347-535-5360

DR. GEGHANI SHAHINYAN35 East 106Th StNew York, NY 10029212-534-3626

DR. ADAM SMITH402 E 65th St Ste 1ENew York, NY 10065212-734-3427

DR. STEVE TARANOV11 Broadway Mezz LLNew York, NY 10004212-425-0505

DR. DAVID TARICA225 W 35th St 2nd FlNew York, NY 10001212-564-8164

DR. MARY TAUDEL37 Park Ave #ANew York, NY 10016212-951-7104

DR. IRINA TETRI57 W 57th St #700New York, NY 10019212-355-4097

DR. CARLOS TORRES470 W End AveNew York, NY 10024212-799-0893

DR. LEV TROSTYANETSKY162 W 72nd St #2New York, NY 10023212-496-2260

DR. ANGELA VERMA181 E 104th StNew York, NY 10029212-369-0680

DR. CHAIM WEXLER160 Bennett Ave #1BNew York, NY 10040212-740-7427

DR. GEORGE WILLIAMS706 St Nicholas AveNew York, NY 10452212-939-9399

DR. JACQUELINE WINTER121 E 60th St #1CNew York, NY 10022212-593-1499

DR. HENRY WONG13-17 Elizabeth St #405New York, NY 10013212-966-8976

DR. TOM YAN125 Maiden Lane Ste 17BNew York, NY 10038212-742-2070

NASSAUDR. RICHARD ABUHOFF

2 Chestnut DrPlainview, NY 11803516-938-0656

DR. ALICIA ANDREULADR. MICHAEL MERLIS

1700 Grand AveBaldwin, NY 11510516-379-3204

DR. JAY ASCHER422 Waukena AveOceanside, NY 11572516-766-1648

DR. PETER BARKOFF8035 Jericho TpkeWoodbury, NY 11797516-921-1133

DR. ROSS BEDERMAN1952 Hempstead TpkeEast Meadow, NY 11554516-794-0050

DR. ALINA BERGAN650 Central Ave #FCedarhurst, NY 11516516-374-2882

DR. KENNETH BERGER27 E Hawthorne AveValley Stream, NY 11580516-825-9500

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GENERAL PRACTITIONERSDR. KENNETH COHEN

999 Central Ave Su300Woodmere, NY 11598516-295-4770

DR. SALVATORE COSCIA96 Atlantic AveLynbrook, NY 11563516-792-6952

DR. PAUL COSGROVE556 Merrick Rd #300Rockville Centre, NY 11570516-208-8174

DR. ROBERT DEFEODR. STEVEN GOLDBERG

5454 Merrick RdMassapequa, NY 11758516-798-3300

DR. JERRY EBSTEIN137 Driscoll AveRockville Centre, NY 11570516-766-0517

DR. MARK FALKOWITZ3318 Merrick RdWantagh, NY 11793516-735-3244

DRS. GELMAN, HERSHENHORN,MOLINARI & SACHS

100 Manetto Hill Rd #211Plainview, NY 11803516-935-0670

DR. SANFORD GERBER1561 Hempstead TpkeElmont, NY 11003516-775-1212

DR. ARIEL GITLIN99 Hicksville RoadBethpage, NY 11714516-579-8950

DR. MICHAEL GIULIANI4250 Jerusalem Ave #GMassapequa, NY 11758516-541-7300

DR. ROGER GIULIANI25 Carmens RdMassapequa, NY 11758516-799-5577

DR. HOWARD GOLAN245 Hillside AveWilliston Park, NY 11596516-627-1687

DR. STEVEN GOLDBERG3601 Hempstead TpkeLevittown, NY 11756516-579-7577

DR. STEVEN GOLDBERG417 W Merrick RdValley Stream, NY 11580516-568-0448

DR. MICHAEL GREENBAUM14 Maple St #101Pt Washington, NY 11050516-767-2484

DR. IRA GROSSER165 N Village Ave #106Rockville Centre, NY 11570516-766-1877

DR. JOEL HELLER66 Lincoln CourtRockville Centre, NY 11570516-764-6339

DR. LORRAINE HERRMANN268 W Merrick RdFreeport, NY 11520516-378-3200

DR. RANDALL HIGHTDR. DAVID TARICA

1069 Green Acres MallValley Stream, NY 11581516-568-2022

DR. MATTHEW HYDE1670 Old Country Rd #216Plainview, NY 11803516-753-1776

DR. ERIC JACOB70 Glen Cove Rd #204Roslyn Heights, NY 11577516-621-1788

DR. ERIC JACOB38 W Park Ave # 100ALong Beach, NY 11561516-889-0770

DR. NORMAN JACOBSKIND400 Merrifield AveOceanside, NY 11572516-766-7400

DR. TASSOS KATECHIS1846 Merrick AveMerrick, NY 11566516-378-1725

DR. KAILASH KAUR1613 Hillside AveNew Hyde Park, NY 11040516-616-4800

DR. STANLEY KAYE226 Atlantic AveFreeport, NY 11520516-546-2005

DR. YAKOV KHAYTINDR. IGOR LEVIN

200 Broadway MallHicksville, NY 11801516-933-3444

DR. YAKOV KHAYTINDR. IGOR LEVIN

380 Sunrise MallMassapequa, NY 11758516-798-3444

DR. STEVEN KLEIN403 Merrick AveEast Meadow, NY 11554516-486-0900

DR. OLGA KOVALENKO185 Merrick Rd #2CLynbrook, NY 11563516-360-4256

7

Page 14: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. JUDD LESSER

22 Franklin AveHewlett, NY 11557516-295-0181

DR. LEE LEVINSON2814 A Merrick RdBellmore, NY 11710516-781-7567

DR. ALEXANDER LINSKY900 Northern Blvd #240Great Neck, NY 11021516-482-6677

DR. MONICA MARTINEZ303 East Park Ave #CLong Beach, NY 11561516-431-5913

DR. NOURHAN MEKAWY3072 Hempstead TpkeLevittown, NY 11756516-520-5858

DR. ERIC MICHAELS169 Forest AveLocust Valley, NY 11560516-671-7333

DR. ALEXANDER MIKHAILOV630 Old Country RdGarden City, NY 11530516-294-1919

DR. STEVEN OST40 Railroad AveGlen Head, NY 11545516-671-5641

DR. AMIT PANDYA1575 Hillside Ave #207New Hyde Park, NY 11040516-233-2135

DR. ISAAC PEARLMAN41 B W Merrick RdValley Stream, NY 11580516-872-2168

DR. ALAN PERLMUTTER650 Central Ave # HCedarhurst, NY 11516516-295-1584

DR. SALVATORE ROMEO4170 Sunrise HwyMassapequa, NY 11758516-541-5515

DR. EDWARD ROSENTHAL16 Maytime DrJericho, NY 11753516-937-1555

DR. WALTER SABOLBORO55 New Hyde Park RdFranklin Square, NY 11010516-248-7077

DR. MARIANA SAPIR3253 Long Beach RdOceanside, NY 11572516-442-2545

DR. MICHAEL SCHAMIS1173 Bellmore RdN Bellmore, NY 11710516-785-1128

DR. GREGORY SEIDEN21 Division AveLevittown, NY 11756516-731-7660

DR. RICHARD SERCHUK5 Valentines LnOld Brookville, NY 11545516-759-1310

DR. LOUIS SHAPIRO249-12 Jericho Tpke #112Floral Park, NY 11001516-437-4474

DR. MARINA SHIMUNY158 Gardiners aveLevittown, NY 11756516-261-9595

DR. PUBLIO SILFA8 Manetto Hill MallPlainview, NY 11803516-346-5757

DR. EUGENE SIMONS331 Willis AveMineola, NY 11501516-746-5050

DR. ROBERT SLOANE230 Seamans Neck RdSeaford, NY 11783516-731-1955

DR. NICHOLAS TUCCI800 Community Dr. #305Manhasset, NY 11030516-466-0053

DR. JONATHAN WACHSPRESS1103 Stewart Ave #110Garden City, NY 11530516-745-0688

DR. KAREN WEISS-CAMHI64 Division Ave #200Levittown, NY 11756516-796-6588

DR. BRADFORD ZAMER818 BroadwayMassapequa, NY 11758516-798-4166

ORANGEDR. JOSEPH FERTUCCI

495 Schutt Rd ExtMiddletown, NY 10940845-344-1003

DR. ROSS KRASNOV1 N Galleria Dr #141Middletown, NY 10941845-692-9212

QUEENSDR. IGOR ABAYEV

118-16 Queens BlvdForest Hills, NY 11375718-674-6478

8

Page 15: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. PAUL ADDEO

142-04 Bayside Ave #2UFlushing, NY 11354718-539-6655

DR. HASSAN ALAMZAD86-18A 37th AveJackson Heights, NY 11372718-898-8080

DR. STEPHEN ALBECK195-17 Hillside AveHollis, NY 11423718-465-4343

DR. DON ALEKSANDRAVICIUS109-22 Myrtle AveRichmond Hill, NY 11418718-441-0909

DR. MAZHAR ALHADID88-09 Northern Blvd GroundJackson Heights, NY 11372718-429-7744

