Page 2 Prevention andtreatment ofoccupational injuries&illnessesinNew York City&theLowerHudson Valley July 2017 iet eia css n idrc css eae t ls pouto, foregone opportunities, anddiminishedinvestment. production, lost to related and costs indirect and careers, costs medical disrupt direct workers, both for to due burden economic substantial suffering a in result They families. and devastate pain significant State. to problem lead York the of New conditions fraction These underreported. are conditions a health across work-related because only represent reported numbers 200,000 injuries these and Unfortunately, and fatalities work-related diseases 200 than occupational more are there year Each Medical Director Michael A.Crane, MD,MPH Sincerely, Thank youforyoursupport andpartnership. and training, research, clinical careinoccupational medicinearemorecriticalthanever. specialized continued hazards, environmental and occupational new emerging and workforce the of dynamic changing the With 22,000 9/11responders. than more the to treatment and Excellence, monitoring medical provide also of Centers Selikoff Center Clinical Program Health Center Trade World a As clinical centers serving the New York City and Lower Hudson Valley regions. home of the Selikoff Centers for Occupational Health, a network member, with proud the is Sinai Mount at Medicine of School Icahn The workers. for services preventive and care specialized providing States, United the in network clinic health occupational state-funded only the having in unique is State York New Letter from theDirector Aerial view oftheMount SinaicampusinNew York City.

Page 1

TABLE OF CONTENTS

Who We Are...... 2 Research ...... 10 -11

Leadership...... 3 Residency Program...... 12 -13

Services...... 4 -5 Outreach...... 14 -15

History...... 6 -7 History Timeline...... 16 -17

World Trade Center Health Program...... 8 -9 Page 2 Our multidisciplinary healthcareteamincludes Our multidisciplinary treatment ofworkplaceinjuriesandillnesses. as leadersintheprevention,diagnosis,and Occupational Healtharewidelyrecognized comprehensive patient-centered services. physicians, nursepractitioners,industrial hygienists, ergonomists, socialworkers, The MountSinaiSelikoff Centersfor and benefitsspecialists,who provide W A ReputationforExcellence&Innovation ho leader efforts focusonfindingpreventive solutionstoworkplaceinjuriesandillnesses. about the Department, funding-perinvestigator.Health of Institutes National in nation the Within in Icahn SchoolofMedicineatMountSinai,which isrankedamongthehighest member ofthe Every physicianintheSelikoff CentersforOccupationalHealthisafaculty occupational-related illnesses in interdisciplinary research andhasmade

we Department ofEnvironmental MedicineandPublicHealthinthe Division of OccupationalandEnvironmental Medicineisa during the A last groundbreaking discoveries 50 years. re Today, research Icahn SchoolofMedicineatMountSinai Julia Deputy Director, OccupationalMedicine ResidencyProgram Claudine Holt,MD,MPH Directo John D.Meyer, MD Medical Directo Winston Kwa,MD W Selikoff CentersforOccupationalHealth Deputy MedicalDirector W Selikoff CentersforOccupationalHealth Medical Director Michael A.Crane,MD,MPH Directo Directo Directo Roberto Lucchini,MD Professor andChai Ethel H.Wise Robert O.Wright, MD,MPH Leadership Administrator, Selikoff Centers forOccupationalHealth Laura E.Crowle orld TradeCenterHealthProgram ClinicalCenterofExcellenceatMountSinai orld T Nicolaou r r, NIOSHRegionIIEducation&Resources CenterforNew r, W r, DivisionofOccupationalandEnvironmental Medicine rade CenterHealthProgram ClinicalCenter ofExcellenceatMountSinai , OccupationalMedicine ResidencyProgram orld Burns, MPH Trade CenterHealthProgram DataCenteratMountSinai r, Selikoff CentersforOccupationalHealth–LowerHudsonValley Region y, MD r, DepartmentofEnvironmental MedicineandPublicHealth York andNewJersey of Excellence Clinical Center Designated WTC CDC/NIOSH Clinic Network Occupational Health New York StateDOH Member ofthe of Excellence Clinical Center Designated TWH CDC/NIOSH ™