DR. ILYA AMES83-06 Northern Blvd.Jackson Heights, NY 11372718-429-0440

DR. JOSE ANGELESDR. BRIGETTE MORALES

125-11 111th AveS Ozone Park, NY 11420718-845-6223

DR. JOHN ANGELIDAKIS32-75 Steinway St #206Astoria, NY 11103718-204-0129

DR. BIJAN ANVARDR. HOOSHANG ANVAR

136-14A Northern BlvdFlushing, NY 11354718-445-7030

DR. SCARLET ARAKELIAN189-11 Crocheron Ave #1BFlushing, NY 11358718-460-3433

DR. MICHAEL ARMA73-28 Metropolitan AveMiddle Village, NY 11379718-326-0056

DR. CHARLENE BERKMAN111-09 76th Rd A5Forest Hills, NY 11375718-268-1945

DR. CYNTHIA BESSEL71-48 Little Neck PkwyGlen Oaks, NY 11004718-347-6366

DR. IRA BIDERMAN90-19 157th AveHoward Beach, NY 11414718-843-9209

DR. BRUCE BIEBER217-10 73rd AveOakland Gardens, NY 11364718-464-7556

DR. JAY BINDIGER70-17 Grand AveMaspeth, NY 11378718-457-0006

DR. MARC BLUMENTHALDR. CLIFF ROGERS

220-24 Hillside AveQueens Village, NY 11427718-479-7100

DR. LYLE BORMAN92-29 Queens Blvd #1KRego Park, NY 11374718-459-1716

DR. GENE CAIAFA124-19 101st AveRichmond Hill, NY 11419718-847-3800

DR. GENE CAIAFADR. WAYNE SEID

29-14 Ditmars BlvdAstoria, NY 11105718-274-1515

DR. DIANA CAMPOSDR. MARIYA MAMKIN

56-47 Myrtle AveRidgewood, NY 11385718-417-6300

DR. PETER CAVIRIS38-12 30th AveAstoria, NY 11103718-274-2149

DR. PETER CHIN65-03 Fresh Pond RdRidgewood, NY 11385718-456-1032

DR. DAVID CHO58-47 Francis Lewis BlvdBayside, NY 11364718-428-6060

DR. DAVID CHODR. PAUL KIM

90-12 161St StreetJamaica, NY 11432718-658-0123

DR. PAYAM COHEN108-50 71st Ave #1FForest Hills, NY 11375718-793-6669

DR. YVES CONTE87-61 171st StJamaica, NY 11432718-739-3535

DR. STUART COOPERMAN212-21 A 73rd AveBayside, NY 11364718-229-0322

DR. GINA CUCCHIARA151-20 88th St #LLHoward Beach, NY 11414718-848-6177

DR. ALEKSANDR DAYANAYEVDR. ALBERT MALAKOV

32-50 Steinway StAstoria, NY 11103718-728-3314

9

Page 16: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. NADER DAYANI

137-03 171th StSpringfield Gdns, NY 11434718-978-2120

DR. ARNOLD DORNBERG61-34 188th St #212Fresh Meadows, NY 11365718-454-8666

DR. GEORGE DOURMAS30-89 36th StAstoria, NY 11103718-278-4419

DR. GEORGE DOURMAS6059 83rd PlMiddle Village, NY 11379718-426-2600

DR. ABE DYZENHAUS84-09 35th AveJackson Heights, NY 11372718-446-3219

DR. JAY EISENSTADT142-10 Roosevelt Ave #110Flushing, NY 11354718-886-1171

DR. YAKOV ELIZEROV5523 69Th StMaspeth, NY 11378718-898-6050

DR. MAGDY ELSHAROUNY138-70 Elder Ave Ste HFlushing, NY 11355718-886-5410

DR. MASSIMO ESPOSITO60-83 Myrtle AveRidgewood, NY 11385718-497-2700

DR. ROBERT FRIEDMANDR. LARRY SOMMER

175-61 Hillside Ave #301Jamaica Estates, NY 11432718-297-3303

DR. GABRIEL FULOP81-37 Lefferts BlvdKew Gardens, NY 11415718-847-4764

DR. MILAN GANDHI127-06 Liberty AveRichmond Hill, NY 11419718-848-5449

DR. DOUGLAS GARCZYNSKI90-12 161 StJamaica, NY 11432718-658-0123

DR. GEORGE GATZONIS33-16 Ditmars BlvdAstoria, NY 11105718-726-3600

DR. KRISTINA GEFFEN15-57 Bell BlvdBayside, NY 11360718-224-9766

DR. ERIC GELFAND108-03 Liberty AveRichmond Hill, NY 11419718-641-5111

DR. JAMES GELFAND31-56 Steinway StAstoria, NY 11103718-721-4700

DR. ALAN GOLDDR. STEVEN ROSEN

16-26 Bell BlvdBayside, NY 11360718-423-1210

DR. JORGE GOMEZ83-97 Woodhaven BlvdWoodhaven, NY 11421718-805-0450

DR. ZINA GOTLIEB61-55 98th St #1LRego Park, NY 11374718-699-8854

DR. HARVEY GRIESNER69-60 108th StForest Hills, NY 11375718-263-2694

DR. ARNOLD GROSS214-81 Jamaica AveQueens Village, NY 11428718-468-4300

DR. DEEPTI GUPTA256-20 Horace Harding ExpwyLittle Neck, NY 11362718-428-7780

DR. FARID HAKIMZADEH58-47 Francis Lewis Blvd #100Bayside, NY 11364718-224-7272

DR. NANDOR HALPERT73-38 Bell BlvdBayside, NY 11364718-468-1900

DR. NANDOR HALPERT66-26 Metropolitan AveMiddle Village, NY 11379718-821-6464

DR. CRAIG HENRY31-01 21st AveAstoria, NY 11105718-278-5300

DR. MARIA HERRERA37-53 91St StJackson Heights, NY 11372718-205-4377

DR. ERIC HUANG87-08 Justice Ave #CLElmhurst, NY 11373718-651-3335

DR. PAUL ILAN95-11 101st AveOzone Park, NY 11416718-843-3222

10

Page 17: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. ROSETTE IMANI

84-18 37th AveJackson Heights, NY 11372718-426-3000

DR. VLADIMIR ISAKOV70-64 Kissena Blvd 1st FlFlushing, NY 11367718-268-8888

DR. JENNIFER JOHN-BORDE90-50 Francis Lewis BlvdQueens Village, NY 11428718-740-4700