Page 3 Page 4 for Workers inNYCandLowerHudsonValley services withafocusonprevention tokeepworkershealthyandtheirworkplacessafe.Servicesinclude: The MountSinaiSelikoff CentersforOccupationalHealthare dedicatedtoproviding cutting-edgeclinical os ad aiy tblt. u bnft seilss n sca wres rvd ddctd upr srie to to additional resources. services support referrals dedicated external providing and provide system compensation workers workers’ complex the social navigate them and helping individuals, specialists benefits Our stability. family and jobs, health, their to related uncertainties face who patients our for common are pressures financial and Emotional employers, alongwithestablishing effectiveworkplaceinterventions. workplace of their identification and workers of education importantly, and training through More diseases occupational prevent to condition. used be also a can hazards of management and treatment the improve can agent etiologic determine an of Identification disease. of to cause underlying likely the also patients but diagnosis medical the on our only not of focus We environments. work conditions improve to measures work suggest and risk, the at be may co-workers evaluate other whether diseases, occupational treat and diagnose We ergonomists, hygienists, industrial benefits specialistsprovidecomprehensivepatient-centered services. practitioners, nurse physicians, of team multilingual workers ill and Workers: for Services n rtre i te e Yr Ct ad oe Hdo Vle rgos Or ihy skilled highly Our regions. Valley Hudson Lower and City York New the in retirees and Our physicians Our SERVICES are leaders in the field of occupational medicine, providing care to injured to care providing medicine, occupational of field the in leaders are oil okr, and workers, social and World Trade Center Health Program Services: As the site of Mount Sinai’s World Trade Major Work-Related Conditions

Center Health Program Clinical Center of Excellence (CCE), the Selikoff Centers • Upper extremity cumulative trauma disorders continue to provide medical monitoring and treatment services to workers and • Carpal tunnel syndrome volunteers who were involved in the rescue, recovery, and cleanup efforts after • Epicondylitis the attacks on September 11, 2001. These workers were exposed to many toxins • Spasm or myalgia at the World Trade Center site and have developed medical and mental health • Asbestos-related lung disease conditions related to their exposures. Mount Sinai’s CCE is the largest of the Clinical • Asthma & other upper respiratory conditions (chemical Centers of Excellence with a responder population exceeding 22,000 patients. exposures/indoor air toxins) Partnerships for Prevention: We partner with employers, unions, and other • Heavy metal toxicity (elevated blood lead and/or mercury levels) organizations to evaluate work environments and establish integrated occupational SERVICES Common Exposures health protection and health promotion programs. Our medical experts and outreach team members visit organizations, unions, and employers to bring quality training and • Asbestos education programs to the communities served by our clinical centers. • Silica

Ergonomics and Injury Prevention: Musculoskeletal disorders are a common source of • Metals (lead, mercury, and arsenic) injury in the workplace. Our ergonomist works with unions and employers to • PCBs improve work environments and establish programs that reduce the risks of • Solvents injury. Essential components of our ergonomics initiative are teaching workers • Physical hazards how to optimize their workstation set up, how to use equipment properly, and how to implement appropriate strategies and exercises to improve posture.

Industrial Hygiene: Our industrial hygienists work in the clinical setting with occupational medicine physicians to support the evaluation and diagnosis of a patient’s disease. Patients participate in a thorough occupational history interview, providing information that helps the clinical team identify the underlying causes of a disease. We then can work with unions and employers to ensure the necessary workplace interventions are in place to prevent further illness for the wider worker population. Our industrial hygienists help develop comprehensive and effective workplace health and safety programs and design site-specific exposure monitoring programs for physical, biological, and chemical hazards. We provide feasible recommendations to control or eliminate hazards and lead specialized trainings across industries. PagePage 88 H of theNewYork StateOccupationalHealthClinicNetwork istor of theWorkers’ CompensationLaw. Workers’ CompensationBoard through anamendmentofsubdivision2section151 for sixregional clinicsin1987. Fundingfortheclinicswastransferred in1989tothe need. The NewYork StateLegislature appropriated $1,000,000from thegeneralfund sionals trained inoccupational health,were inadequate to meetthepublic health The report concludedthatthestate’s resources, bothinclinicalfacilitiesandprofes- disease inNewYork State. by researchers from MountSinaiandotherinstitutionsontheproblem ofoccupational residents forthediagnosisandtreatment ofoccupationaldiseasesfollowingareport dress the need for specialized regional occupational health centers open to all state offering clinical and preventive occupational disease services. It was established to ad- United Statesasapartiallypubliclyfunded,statewide,publichealth-basednetwork The NewYork StateOccupationalHealthClinicNetwork(OHCN)isuniqueinthe Clinic Network Occupational Health New York StateDOH Member ofthe y New York STATE Occupational Health