DR. DAVID KANNER260-75 Union TpkeGlen Oaks, NY 11004718-343-1955

DR. ALAN KAPLAN107-21 Queens Blvd #5Forest Hills, NY 11375718-268-0600

DR. MARGARITA KAUS163-45 CROSS BAY BLVDHoward Beach, NY 11414718-641-3838

DR. THOMAS KENT169-11 Union TpkeFlushing, NY 11366718-969-8514

DR. JOHN KERIAZES31-10 37th Ave #305Long Island City, NY 11101718-728-3262

DR. STUART KESNER154-02 71st AveFlushing, NY 11367718-591-7993

DR. FARAMARZ KHALILI117-07 Jamaica AveRichmond Hill, NY 11418718-847-5555

DR. WALI KHAN37-33 77th St #1FJackson Heights, NY 11372718-478-6100

DR. STEVEN KOLLANDER60-83 Myrtle AveRidgewood, NY 11385718-497-2700

DR. EDOUARD KOUZOUGIAN66-37 Yellowstone BlvdForest Hills, NY 11375718-263-0629

DR. YAKOV KURILENKO156-36A Cross Bay Blvd #FHoward Beach, NY 11414718-323-5132

DR. LAWRENCE KURZWEIL251-04 80th AveBellerose, NY 11426718-347-1348

DR. VICTORIA KUSHENSKY80-28 Cooper Ave #6-207Glendale, NY 11385718-894-2110

DR. DORIS LADINO-ORDONEZ37-12 90th StJackson Heights, NY 11372718-429-5550

DR. NAUSHIR LALANI216 Beach 20th StFar Rockaway, NY 11691718-327-8435

DR. JAY LEDNER60-04 Marathon PkwyDouglaston, NY 11362718-225-4433

DR. EUN-JUNG LEE3973 61St 2FlWoodside, NY 11377718-429-5656

DR. LAWRENCE LEHMAN73-03 197th StFlushing, NY 11366718-464-1300

DR. DAVID LEW87-08 Justice Ave #2DElmhurst, NY 11373718-651-3041

DR. SANTA LOCASCIO70-16 Fresh Pond RdRidgewood, NY 11385718-628-6588

DR. SUNHOON LOH45-43A Bell BlvdBayside, NY 11361718-423-2248

DR. MARK LORBER66-62 Grand AveMaspeth, NY 11378718-779-9000

DR. ARISTOTLE LYSSIKATOS2128 80th StreetEast Elmhurst, NY 11370347-935-3163

DR. SEEMA MALIK205-07 Hillside Ave #1Hollis, NY 11423718-776-5363

DR. ANDREW MANTEL150-09 89Th StHoward Beach, NY 11414718-641-1333

DR. ALEXANDER MIKHAILOV90-15 Queens BlvdElmhurst, NY 11373718-760-1616

DR. ADRIJANA MIKSA68-13 Myrtle AveGlendale, NY 11385718-366-8608

11

DR. EMIL KORORI89-02 165th St #MW29Jamaica, NY 11432718-657-4838

Page 18: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. IVONNE MINCHINGDR. SAMIR YHEA

87-44 Britton AveElmhurst, NY 11373718-507-1440

DR. BARRY MITCHEL84-10 153rd Ave #LMHoward Beach, NY 11414718-848-4777

DR. SERGIO MOLINARO97-03 101st AveOzone Park, NY 11416718-845-4242

DR. MYUNG MOON125-10 Queens Blvd #219Kew Gardens, NY 11415718-897-6453

DR. WILLIAM PATRICK MURRAY214-81 Jamaica AveQueens Village, NY 11428718-468-6864

DR. BABAK NAHAVANDI221-17 Jamaica AveQueens Village, NY 11428718-454-4000

DR. YURIY NEKTALOV94-24 63rd Dr.Rego PArk, NY 11374718-275-4545

DR. AN NGUYEN7031A 108th St #1Forest Hills, NY 11375718-263-0223

DR. EDUARD NIYAZOV30-60 Steinway StAstoria, NY 11103718-278-2141

DR. BELLA PINKATZ82-34 Lefferts BlvdKew Gardens, NY 11415718-441-4442

DR. YELENA PINKHAS94-18 37th AveJackson Heights, NY 11372718-429-3642

DR. SALAMON RAFAILOV187-06 Union TpkeFresh Meadows, NY 11366718-736-0123

DR. SHEIKH RAHMAN72-07 35th Ave 1st FlJackson Heights, NY 11372718-476-3666

DR. UMME MABIA RASHID37-23 91st StJackson Heights, NY 11372718-701-4121

DR. CRAIG ROSENBAUMDR. TULA THEODOSIOU

33-04 91st St #1WJackson Heights, NY 11372718-899-4455

DR. ROBERT ROSENFIELD66-55 Booth StRego Park, NY 11374718-896-9118

DR. ARISTIDES ROTSOS23-02 29th StAstoria, NY 11105718-932-6666

DR. KENNETH RUBIN119-01 Liberty AveRichmond Hill, NY 11419718-843-1761

DR. KENNETH RUBIN133-40 131st StSouth Ozone Park, NY 11420718-529-3800

DR. WALTER SABOLBORO69-45 Myrtle AveGlendale, NY 11385718-821-4680

DR. ANDREW SAMI39-01 Main St Ste 411Flushing, NY 11354718-353-4908

DR. GAYLE SCHRIER206-01 Jamaica AveQueens Village, NY 11428718-776-6200

DR. ALAN SCHWARTZ78-05 141st StKew Gardens Hills, NY 11367718-380-1770

DR. LEE SCHWARTZ68-64 Yellowstone BlvdForest Hills, NY 11375718-459-8288

DR. WALTER SCHWARTZ162-19 Depot RdFlushing, NY 11358718-359-3595

DR. DANIEL SHALYTO41 Kew Gardens Rd #1GKew Gardens, NY 11415718-544-8900

DR. IRINA SHAMALOVA247-09A Union TpkeBellerose, NY 11426718-506-3300

DR. LOUIS SHAPIRO249-12 Jericho Tpke #112Bellerose, NY 11001516-437-4474

DR. PRATIX SHROFF263-09 Union TpkeFloral Park, NY 11004718-343-3300

DR. XIAO-QUAN SHU136-36 39th Ave 8th FlFlushing, NY 11354718-886-7808

12

Page 19: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. ALAN SPECTOR

264-04 Union TpkeFloral Park, NY 11004718-343-2802

DR. FILIPPO SPERANDIO107-50 Queens Blvd 2nd FlForest Hills, NY 11375718-793-1777

DR. HAROLD STERN109-20 Queens BlvdForest Hills, NY 11375718-261-6464

DR. HAROLD STERN153-25 88th StHoward Beach, NY 11414718-848-7888

DR. PAUL SYMEONIDES31-14 Ditmars BlvdAstoria, NY 11105718-728-1828

DR. STEVEN TAM42-25 80th St Unit LAElmhurst, NY 11373718-592-1885

DR. EFTIHIA THOMOPOULOS98-01 67th Ave #1GRego Park, NY 11374718-896-5122

DR. CRAIG TISCHLER62-54 97th Pl #2ARego Park, NY 11374718-592-2207

DR. CYNTHIA TSEN85-27 BroadwayElmhurst, NY 11373718-898-0900

DR. BELEN VELASTEGUI-CAREY58-47 Francis Blvd 102ABayside, NY 11364718-224-3001

DR. MICHAEL WEISS59-40 Queens BlvdWoodside, NY 11377718-651-6155

DR. PETER WON47-27 Bell BlvdBayside, NY 11361718-224-4200

DR. TATYANA YAPPORT47-01 Queens Blvd #202Sunnyside, NY 11104718-706-1717

DR. EDWARD ZHUO132-61 41st Rd #102Flushing, NY 11355718-886-0860

RENSSELA RDR. ROSS KRASNOV

79 Vandenburgh AveTroy, NY 12180518-273-7777

ROCKLANDDR. MICHAEL BANG

11 Medical Park Drive Ste 103Pomona, NY 10970845-362-3400

DR. JOSEPH FERTUCCI156 Rt 59 A1Suffern, NY 10901845-356-8844

DR. ROMAN IZMAILOV5C Medical Park DrPomona, NY 10970845-364-9400

DR. ROSS KRASNOV3645 Palisades Center DrWest Nyack, NY 10994845-353-3350

DR. ANNA KUPCHIK2 Medical Park Dr #16 16West Nyack, NY 10994845-535-3500

DR. DMITRY OVRUTSKY5 N William StPearl River, NY 10965845-735-7770

DR. MICHAEL ROTHSTEIN16 Squadron Blvd #105New City, NY 10956845-634-8866

DR. SAIDAPET SRIDHAR151 North Main St Ste 202New City, NY 10956845-634-4909

STATEN ISLANDDR. ROBERT ADLERDR. THOMAS DAUGUSTA

4 Drumgoole Rd EStaten Island, NY 10312718-356-7878

DR. VIVIAN BOTERO-NEBEL337 Hampton GreenStaten Island, NY 10312718-984-1720

DR. STEVEN BRENMAN1311 Bay StStaten Island, NY 10305718-447-4510

DR. RENZO CAPRARO4167 Richmond AveStaten Island, NY 10312718-967-9338

DR. STEVEN CISTERNAS155 Bay St STE 3Staten Island, NY 10301718-876-8100

DRS. COSMAN, DIACOUMAKOS, & JOHNSON

3044 Amboy RdStaten Island, NY 10306718-987-8999

13

Page 20: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. LOUIS DE FEO

97 New Dorp Ln #BStaten Island, NY 10306718-351-8080

DR. WILLIAM EDWARDS4300 Hylan Blvd. Ste 2EStaten Island, NY 10312718-948-0870

DR. DAVID FLYNN976 Bard AveStaten Island, NY 10301718-448-1866

DR. STANISLAV GOLYAND4032 Richmond AveStaten Island, NY 10312718-948-6500

DRS. GRAZIANO, JACKMAN,PANNONE & RUGGERI

4864 Arthur Kill Rd #400Staten Island, NY 10309718-356-9800

DRS. GRAZIANO, PANNONE, & RUGGERI

1140 Victory Blvd.Staten Island, NY 10301718-255-8995

DRS. GRAZIANO, PANNONE, & RUGGERI

1839 N Railroad AveStaten Island, NY 10306718-979-2121

DR. ALLAN KAYE3595 Richmond AveStaten Island, NY 10312718-356-1450

DR. ROSS KRASNOV2655 Richmond Ave #2220Staten Island, NY 10314718-982-5500

DR. SALVATORE LANZA4066 Amboy RdStaten Island, NY 10308718-967-2282

DR. JEFFREY LEON631 College AveStaten Island, NY 10302718-447-0607

DR. HOWARD LIEB3200 Victory BlvdStaten Island, NY 10314718-761-3200

DR. NICHOLAS MATTIA694 Forest AveStaten Island, NY 10310718-442-8440

DR. PAMELA MICHELOTTIDR. GLENN STANISLAUS

1003 Richmond AveStaten Island, NY 10314718-477-5588

DR. RONALD NAPOLITANODR. MARY NASSO

4546 Hylan BlvdStaten Island, NY 10312718-948-5111

DR. BRUCE NIEDLE211 Richmond Hill RdStaten Island, NY 10314718-494-1144

DR. DANIEL PERRONE2136 Victory BlvdStaten Island, NY 10314718-761-4566

DR. DAVID SANDLER3930 Richmond AveStaten Island, NY 10312718-966-0989