Clinic Network Adirondack Occupational Health Clinical Center

Finger Lakes Central New York Occupational Occupational Health Health Services Clinical Center

Eastern New York Occupational and Environmental Health Center

Western New York Southern Tier Lower Hudson Valley Region Center for Occupational Occupational Health Health and Environmental Clinical Center Mount Sinai Selikoff Centers Medicine for Occupational Health Serving Lower Hudson Valley with clinical locations in New York Ulster Center for Agricultural Dutchess Monroe & Yonkers Medicine and Health Specialty Clinic Sullivan Putnam Orange New York CitY regioN Westchester Mount Sinai Selikoff Centers Rockland for Occupational Health Serving New York City with clinical locations in MANHAttAN & StAtEN iSLANd Bronx Occupational and Environmental Medicine of Long Island Bellevue/NYU Manhattan Occupational and Queens Environmental Medicine Clinic Brooklyn

Staten Island Page 7 Page Page 8 WorlD Trade CenterHealth Program Clinical CenterofExcellenceatMount Sinai of Excellence Clinical Center Designated WTC CDC/NIOSH responders require continuousmedicalcare andlong-termfollowup. conditions, aswellvarious typesofcancer. Thesestudieshavereinforced thefact that lower respiratory andgastrointestinal conditions,musculoskeletaldisorders, mentalhealth and volunteers.Someofthe problems experienced by responders include:upper and the persistenceofphysicalandmentalhealthproblems experiencedby9/11responders Recent studies,includingthoseauthored byMountSinairesearchers, havedocumented of Excellence(CCE)intheNY/NJregion, servingmore than22,000responders. Health, MountSinaiishometothelargest WTCHealthProgram ClinicalCenter caring forinjured andillworkersthrough theSelikoff CentersforOccupational counseling for9/11responders andvolunteers.Buildingonalongtradition of free medicalmonitoring,treatment, mentalhealthservices,andbenefits Centers forDiseaseControl andPrevention (CDC).TheZadroga Actprovides National InstituteforOccupationalHealthandSafety (NIOSH)withinthefederal Zadroga 9/11Healthand CompensationActof2010andisadministered bythe The World Trade Center(WTC) HealthProgram wasestablishedbytheJames WorlD Trade CenterHealth Program Clinical CenterofExcellenceatMount Sinai passed inDecember2015, extendingtheWTCHealthProgram for75more years. services forWTCresponders andsurvivors(communitymembers)atdesignated ClinicalCentersofExcellence.Areauthorization billwas Zadroga 9/11HealthandCompensationActwasenacted,whichprovided fundingforfiveyearsmonitoring,screening, andtreatment examinations throughout thetri-statearea, andanationalprogram wassetup forthoseoutsidetheregion. InDecember2010,theJames examinations beganinJuly2002.AMountSinai-ledclinical consortiumofoccupationalhealthexpertsconductedstandardized In April2002,MountSinaireceived federalfundingtoestablishtheWTCWorker andVolunteer MedicalScreening Program, and was primedtoundertaketheworkofevaluating9/11 responders. health centerofexcellence,hadnearly20years’experience examiningworkersexposedto Environmental Medicine—knowntodayastheSelikoff CentersforOccupationalHealth.TheCenter, aNewYork Stateoccupational Medical evaluationsbeganimmediatelyafterSeptember 11thattheMountSinaiIrvingJ.Selikoff CenterforOccupationaland evaluate thehealthof9/11responders. medicine clinics,aswellNewYork Cityunionsandothers the seriousnatureofenvironmentalexposuresatGroundZero,MountSinaiphysicians,expertsother regionaloccupational Mount Sinai’s history of caring for9/11respondersbeganintheimmediateaftermathofattacksonSeptember11,2001.Recognizing takeholder organizationsdevelopedamedicalscreeningprogramto toxins suchasasbestos,lead,andsilica,

Page 9 RESEARCH More than 50 years of transformative research and innovative practice

Cutting-edge research related to the From its establishment in 1960 as the nation’s first hospital division of occupational medicine, the Division prevention, diagnosis, and treatment of Occupational and Environmental Medicine at Mount Sinai has revolutionized worker health prevention of occupational illness and injury and treatment. Today, the Division continues to be a pioneer in worker health. Our faculty collaborates is a cornerstone of the Division of with experts regionally through the NIOSH-funded NY/NJ Occupational Safety & Health Center, Occupational and Environmental nationally through the Association of Occupational and Environmental Clinics and with academic Medicine. departments at major universities and health care institutions, as well as internationally through the International Commission on Occupational Health, the World Health Organization, and the International Labour Office.