DR. JUSTIN SCHUSSHEIM71 Todt Hill RdStaten Island, NY 10314718-816-8102

DR. MARSHALL SKOPP2040 Forest AveStaten Island, NY 10303718-982-5230

DR. SETH WEINER3 Leason PlStaten Island, NY 10314718-494-6100

DR. HARRY WEISENFELD310 Richmond Hill RdStaten Island, NY 10314718-494-0100

SUFFOLKDR. HOMA AMERI

809 Rt 25ARocky Point, NY 11778631-744-3770

DR. EUGENE AVRASH111 Smithtown Bypass #203Hauppauge, NY 11788631-265-6262

DR. RICHARD BERNIKER500 Portion Rd #3Ronkonkoma, NY 11779631-471-4500

DR. MARC BLUMENTHALDR. CLIFF ROGERS

454 Deer Park AveBabylon, NY 11702631-669-0261

DR. HARVEY CAPLIN111 Smithtown Bypass #217Hauppauge, NY 11788631-724-0900

DR. AVINASH CHERIAN102 Rt 109West Babylon, NY 11704631-619-0010

DR. KASHMIRA DEMEIRELES71 Ireland PlAmityville, NY 11701631-691-6161

DR. ELENA FRIEDMAN1 Snowberry CtMiller Place, NY 11764631-928-3384

14

Page 21: PARTICIPATING DENTIST PROGRAM · 2019-09-23 · For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures

GENERAL PRACTITIONERSDR. STEVEN GOLDBERG

400 W Main St #211Babylon, NY 11702631-422-6066

DR. FRANK GRANATI100 N Ocean AvePatchogue, NY 11772631-289-1919

DR. LOUIS KALKINES283 Commack Rd #140Commack, NY 11725631-462-2433

DR. RICHARD KLEIN496 Smithtown Bypass #300Smithtown, NY 11787631-360-8000

DR. GEORGE MANOLARAKIS7 High St #209Huntington, NY 11743631-673-8061

DR. ANDREW MARKOWITZDR. WILLIAM PEPPIATT

499 William Floyd PkwyShirley, NY 11967631-281-1440

DR. JOSEPH MARTINO999 Walt Whitman Rd # 304Melville, NY 11747631-385-1100

DR. ADAM MASLOW161 E Main St #2-4Huntington, NY 11743631-673-5784

DR. PARAG MATHUR1644 Deer Park AveDeer Park, NY 11729631-586-7100

DR. PORFIRIO NUNEZ1927 New York AveHuntington Sta, NY 11746631-683-4455

DR. BYUNG PAK1723 Great Neck RdCopiague, NY 11726631-598-3331

DR. PAUL PERCIBALLI234 Airport Plaza #3Farmingdale, NY 11735631-756-1900

DR. WILLIAM PERUSO109 Carleton AveCentral Islip, NY 11722631-348-2500

DR. ROBERT POCH2171 Jericho TpkeCommack, NY 11725631-499-5225

DR. ANTHONY QUITONI699 Middle Country RdMiddle Island, NY 11953631-924-8155

DR. HYMAN RITTERDR. ROBERT STEIN

94 Howells RdBay Shore, NY 11706631-665-3439

DR. MILTIADES STERGAKOSDR. PETER STERGAKOS

604 S BroadwayLindenhurst, NY 11757631-225-2115

DR. MANISHA SURI764 North Wellwood AveLindenhurst, NY 11757631-957-2211

DR. CALOGERO VASSALLO2500 Nesconset Hwy #19BStonybrook, NY 11787631-265-3656

ULSTERDR. ROSS KRASNOV

1300 Ulster Ave #160Kingston, NY 12401845-336-0400

DR. WAYNE ST HILL3642 Main St.Stone Ridge, NY 12484845-687-0600

WESTCHESTERDR. AFSHAN AHMED

450 Central Park AveScarsdale, NY 10583914-722-6500

DR. AFSHAN AHMED400 E Sanford BlvdMt Vernon, NY 10550914-699-6568

DR. CHARLES AVANZATO280 N Central Ave #130Hartsdale, NY 10530914-946-0006

DR. ELYSSA BARNETTDR. IRINA KESSLER

87 Wolfs LnPelham, NY 10803914-738-3606

DR. HERMANN CALVO-CRUZ453 South BroadwayYonkers, NY 10705914-964-8100

DR. RAYMOND CAPIOLA171 E Post Rd #209White Plains, NY 10601914-949-7860

DR. DENNIS CHAN175 Memorial Hwy #1-11New Rochelle, NY 10801914-235-4330

DR. KAREEM FATOUH876 Mile Square RdYonkers, NY 10704914-207-6087

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GENERAL PRACTITIONERSDR. JAY FENSTERSTOCK

35 E Grassy Sprain Rd #103Yonkers, NY 10710914-337-5252

DR. JOSEPH FERTUCCI2649 Strang Blvd #300Yorktown Heights, NY 10598914-245-7977

DR. ISABEL GARCIADR. BERT GOLDFINGER

19 Skyline Drive 3rd floorHawthorne, NY 10532914-594-2700

DR. JOHN HABIB169 Park AveYonkers, NY 10703914-965-3864

DR. AHMED KHEIR1075 Central Park Ave #104Scarsdale, NY 10583914-472-9400

DR. ALAN KLEIN984 N Broadway #500Yonkers, NY 10701914-965-2390

DR. ROSS KRASNOV100 Main StWhite Plains, NY 10601914-997-9000

DR. RANDY LUNENFELD115 Main St #1BTuckahoe, NY 10707914-771-8888

DR. ALEXANDER MUSHEYEV130 Garth RdScarsdale, NY 10583914-472-1555

DR. AARON POLINSKY300 Martine AveWhite Plains, NY 10601914-684-2244

DR. MARA ROSENBERG47 Mamaroneck AveWhite Plains, NY 10601914-997-0566

DR. MARA ROSENBERG1730 Central Park Ave S #2RYonkers, NY 10710914-779-4858

DR. EDWARD ROSENBLUM1428 Midland AveBronxville, NY 10708914-237-6847

DR. EDWARD ROSENBLUM1815 Palmer AveLarchmont, NY 10538914-834-0402

DR. KYLE SEVER3020 Westchester Ave Su 200Purchase, NY 10577914-996-7786

DR. VICTORIA SHERMAN466 Main StNew Rochelle, NY 10801914-576-0044

DR. FREDRIC SIEGEL466 Main StNew Rochelle, NY 10801914-633-5050

DR. JUNGHWAN SOH110 Lockwood Ave main floorNew Rochelle, NY 10801914-632-3132

DR. TODD WORTMAN140 Lockwood Ave #303New Rochelle, NY 10801914-636-6363

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GENERAL PRACTITIONERS

NEW JERSEYBERGEN

DR. ARIEN BAHAWDORY85 Portland AveBergenfield, NJ 07621201-385-5080

DR. THOMAS HAFNER415 W Saddle River RdUpper Saddle River, NJ 07458201-327-7757

DR. NICKOLAOS KALLIS617 E. Palisades AveEnglewood Cliffs, NJ 07632201-567-7500

DR. MURRAY LEBEN147 S Washington AveBergenfield, NJ 07621201-385-5454

DR. DEBRA ROSENBLATT251 Godwin AveMidland Park, NJ 07432201-445-2797

DR. RICHARD SILVERSTEIN155 N Dean StEnglewood, NJ 07631201-568-6465

DR. SONIA VULAKH221 W. Grand Ave 100Montvale, NJ 07645201-391-3060

DR. SUNG YUN269 Livingston St #GNorthvale, NJ 07647201-784-1930

DR. SAMER ZEINO799 Abbott BlvdFort Lee, NJ 07024201-224-0310

ESSEXDR. DMITRY KUCHER

349 Northfield Rd #214Livingston, NJ 07039973-992-5724

HUDSONDR. JACOB COHENDR. SAMMY GOLDSTEIN

707 Summit Ave 2nd FlUnion City, NJ 07087201-863-0816

DR. MICHAEL NOURBAKHSH5300 Bergenline Ave #8West New York, NJ 07093201-865-7750

DR. TEJAL PATEL417 36th StUnion City, NJ 07087201-865-9293

DR. RICHARD POLLER333 Meadowlands PkwySecaucus, NJ 07094201-864-2600

DR. VIVIAN VILLALOBOS4801-07 Bergenline Ave 2nd FlUnion City, NJ 07087201-865-6740