NY/NJ Occupational Safety & Health Center The Division of Occupational and Environmental Medicine is home to the NY/NJ Occupational Safety & Health Center, a NIOSH-supported consortium of academic institutions that provide teaching, training, and research opportunities in occupational health and safety. Participating institutions are the Icahn School of Medicine at Mount Sinai, CUNY Hunter College, the New Jersey Institute of Technology, New York University, and Rutgers University. The National Institute of Occupational Safety and Health (NIOSH) developed these Educational and Research Centers (ERCs) in 1977 and currently funds 18 university-based centers across the country. Page 10 Page Current Projects T well-being. We workundertheguidelinesof in order toadvanceworkersafet protections withbroader workplacepractices exposure tomanganese andParkinson a linkbetween occupationalandenvironmental and cognitive functions.Evidencealsosuggests brain thatare important formotorcoordination activities. Manganesecan affect partsofthe through certainindustrialandagricultural overexposure tomanganese,whichoften occurs We are investigatingtheramificationsof M Centers ofExcellenceintheUnitedStates. Health are thefirstdesignatedTWHClinical member. TheSelikoff CentersforOccupational of whichtheMountSinaiHealthSystemisa the CentersforDiseaseControl andPrevention, W H bus driverswithnewwearabledevices. are monitoringdieselexposure experiencedby generally emittedbyvehiclesthatusediesel.We to beasignificantsource ofparticulatematte disease andcancer. Busdepotshaveproven carbon, whichisassociatedwithcardiovascular We are exploringcommunitylevelsofblack Diesel otal Worker Health(TWH)Affiliate Program of e evaluateoccupationalsafetyandhealth ea anga l th

E n Promotion intheWorkplace xposure e se y, health,and ’s disease. r, through multi-center monitoringandsubsequent dataanalyses. multiple illnesses, includingvariouscancers. We continuetoinvestigate thesehealthmanifestations recovery andcleanupoftheW We continuetomonitorandanalyzethehealtheffects onworkersandvolunteerswhoassisted in the W pregnant workingwomen, specificallyinoccupationssuchasconstruction. may influenceinfantdevelopment. Women we are researching howmaternalstress combinedwithexposure tocertain metals duringpregnancy knowing thatcertainchemicalscandamagecognitive andmotorfunctionsinthedevelopingbrain, Ma screenings sothatrespiratorsandfit-testingmaybe employedtolimitphysiologicaldamage. and lungcancer, aswellautoimmunediseases,wepromote regular physicalexaminationsand silica. Inlightofthelinkbetweensilicaexposure andlung-related diseases,suchaspneumoconiosis New York Cityunderground workersare atanincreased riskforsilicosiswitheveryyearofexposure to setting, workerswithLBPhadimprovedfunctionandreducedloss-of randomized controlledtrialfoundthatbyimplementingaclinicalpracticeguidelineinprimarycare Primary care physiciansare commonlythefirstmedicalpractitionerstoassessapatientwithLB Low backpain(LBP)isthemostcommoncauseofdisabilityinUSforadultsunderage45. O S aims todevelopsuchguidelinesintheformofanaccessibleandadaptabletool. f R risk factors,theindustriesaffected,andstateofoccupationalhealthinNewYork. Our ongoingcollectionandanalysisofoccupationalhealthdatahavehelpedtodeterminethecurrent or i e l c or i tu c

c te Low BackPainPatients osis u ld TradeCenterDisaster-Related HealthConditions rn t rna p ationa o Work(RTW l

and Fe l

Hea ta l l Heal th Sur )

orld T Tool forPrimaryCareProviders th v e rade Centersite.Theseworkers are atanincreased riskof illance ’s healthatworkisaspecialresearch area withafocuson work days.Thispilotproject