MERCERDRS. EISENBERG, EISENBERG, & EISENBERG

710 Alexander RdPrinceton, NJ 08540609-520-0404

MIDDLESEXDR. GENNADY BRODSKY

47 Brunswick Woods DrEast Brunswick, NJ 08816732-390-6555

DR. RACHNA DOGRADR. NEELU PARMAR

1070 Hwy 34 Plaza 34 Ste BMatawan, NJ 07747732-566-6060

DR. RACHNA DOGRADR. NEELU PARMAR

400 Perrine Rd #410Old Bridge, NJ 08857732-727-7600

DR. ROBERT OEHLBERG42 Parsonage RdEdison, NJ 08837732-548-9400

DR. ALLA PAVLUSHKIN2515 Rte 516Old Bridge, NJ 08857732-607-0909

DR. INNA SILMAN499 Ernston RdParlin, NJ 08859732-721-9300

MONMOUTHDR. DOUGLAS BLOCK

430 Bridge Plaza Dr B8Manalapan, NJ 07726732-536-2482

DRS. EISENBERG, EISENBERG, & EISENBERG

2002 Sunset AveOcean, NJ 07712732-775-0303

DRS. EISENBERG, EISENBERG, & EISENBERG

495 Iron Bridge RdFreehold, NJ 07728732-294-0404

DR. CHETHNA GOTTIPALLI184 Route 9 North 22Englishtown, NJ 07726732-252-8444

DR. EMANUEL GRAZIANODR. ANTHONY PANNONE

342 Mounts Corner DrFreehold, NJ 07728732-414-2683

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GENERAL PRACTITIONERSDRS. GRAZIANO, PANNONE, & RUGGERI

20 White Rd # FShrewsbury, NJ 07702732-945-7388

DR. YANA NEMTSEVA280 Rte 9 NMorganville, NJ 07751732-972-6400

DR. INNA SILMAN270 Rte 9 N #500Manalapan, NJ 07726732-577-1515

OCEANDR. YAFA WALKIN

139 Ocean AveLakewood, NJ 08701732-370-7771

PASSAICDR. MOHAMED ABOELSAAD

482 Notch RoadWoodland Park, NJ 07424973-256-3300

DR. MITESH PATEL50 Mt Prospect Ave #208Clifton, NJ 07013973-249-0450

DR. DEBRA ROSENBLATT759 Lafayette AveHawthorne, NJ 07506973-427-1443

UNIONDR. THOMAS E NICHOLSON

450 Mountain AveSpringfield, NJ 07081973-467-0045

ARIZONAMARICOPA

DR. NICK HUYNH6828 E Brown Rd #100Mesa, AZ 85207480-503-3600

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GENERAL PRACTITIONERS

CONNECTICUTFAIRFIELD

DR. OLGA GONCHAROVA316 Hope StStamford, CT 06906203-353-8532

DR. ROSS KRASNOV100 Greyrock Pl Ste 116Stamford, CT 06901203-348-0300

DR. YELENA TARAN5065 Main St #1118Trumbull, CT 06611203-373-9099

NEW HAVENDR. ROSS KRASNOV

495 Union StWaterbury, CT 06706203-574-2121

FLORIDABROWARD

DR. JOSHUA COUSSA8235 W Atlantic BlvdCoral Springs, FL 33071954-753-6100

DR. PETER FUERST2706 N University DrSunrise, FL 33322954-741-0700

DR. STEVEN GILSON10167 W Sunrise Blvd #101Plantation, FL 33322954-424-4600

DR. ARTHUR KAMINSKY4980 NW 73rd AveLauderhill, FL 33319954-722-1522

DR. SCOTT KLAREICH8197-1 N University DrTamarac, FL 33321954-720-0006

DR. VADIM VALDMAN8000 W Broward Blvd #834Plantation, FL 33388954-476-0802

DR. VADIM VALDMAN12801 W Sunrise Blvd #F222Sunrise, FL 33323954-846-7171

DR. WILLIAM ZENGA JR2500 University Dr #9 Ste #9Sunrise, FL 33322954-741-8580

COLLIERDR. MARIANNA ZADOV

4280 Tamiami Trail E Ste 201Naples, FL 34112239-258-0421

DADEDR. JOEL GLICKSMAN

2797 NE 207th StN Miami Beach, FL 33180305-935-2797

DR. VADIM VALDMAN1455 NW 107th Ave #584Doral, FL 33172305-597-8787

PALM BEACHDR. PERRY ALPERT

15127 Jog Rd #104Delray Beach, FL 33446561-498-0393

DR. RICHARD HARRIS15300 Jog Rd #207Delray Beach, FL 33446561-498-3181

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GENERAL PRACTITIONERSDR. JEFFREY SCHWARTZ

4623 Forest Hill Blvd #115W Palm Beach, FL 33415561-965-7000

DR. NATHANIEL STALLER5869 W Atlantic Ave #A2ADelray Beach, FL 33484561-637-9300

DR. ROY STARK4800 Linton Blvd #D-504Delray Beach, FL 33445561-395-4116

DR. MARIANNA ZADOV1905 Clint Moore Rd #200Boca Raton, FL 33496561-241-2900

MARYLANDBALTIMORE CITY

DR. ROSS KRASNOV2401 Liberty Heights Ave #3725Baltimore, MD 21215410-225-0014

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GENERAL PRACTITIONERS

NE

DR. MICHAEL DANAHAY14211 Arbor St. Ste 200Omaha, NE 68144402-614-6300

NEVADACLARK

DR. VUONG DO9770 S Maryland Pkwy #8LAS VEGAS, NV 89183702-463-7300

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GENERAL PRACTITIONERS

TEXASFORT BEND

DR. ROSS KRASNOVDR. DUY LIEM NGUYEN

16535 S.W Freeway 570Sugar Land, TX 77479713-234-7574

HARRISDR. ROSS KRASNOVDR. DUY LIEM NGUYEN

1684 Willowbrook MallHouston, TX 77070281-890-5777

DR. ROSS KRASNOVDR. DUY LIEM NGUYEN

1012 Baybrook MallFriendswood, TX 77546281-286-3221

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ENDODONTISTS

NEW YORKBRONX

DR. MELISSA DAVIS55 E Mosholu Pkwy NBRONX, NY 10467718-652-7370

BROOKLYNDR. ALBERT BONANNO

1801 Ave MBrooklyn, NY 11230718-252-8989

DR. JUSTIN COHEN2201 Ralph AveBrooklyn, NY 11234718-209-1409

DR. RICHARD GIDDON177 Livingston StBrooklyn, NY 11201718-403-0700

DR. FIRAS MARSHEH2348 Ralph AvenueBrooklyn, NY 11234718-531-0300

MANHATTANDR. RITA CHAN

230 W 41st St 2nd FlNew York, NY 10036212-398-9690

DR. MICHAEL COLLURA121 E 60th St #4ANew York, NY 10022212-980-7857

NASSAUDR. DAVID BROWDY

483 Scranton Ave #1Lynbrook, NY 11563516-599-7111

DR. WILLIAM BROWNSTEIN800 Community Dr #304Manhasset, NY 11030516-627-9393

DR. HARRY EINBENDER2035 Lakeville Rd #205New Hyde Park, NY 11040516-437-1633

DR. BARRY ELGORTDR. BARRY MYERS

560 Old Country RdPlainview, NY 11803516-681-1440

DR. ELLIOT FIDLER100 Manetto Hill Rd #203Plainview, NY 11803516-931-7001

DR. ALBERT GRANGERDR. ASHISH SAHASRABUDHE

1103 Stewart Ave 1st FlGarden City, NY 11530516-222-1822

QUEENSDR. JIYEON CHUNG

133-08 41st AveFlushing, NY 11355718-762-7888

DR. MICHAEL COLLURADR. KEVIN MARTIN

242-08 Hillside AveBellerose, NY 11426718-962-3001

DR. MITCHELL GREENBERG119-66 80th Rd #A1Kew Gardens, NY 11415718-544-8888

DR. RONALD SHERMAN63-60 102nd St #G21Rego Park, NY 11374718-896-3100

STATEN ISLANDDR. BERNARD GOLDMAN

165 Westwood AveStaten Island, NY 10314718-761-1200

DR. BRIAN MIRMAN2627 Hylan Blvd #DStaten Island, NY 10306718-667-6000

SUFFOLKDR. MICHAEL COLLURADR. KEVIN MARTIN

164 Commack Rd #7Commack, NY 11725631-462-4600

DR. ALBERT GRANGERDR. ASHISH SAHASRABUDHE

44 Medford AvePatchogue, NY 11772631-447-6060

WESTCHESTERDR. MARC ADELSTEIN

1075 Central Park Ave #206Scardale, NY 10583914-713-4580

DR. TATIANA BORINOS455 Central Park Ave #209AScarsdale, NY 10583914-472-3785

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ORAL SURGEONS

NEW YORKBRONX

DR. JANET BODEY2403 Grand ConcourseBronx, NY 10468347-590-8150

DR. JANET BODEY3056 Third AveBronx, NY 10451347-590-9251

DR. JANET BODEY6118 Riverdale AveBronx, NY 10471347-590-9915

DR. JANET BODEY3457 Boston RdBronx, NY 10469347-590-9916

DR. JANET BODEY1241 Castle Hill AveBronx, NY 10462347-590-9917

DR. JANET BODEY5209 BroadwayBronx, NY 10463646-964-5960

DR. DAVID FISHERDR. MARLON MOORE

1776 Eastchester Rd Su 230Bronx, NY 10461718-828-6200

DR. MARCELLO GUGLIELMI563 E Tremont AveBronx, NY 10457718-466-4500

DR. GABRIELA OANA3333 Henry Hudson Pkwy W #9Bronx, NY 10463718-796-4550

BROOKLYNDR. MARK BIRNBAUMDR. STEVE MANZON

1777 Ocean PkwyBrooklyn, NY 11223718-998-9114

DR. EUGENE HERMAN7815 5th AveBrooklyn, NY 11209718-745-4422

DR. MARC HERTZ2026 Ocean Ave #1KBrooklyn, NY 11230718-998-9999

DR. DAVID KESSLER183 N 6th StBrooklyn, NY 11211718-388-3737

DR. RENATA KHELEMSKYDR. MIKHAIL RUVINSKY

2973 Ocean AveBrooklyn, NY 11235718-332-0300

DR. DOROTHY LORENZO177 Livingston St Ground FlBrooklyn, NY 11201718-403-0700

DR. SETH MALTZ955 Pennsylvania AveBrooklyn, NY 11207718-272-8300

DR. GARRY SHNAYDER1512 Ave ZBrooklyn, NY 11235718-395-4700

DR. BORIS ZATS1918 Ave UBrooklyn, NY 11229718-743-5400

DR. BORIS ZATS32 Court St Suite 1100 CourtBrooklyn, NY 11201718-783-2777

DR. ROBERT ZEITLIN1603 Voorhies Ave 1st FlBrooklyn, NY 11235718-332-1778

MANHATTANDR. JANET BODEY

3915 BroadwayNew York, NY 10032212-567-5536

DR. JANET BODEY2168 Third AveNew York, NY 10035646-360-4840

DR. ADAM BRISMAN231 E 106th StNew York, NY 10029212-348-0020

DR. STEPHEN GELFMANDR. CARY MILES

115 E 61st 3rd FlNew York, NY 10065212-308-3331

DR. FREDERICK HEGEDUS30 Central Park S #3ANew York, NY 10019212-759-2993

DR. YANDRESCO QUINTANA651 West 180th StNew York, NY 10033212-927-0565

NASSAUDR. MITCHELL BROOKSTONE

1228 Wantagh AveWantagh, NY 11793516-826-1666

DRS. D ABUNDO, GARFIELD, & SOH

2116 Merrick Ave #4008Merrick, NY 11566516-546-1444

24

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ORAL SURGEONSDR. NEAL EZRA

1301 Cornaga AveFar Rockaway, NY 11691718-327-6592

DR. EMILY HALPERNDR. KENNETH HALPERN

70 Glen Cove Rd #206Roslyn Heights, NY 11577516-621-2323

DR. PETROS PANAGOSDR. EUGENE PEZZOLLO