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Page 11 Page 14 Program Residency at MountSinai and reducing workplacehazards. dedicating their professional livestohelping injured workers in occupationalmedicine, taking onleadershiproles and A majorityoftheresidency graduatescontinuetostay active illnesses andinjuries. effectiveness ofinterventionsintheprevention ofwork-related safety programs andprotocols andtotheevaluationof York area. There, theycontributetothedevelopmentofworker employee healthprograms atmajorcorporationsintheNew the program are alsogiventheopportunitytoparticipatein investigations andassistinreviewing cases.Residentsin and NorthernNewJersey, where theyparticipateinonsite labor groups, theyrotate atlocalOSHAoffices inManhattan community. Inadditiontointeractingwithemployeesand Residents are encouragedtobeactiveintheworking experience onworkplacehazards. and participateinsitevisitsatworklocationstogainfirsthand clinic. Residentsalsoworkcloselywithindustrialhygienists related andenvironmental casestypicallynotseenatageneral campus. Theygainexperienceevaluatingavarietyofwork- at theSelikoff CentersforOccupationalHealth’s Manhattan of theOccupationalHealthClinicNetwork(OHCN),mainly Residents gainmostoftheirclinicalexperienceintheclinics Occupational Medicineresidency program inNewYork State. This uniquegraduatemedicaleducationprogram istheonly degree uponcompletion. in theMaster’s ofPublicHealthprogram andobtainanMPH applying. Aspartofthetraining,residents alsoare enrolled one yearoftrainingininternalmedicineorsurgery priorto year residency program requires candidatestohaveatleast by NIOSHtotrainupfourresidents eachyear. Thistwo- Sinai isanACGME-accredited trainingprogram supported The OccupationalMedicineResidencyProgram atMount John D.Meyer, MD,ResidencyDirector withresident AletheiaDonahue,MD.

Page 13 Page 14 OUTREACH Community Engagement COMMUNITY OUTREACH We are committed to building community awareness about occupational health issues and promoting safe and healthy practices in the workplace. Our medical experts and health and safety specialists visit local community organizations, unions, and employers to bring quality training and education programs to the communities served by our clinical centers. Topics have included: ergonomics, asbestos exposure, and occupational hazards in EDUCATIONAL manufacturing, construction, transportation, and infrastructure repair. mATERIALS PHYSICIAN EDUCATION The Division of Occupational and Environmental Medicine holds weekly Education is the key to preventing workplace seminars for physicians and residents. Topics have included sleep apnea, injuries and illnesses. In addition to providing barriers to medication adherence, industrial hygiene, and women’s health in trainings and workshops, the Mount Sinai the workplace. Participants receive continuing education credits. Selikoff Centers for Occupational Health develop easy-to-read handouts that describe CONFERENCES the risk factors, signs and symptoms, We have convened several notable conferences, bringing together prevention, diagnosis, and treatment of researchers, physicians, community leaders from labor and industry, occupational injuries and illnesses. Materials government representatives, and other health and safety stakeholders. are distributed at community events and Recent events include: available for free in our clinical centers and on our website. We also disseminate information • Manganese Health Effects on Neurodevelopment and to our stakeholders via email and social media Neurodegenerative Diseases, 9/25/16 – 9/28/16 channels.

• 15 Years Beyond 9/11: Future Implications for the WTC Health Educational Materials are available on the following topics: Program, 9/14/16 Cleaning/Janitorial, Construction and Manufacturing, Ergonomics, Food • NY/NJ Occupational Safety and Health for Health Care and Restaurant Service, Laboratories, Nail Salons, Transportation, as well as Workers, 4/1/16 various Occupational Injuries and Illnesses.

• Symposium & Exhibit Commemorating the 100th Anniversary of http://www.mountsinai.org/patient-care/service-areas/occupational-health/resources the Birth of Dr. Irving J. Selikoff, 10/16/2015