2035 Lakeville Road Ste 204New Hyde Park, NY 11040516-437-2666

DR. GREGOIRE PANOSSIAN5240 Merrick Rd #1Massapequa, NY 11758516-541-4767

DR. EUGENE PEZZOLLO23 Bond StGreat Neck, NY 11021516-482-0329

DR. JULES ROBERTS901 Old Country RdPlainview, NY 11803516-681-5330

DR. LEONARD SCHIFFMAN141 Franklin Pl #BWoodmere, NY 11598516-569-1111

DR. SLAVA SHAPIRO167 Froehlich Farm BlvdWoodbury, NY 11797516-677-9777

ORANGEDR. JANET BODEY

360 Route 211 EastMiddletown, NY 10940845-775-4490

QUEENSDR. JANET BODEY

82-12 37th AveJackson Heights, NY 11372347-590-9910

DR. ROSS CHAVKINDR. LOUIS COLACICCO

27-30 Francis Lewis BlvdFlushing, NY 11358718-762-2340

DR. NIRA DWIVEDI38-08 Bell Blvd #3Bayside, NY 11361718-631-3300

DR. ELEFTHERIOS GAVRIIL23-06 24Th AveAstoria, NY 11102718-440-3457

DR. ANTHONY GREEN178-36 Wexford Terrace #2EJamaica Estates, NY 11432718-739-1300

DR. DAVID HOFFMAN7009 Austin St 201Forest Hills, NY 11375718-261-2790

DR. DORON KALMAN6070 Woodhaven Blvd C2Elmhurst, NY 11373718-897-6400

DR. SLAVA SHAPIRO70-09 Austin St #201Forest Hills, NY 11375718-261-2790

DR. BORIS ZATS68-63 108th St #1DForest Hills, NY 11375718-575-1010

STATEN ISLANDDR. RALPH COSTAGLIOLA

71 Todt Hill Rd #106Staten Island, NY 10314718-815-3221

SUFFOLKDR. ROSS CHAVKINDR. LOUIS COLACICCO

115 Broadhollow Rd #200Melville, NY 11747631-752-1033

DR. KENNETH PATICOFF1992 Deer Park AveDeer Park, NY 11729631-667-0004

DR. LYNN PIERRI400 Townline Rd #135Hauppauge, NY 11788631-360-0266

WESTCHESTERDR. EVAN CHAFITZ

73 MARKET ST #377Yonkers, NY 10710914-779-5606

DR. EVAN CHAFITZ1075 Central Pk Ave #207Scarsdale, NY 10583914-472-5252

DR. ANDREW HOROWITZ495 Central Park Ave #201Scarsdale, NY 10583914-472-0100

DR. KERRY MCENTEE77 Quaker Ridge Rd #212 212New Rochelle, NY 10804914-235-1235

DR. MARK NIZNIKIEWICZ351 Harrison AveHarrison, NY 10528914-777-7171

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ORAL SURGEONS

NEW JERSEYBERGEN

DR. ESHANSH ARORA15-01 Broadway #18Fairlawn, NJ 07410201-475-1600

DR. VINCENT CARRAO1530 Palisade AveFort Lee, NJ 07024201-585-8282

DR. JOHN KALLIS617 E Palisade AveEnglewood Cliffs, NJ 07632201-567-7500

HUDSONDR. JANET BODEY

901 Washington StHoboken, NJ 07030201-659-1600

MIDDLESEXDR. MARTEN LADMANDR. ADAM SCHUESSLER

C3 Cornwall DriveEast Brunswick, NJ 08816732-613-0404

MONMOUTHDR. JEFFREY ELBAUMDR. BRIAN KROST

501 Iron Bridge Rd #14Freehold, NJ 07728732-431-3400

DR. MARTEN LADMANDR. ADAM SCHUESSLER

87 Rte 520Morganville, NJ 07751732-972-0002

CALIFORNIASAN DIEGO

DR. STEVEN PODSTRELENY15725 Pomerado Rd #205Poway, CA 92064858-451-0200

DR. STEVEN PODSTRELENY4067 Park BlvdSan Diego, CA 92103619-795-0154

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ORTHODONTISTS

NEW YORKBRONX

DR. MAIRAJ AHMED1100 Pelham Pkwy SouthBronx, NY 10461718-684-3131

BROOKLYNDR. OLEG DRUT

79 Ave UBrooklyn, NY 11223718-373-6707

DR. MICHAEL KALIMIAN7806 Flatlands AveBrooklyn, NY 11236718-975-4998

DR. IVES TUCKER7000 Bay Parkway #L-ABBrooklyn, NY 11204718-256-0022

MANHATTANDR. KENNETH LEVENE

207 E 63rd StNew York, NY 10065212-750-9266

DR. JENNIFER STACHEL315 W 57th St #204New York, NY 10019212-877-7177

DR. BRADFORD WASHINGTON1851 Adam Clayton Powell JrNew York, NY 10026212-866-9800

NASSAUDR. NATALIE BITTON

24 Maple Ave Ste 3Rockville Centre, NY 11570516-766-0012

DR. SCOTT FRIEDMAN1025 Northern Blvd #207Roslyn, NY 11576516-365-5300

DR. SCOTT FRIEDMANDR. EFRAIM ZAK

519 Bellmore AveEast Meadow, NY 11554516-505-8800

DR. BRADLEY GOLDSAMT650 Central Ave Ste PCedarhurst, NY 11516516-295-1255

DR. SABEEH KHAN28 Merrick Ave #1Merrick, NY 11566516-378-1033

DR. SABEEH KHAN500 N Broadway #146Jericho, NY 11753516-932-6200

DR. ANDREW NEWMAN1955 Merrick Rd #206Merrick, NY 11566516-377-7727

DR. SETH NEWMAN14 Glen Cove RdRoslyn Heights, NY 11577516-626-2060

DR. SETH NEWMAN601 Franklin Ave SU 130Garden City, NY 11530516-248-2560

DR. DAVID OSTREICHER93 Division AveLevittown, NY 11756516-735-8315

DR. ROMEY SABNANI482 Merrick RdLynbrook, NY 11563516-837-9283

DR. DAVID SUKOFF47 Merrick AveMerrick, NY 11566516-868-3131

DR. JOSEPH VITAGLIANO25 Carmans RdMassapequa, NY 11758516-798-6786

QUEENSDR. EMANUEL ABAYEV

75-05 Parsons BlvdFlushing, NY 11366718-380-1230

DR. GISELA CHAN CHU211-54 45TH Dr 2nd flBayside, NY 11361718-428-3300

DR. SCOTT FRIEDMANDR. EFRAIM ZAK

18-15 Francis Lewis BlvdWhitestone, NY 11357718-746-8900

DR. SCOTT FRIEDMANDR. EFRAIM ZAK

31-19 Newtown Ave Ste 200Astoria, NY 11102718-721-5100

DR. EFSTATHIOS GIANNOUTSOS3743 77th St 1st FlJackson Heights, NY 11372718-335-4444

DR. COREY GOLDSTEIN159-05 92nd StHoward Beach, NY 11414718-848-6944

DR. SABEEH KHAN55-36 69th PlMaspeth, NY 11378718-533-6200

DR. CYNTHIA LEUNG255-03 Northern BlvdLittle Neck, NY 11362718-225-8828

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ORTHODONTISTSDR. ROBERT LOPATKIN

23-12 31st StAstoria, NY 11105718-278-0358

DR. EMANUEL MIZRAHI110-35 Jewel AveForest Hills, NY 11375718-897-6666

DR. SHELDON RINTEL109 20 Queens BlvdForest Hills, NY 11375929-372-7255

DR. STACY WOLF23-25 Bell Blvd. LgBayside, NY 11360718-225-6000

STATEN ISLANDDR. SALVATORE ESPOSITO

81 Wyona AveStaten Island, NY 10314718-698-4300

DR. SALVATORE ESPOSITO3 Margaret StStaten Island, NY 10308718-984-4545

DR. SALVATORE ESPOSITO155 Bay St Unit 3Staten Island, NY 10301718-876-8100

DR. SALVATORE ESPOSITO83 Gliffords LaneStaten Island, NY 10308718-698-4300

DR. JOSEPH TUCKER235 Dongan Hills Ave #1BStaten Island, NY 10305718-720-7346

DR. HONG YIN2791 Richmond Ave 2Staten Island, NY 10314718-300-3499

DR. HONG YIN4864 Arthur kill Rd Suite 400Staten Island, NY 10309718-300-3499

SUFFOLKDR. JUSTYNA BALICKA

124 Main Street #6Huntington, NY 11743631-423-7857

DR. SCOTT FRIEDMANDR. JOSHUA ROTHENBERG

940 Roanoke AveRiverhead, NY 11901631-727-4040

DR. SCOTT FRIEDMANDR. JOSHUA ROTHENBERG

175-6 Rte 25AEast Setauket, NY 11733631-941-4498

DR. SCOTT FRIEDMAN1150 Portion Rd #13Holtsville, NY 11742631-698-2424

DR. SCOTT FRIEDMAN500 Portion RdLake Ronkonkoma, NY 11779631-588-1199

DR. SCOTT FRIEDMANDR. EFRAIM ZAK

1990 Deer Park AveDeer Park, NY 11729631-586-7654

DR. JOSEPH VITAGLIANO150 Higbie LaWest Islip, NY 11795631-661-3025

WESTCHESTERDR. EFSTATHIOS GIANNOUTSOSDR. SETH NEWMAN

180 E Post RdWhite Plains, NY 10601914-428-5335

DR. EFSTATHIOS GIANNOUTSOSDR. SETH NEWMAN

169 Park AveYonkers, NY 10703914-965-4233

DR. JONATHAN YOUNG KIM280 Mamaroneck AveWhite Plains, NY 10605914-946-1213

DR. MICHAEL SOKOLOFF20 Old Mamaroneck Rd #1CWhite Plains, NY 10605914-949-0068

NEW JERSEYBERGEN

DR. OLEG DRUT17 Summit AvenueHackensack, NJ 07601201-996-0770

ESSEXDR. ROBERT LORINO

286 Union AveBelleville, NJ 07109973-751-4040

MONMOUTHDR. MARTIN WISNIEWSKI

23 Kilmer Dr #FMorganville, NJ 07751732-972-7775

MORRISDR. ROBERT LORINO

689 Valley Rd #208Gillette, NJ 07933908-542-0042

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PEDIATRIC DENTISTS

NEW YORKBROOKLYN

DR. UNTRAY BROWN55 Greene Ave #CBrooklyn, NY 11238718-230-7676

DR. OLGA FERDMAN7806 Flatlands AveBrooklyn, NY 11236718-975-4998

DR. NASSI FIGDOR540 East New York Ave Grd FlBrooklyn, NY 11235718-606-9603

DR. JOHN HANSFORD102 Norman Ave Greenpoint NyBrooklyn, NY 11222929-324-1140

MANHATTANDR. LAURENCE HYACINTHE

1845 Adam Clayton Powell Jr.New York, NY 10026347-292-1757

DR. MICHAEL KING30 E 40th St #503New York, NY 10016212-986-2039

DR. KIMBERLI LEAL425 Grand StreetNew York, NY 10002646-902-5439

DR. KENNETH MARKEL400 West End Ave #1BNew York, NY 10024212-496-9600

NASSAUDR. JEANNIE ALVARADO ASTAIZA

3426 Merrick RdSeaford, NY 11783516-783-9773

DR. DANIELLE COOPERDR. MICHAEL IOANNOU

300 Garden City Plaza 214Garden City, NY 11530516-280-6734

DR. MICHELE KAIDER-ALSTODT1201 Northern Blvd #102Manhasset, NY 11030516-365-5439

DR. ADAM POSTEL3210 Hempstead TpkeLevittown, NY 11756516-226-7337

DR. LAURA RANDAZZO SABNANI482 Merrick RdLynbrook, NY 11563516-837-9283

DR. ROD STERN444 Community Dr Ste 201 6Manhasset, NY 11030516-487-5437

QUEENSDR. DAVID CHOI

56-11 94th St #LNElmhurst, NY 11373718-760-8700

DR. KEN CHU211-54 45Th 2Nd FlBayside, NY 11361718-428-3300

DR. BARRY JACOBSON135-14 Jewel AveKew Garden Hills, NY 11367718-997-6453

DR. PARASKEVAS KOURTSOUNIS18-15 Francis Lewis BlvdWhitestone, NY 11357718-746-1230