• Conference: Solutions in Safe Patient Handling, 6/30/2015 Page 15 Page

Page 16 Health Occupational Centers for Selikoff Sinai T TIMELINE he Mount Health Administration(OSHA). treatment —theNationalInstituteforOccupationalSafetyandHealth(NIOSH)& role intheestablishmentoftwomostimportantnationalagenciesdealingwithworkerhealthprevention and seminal research onasbestos-related illnessandhisadvocacyonbehalfoftheworkingclass.Heplayedakey recognizedOur internationally clinicalcenterwaseventuallynamedafterDr. Selikoff, whoisremembered forhis Dr. Selikoff remained activeinthefielduntillhisdeath1992. establishing MountSinai’s firstenvironmental healthlaboratory. HeservedasitsDirector from 1960to1985. He isconsidered the“FatherofOccupationalMedicine”inUnitedStates,andwasresponsible for asbestos andleadacampaignagainstitsuse,waswell-knownpioneerinthefieldofpreventive medicine. Dr. Irving J. Selikoff, co-discoverer ofatreatment fortuberculosis, whowentontoprove thehazards of 1960 -1985 1960 1987 • to create auniquestatewide networkofoccupationalhealthclinics. Later thatyear, theNewYork State Legislature approved funding • • occupational health,were woefullyinadequateinmeetingthepublichealthneed. State state’s economyof$600millionannually. Work-related of 5,000-7,000NewYorkers eachyear. Work-related

resources,

illnesses disease The conclusionshighlighted: presented totheNewYork StateLegislature. The finalreport, “OccupationalDiseaseinNewYork State,”was

both

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significant estimated physicians. study wasundertaken byMountSinaiSchoolof Medicine of occupationally-related diseasesinNew York. This Legislature tocommissionastudyofthewideproblem and laborcivicleadersurged theNewYork State safety andhealthspecialists,public healthadvocates, In themid -1980s, abroad coalitionofoccupational

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the 2013 In September 2013, the New York State Occupational Health Clinic Network (OHCN) celebrated its 25th Anniversary, hosted by Mount Sinai Selikoff Centers for Occupational Health, with a two-day conference at the New York Academy of Medicine. 2016

Immediately following the attacks of 9/11, the Centers 2001 mobilized and began examining World Trade Center (WTC) responders. The initiative grew to become the WTC Health Program, funded through the Centers for Disease Control and Prevention/NIOSH, and today provides monitoring and treatment to more than 66,000 workers who participated in the rescue, recovery, and clean-up efforts related to this disaster.

® 2015 On September 25-28, 2016, Mount Sinai hosted MANGANESE2016, On October 16, 2015, New York 2014 an international conference on the Representative Congresswoman neurotoxicity and prevention of Carolyn Maloney, Dr. David Michaels, adverse manganese health effects. Assistant Secretary of Labor for Manganese is a metal which, when Occupational Safety and Health and inhaled or ingested, can accumulate Director of OSHA, Dr. John Howard, in the blood stream and brain, where Director of NIOSH, along with it can lead to lasting damage. It is On November 4, 2014, NIOSH designated community leaders, joined faculty generally used in the production of the Mount Sinai Selikoff Centers for from the Mount Sinai Selikoff Centers steel and other metal manufacturing, Occupational Health as the first Total for Occupational Health to dedicate making workers in these industries Worker Health (TWH) Clinical Centers the newly renovated clinical center in especially susceptible to manganese- of Excellence in the nation. The TWH Manhattan. A fourth clinical center was related health conditions. The 1987-1988 Program supports the development and also opened that year in Monroe, New conference yielded state-of-the- Services expanded dramatically with permanent adoption of research and best practices York. science discussion of what is known, funding from the New York State Department of that emphasize opportunities to sustain and identified information gaps, Health and incorporation of the New York State and improve worker safety and health about the health effects of manganese Occupational Health Clinic Network (OHCN). through a primary focus on the workplace. exposure. It was attended by more The OHCN then included 11 Clinical Centers of The TWH interventions integrate protection than 150 representatives from Excellence in Occupational Medicine across New York from work-related safety and health hazards academia, government, industry, and State, organized into regions. with health promotion to advance worker labor from 19 countries. 1960 1980 1990 2001 2013well-being. 2014 2015 2016 Page 17 Page Excellence in the prevention, diagnosis, and NEW York City treatment of work-related injury and illness. MANHAttAN CLiNiCAL CENtEr 1468 Madison Avenue Annenberg Building, 3rd Floor Manhattan, NY 10029

StAtEN iSLANd CLiNiCAL CENtEr 2052 Richmond Road, Suite 2A For an appointment or more information: Staten Island, NY 10306 www.mountsinai.org/selikoff Lower Hudson Valley

Monroe clinical Center 888.702 .0630 745 Route 17M, Suite 103 Monroe, NY 10950

Follow us on Twitter: @SinaiOccMed Yonkers Clinical Center 1020 Warburton Avenue, Suite 1 Like us on Facebook: facebook.com/workerhealth Yonkers, NY 10701