DR. PARASKEVAS KOURTSOUNIS30-21 35th StAstoria, NY 11103718-278-1700

DR. VERED MASLAVI42-32 Francis Lewis BlvdFlushing, NY 11361718-279-0900

STATEN ISLANDDR. GLENN MARIE

739 Woodrow Rd 2nd FlStaten Island, NY 10312718-317-8524

DR. ABHINAV SINHA6795 Hylan BlvdStaten Island, NY 10309718-967-2412

SUFFOLKDR. DANIELLE COOPERDR. MICHAEL IOANNOU

2171 Jericho Tpke #145Commack, NY 11725631-486-6364

DRS. COOPER, IOANNOU, & IOANNOU

3237 Rt 112 Bldgn#6-7BMedford, NY 11763631-320-0880

DR. MICHELE KAIDER-ALSTODT1476 Deer Park Ave #2N. Babylon, NY 11703631-254-5437

DR. PARASKEVAS KOURTSOUNIS500 Portion Rd #16Ronkonkoma, NY 11779631-451-7700

DR. PARASKEVAS KOURTSOUNIS7 Mark Tree RdCentereach, NY 11720631-585-6600

DR. PARASKEVAS KOURTSOUNIS919 Deer Park AveN. Babylon, NY 11703631-893-7000

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PEDIATRIC DENTISTSWESTCHESTER

DR. EILEEN CALAMIADR. CRISTINA GEORGESCU

450 Mamaroneck Ave Ste 403Harrison, NY 10528914-777-1140

DR. MICHELE KAIDER-ALSTODT180 East Post RdWhite Plains, NY 10601914-946-5437

DR. MOONSUM KIM77 Quaker Ridge Rd #210New Rochelle, NY 10804914-632-2800

DR. JAISH MARKOS50 Dayton Ln #103Peekskill, NY 10566914-402-6980

DR. ROSSARIN MITSUMOTO245 N Broadway #108Sleepy Hollow, NY 10591914-332-1272

DR. VALI MOHAMMADI188 Summerfield StScarsdale, NY 10583914-472-2929

NEW JERSEYBERGEN

DR. DANIEL COHEN180 North Dean St #1 NorthEnglewood, NJ 07631201-569-5437

MONMOUTHDR. RISHI VERMA

120 Craig Rd Ste3Manalapan, NJ 07726732-303-7827

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PERIODONTISTS

NEW YORKBRONX

DR. IYMAN ELASHMAWY724 Pelham Pkwy SBronx, NY 10462347-281-9444

DR. STEVEN OKEN1550 Pelham Pkwy SBronx, NY 10461718-597-8457

DR. HOWARD SILVERBRAND2136 Matthews AveBronx, NY 10462718-409-1610

BROOKLYNDR. ALI ASKARI

142 Joralemon St #9EBrooklyn, NY 11201718-625-4085

DR. MICHELLE BAILEY8701 Shore Road Ste ABrooklyn, NY 11209718-836-9000

DR. NAVID BARADARIAN2272 Hendrickson StBrooklyn, NY 11234718-253-3333

DR. BRUCE KERN1801 Ave MBrooklyn, NY 11230718-252-8989

DR. KENNETH MARCUS1750 Ocean Pkwy #1ABrooklyn, NY 11223718-375-7760

DR. KAMBIZ MOHAJER177 Livingston StBrooklyn, NY 11201718-403-0700

DR. MICHAEL PLOTNO7815 5th AveBrooklyn, NY 11209718-745-4422

DR. STUART SEGELNICK3165 Emmons Ave #C1Brooklyn, NY 11235718-743-8279

MANHATTANDR. DANIEL KAPLAN

200 Central Park S #209New York, NY 10019212-489-4867

DR. CLIFFORD MELNICK136 E 64th StNew York, NY 10065212-355-1266

DR. LLOYD SOMAN343 W 58th St #8New York, NY 10019212-757-1515

DR. NEAL VALLINS800A 5th Ave #305New York, NY 10065212-371-6887

DR. DANIEL WANK115 E 61st St #6CNew York, NY 10065212-867-0345

NASSAUDR. BARBRA BERWALD

1044 Northern Blvd #103Roslyn, NY 11576516-484-2646

DR. JEFFREY R BROOK878 BroadwayMassapequa, NY 11758516-799-1500

DR. JEFFREY R BROOK2940 Lincoln AveOceanside, NY 11572516-593-5700

DR. AARON ELKOWITZ561 Hempstead AvenueWest Hempstead, NY 11552516-483-7580

DR. ALAN GORMAN100 Manetto Hill RdPlainview, NY 11803516-931-6663

DR. BARRY GREENFIELD14 Maple St #104Port Washington, NY 11050516-767-1880

DR. STUART HEIMANN400 S.Oyster Bay Rd Ste 301Hicksville, NY 11801516-798-5700

DR. STEVEN KERPEN833 Northern Blvd #250Great Neck, NY 11021516-773-3727

DR. SAM MORHAIM400 South Oyster Bay Road 201Hicksville, NY 11801516-933-8600

DR. HENRY SACHS1181 Old Country Rd #2Plainview, NY 11803516-932-3050

DR. MICHAEL SHRECK1300 Union Tpke #201New Hyde Park, NY 11040516-775-3737

DR. ADAM ZATCOFF700 Hillside AveNew Hyde Park, NY 11040516-352-8282

QUEENSDR. DANIEL KAPLAN

64-20 99th StRego Park, NY 11374718-896-2222

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PERIODONTISTSDR. EDWARD KIM

61-34 188th St #210Fresh Meadows, NY 11365718-454-7334

DR. PRABHA KRISHNAN110-45 Queens Blvd #108Forest Hills, NY 11375718-268-5777

DR. ALICJA MC CRUDDENDR. ALBERT YOO

222-15 Northern Blvd #LL-FBayside, NY 11361347-235-0660

DR. ROBERT OLAN18-15 Francis Lewis BlvdWhitestone, NY 11357718-767-7276

DR. ROBERT OLAN30-21 35Th StreetAstoria, NY 11103718-278-4949

STATEN ISLANDDR. BARRY GREENFIELD

1887 Richmond AveStaten Island, NY 10314718-477-7500

DR. ZALMAN LEWIS310 Richmond Hill RdStaten Island, NY 10314718-494-0100

DR. MICHAEL PLOTNO3044 Amboy RdStaten Island, NY 10306718-761-9700

SUFFOLKDR. ADAM ZATCOFF

699 Middle Country RdMiddle Island, NY 11953631-924-8155

WESTCHESTERDR. BIAGIO IANNACE

171 Brook StScarsdale, NY 10583914-776-2023

DR. THOMAS RAFFERTY100 Main StWhite Plains, NY 10601914-997-9000

NEW JERSEYBERGEN

DR. ROBIN KLEIN646 Teaneck RdTeaneck, NJ 07666201-836-8444

DR. PATRICIA MARRONE617 E Palisade AveEnglewood Cliffs, NJ 07632201-567-7500

MIDDLESEXDR. BRUCE KERNDR. JILL MENKER

1600 Perrineville RdMonroe Township, NJ 08831609-409-9700

PASSAICDR. EDWARD KIM

191 HAMBURG TURNPIKEPOMPTON LAKES, NJ 07442973-835-1410

FLORIDAPALM BEACH

DR. CHAD LALSINGH240 W Palmetto Pk Rd #120Boca Raton, FL 33432561-368-9595

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PROSTHODONTISTS

NEW YORKBROOKLYN

DR. EUGENE KHAYTSIN154 Ave TBrooklyn, NY 11223718-484-3597

MANHATTANDR. JEFFREY POMERANTZ

521 5th Ave #819New York, NY 10175212-697-3999

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UFT WELFARE FUND PARTICIPATING DENTAL PROGRAM PATIENT SATISFACTION QUESTIONNAIRE (This form may be photocopied or detached) Please complete and return to:

SIDS, Inc. Provider Relations Dept. P.O. Box 9005 Lynbrook, New York 11563-9005

Dentist: ___________________________________

Address: ___________________________________

___________________________________

Your Name: __________________________________

Phone Number: _______________________________

Please evaluate the quality of treatment received.

Excellent Good Poor

Please evaluate general office atmosphere.

Excellent Good Poor

Were you offered convenient appointments?

Often Rarely Never

Were your appointments kept promptly?

Often Rarely Never

Were there any charges for your treatment that did not fall within the guidelines of the Plan?

No Yes If Yes, how much and for which services?

_____________________________________________

_____________________________________________

How long have you been a patient of this dentist?

_________________________________

Would you recommend this dentist?

Yes No

Your comments, please.

_____________________________________________

_____________________________________________

_____________________________________________

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2179-1232179-123