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A Letter from Providers Regarding COVID-19 and Homelessness in City

April 15, 2020

Dear Mayor , Governor Andrew Cuomo, NYC Department of Social Services Commissioner Steven Banks, Emergency Management Commissioner Deanne Criswell, City Council Speaker Corey Johnson, and City Council Member Stephen Levin:

We are frontline workers—physicians, nurses, social workers, and others—from across New York City writing to express our concerns and recommendations specific to the thousands of New Yorkers who are homeless during the COVID-19 pandemic. These individuals cannot stay home, because they have no home. They are at high risk for contracting and dying from COVID-19.

Homeless New Yorkers are our and our neighbors. We commend you for steps you have taken to protect them and to preserve the capacity of our hospitals, such as creating isolation sites for people experiencing homelessness who have symptoms of COVID-19 and developing protocols to keep people with only mild symptoms out of emergency departments.

Many of us have expressed our concerns publicly and privately, and are appreciative that several of these concerns have been addressed. We remain troubled, however, at the slow and still inadequate response to protect homeless New Yorkers. As of April 12, there were already 421 homeless New Yorkers known to be infected with COVID-19 and 23 had died from the disease. Black and Latinx New Yorkers are disproportionately affected by homelessness and incarceration (itself associated with both homelessness and risk of exposure to coronavirus), layering health inequity upon health inequity.

Our specific concerns are as follows: ● The process for discharging homeless patients from hospitals is still too often inefficient. Instead of one streamlined system for discharging homeless patients who have symptoms of COVID-19 but do not require hospitalization, hospital staff are asked to navigate multiple systems to obtain isolation beds: through DHS for some patients (those who have been in DHS shelters in the past year or known to street outreach teams)

1 and NYCEM (OEM) for others (those who are homeless but not in the DHS system or who are newly homeless, some as a direct result of the COVID-19 crisis). As health care professionals, it is unclear to us why DHS would serve one set of homeless patients but not another. From a practical level, hospital staff have faced challenges in placing patients both into DHS and NYCEM isolation beds, including delays in having phone calls answered and returned, inconsistent information given depending on who answers the phone line, and delays in acceptance and transportation. In addition, for hospital discharges of patients without COVID-19, DHS referral processes have remained unchanged despite the current crisis (including a multi-step referral and approval process, and discharges only on weekdays between 9AM and 3PM). This places undue burden on already overburdened hospitals while exposing patients to risk of contracting COVID-19 while waiting for discharge. Hospitals need assistance by having a streamlined process, ideally accessible via a single hotline, for discharging all homeless patients as quickly as possible.

● Not enough has been done proactively to protect people who are homeless and who do not yet have COVID-19. Ultimately, doing more to protect this vulnerable population would not only save lives, but also reduce use of stretched hospital resources. We note that not only do congregate settings put people who are homeless at risk, but they also put at risk the people working in these settings (particularly when appropriate PPE is lacking) as well as the communities to which they return each day. While we are pleased to hear that 2,500 people will be moved from congregate settings to individual rooms (the 6,000 hotel placements the Mayor announced included 3,500 DHS clients already in hotels), this is not enough. Particularly with FEMA recently approving New York State’s plan for non-congregate sheltering “to include homeless persons,” NYC should act immediately to move people experiencing homelessness to non-congregate locations.

○ Congregate settings such as homeless shelters are potential hotbeds of infection. As health professionals, we have witnessed that this novel coronavirus appears to spread more easily than originally anticipated. We are concerned that congregate shelters—where people share dorm-like sleeping, bathing, and eating spaces—simply cannot offer the necessary to protect people from COVID-19. Settings such as SROs and Safe Havens that may have individual rooms but have shared bathrooms also put people at risk. We recommend that people who do not yet have COVID-19 be moved out of congregate settings into appropriate private rooms with private bathrooms (motels or permanent housing) as soon as possible, as other localities such as Connecticut have done. New clients coming into shelter should also be placed directly in private rooms, without first spending time in congregate settings where they may be exposed.

2 ○ People who are homeless are particularly vulnerable to infection. People who are homeless age prematurely, and those in their 50s have health profiles similar to non-homeless people in their 70s or 80s. There are thousands of homeless people over age 50 in the shelter system. Additionally, people who are homeless of all ages have higher than average rates of chronic medical conditions such as diabetes, hypertension, and lung disease that put them at high risk for poor outcomes related to COVID-19. Patients being discharged from hospitals for non- COVID illness are another particularly vulnerable group. While some groups are more vulnerable than others, as health care professionals we reject the notion that health and safety should be rationed for the homeless population; they all deserve safety. Homeless New Yorkers should be offered single rooms at unoccupied hotels or other locations, with appropriate support services. Congregate settings are simply not safe for those who do not yet have COVID-19.

● Street sweeps have continued without moving people to individual housing units, against guidance from the CDC. We have seen firsthand the toll that living without shelter has on the health of our patients and understand the importance of moving these individuals indoors. However, given the current crisis, street sweeps of encampments that move people into congregate settings (including Safe Havens with shared bathrooms) where they will likely be exposed to COVID-19 and cannot adequately social distance, present an immediate danger to their lives. This practice runs counter to the CDC’s recommendation that encampments not be cleared unless individual housing units are available. While DHS has asserted that this guidance does not apply to NYC, that is both untrue and illogical. The resources being used for street sweeps could instead be used for practices that enhance such as providing greater sanitation, hygiene, and other support services, while focusing on moving people from the streets to individual housing units.

● Communication has been inadequate. In our experience, city plans and protocols have been communicated slowly and with insufficient detail, leaving many frontline hospital professionals without essential knowledge needed to safely and efficiently discharge patients who are homeless. Communication about NYCEM beds and with non-H+H hospitals more generally has been particularly sparse. Hospital leaders were sent an email via Greater New York Hospital Association (GNYHA) on 4/14/20 with basic information including a discharge protocol from DHS dated 3/27/20. Critical information about plans and protocols for the homeless population that affect hospitals must be publicly accessible in a central location online, updated regularly, and effectively disseminated.

● Health services provided to patients in isolation sites are unclear. We have received little information on how health is being monitored, medications provided, social support given, and basic needs met for our patients being sent to DHS and NYCEM isolation sites. We have heard from some patients that there have been delays in receiving their

3 necessary medications. We want to be sure that isolation sites are safe places for our patients. The recent communication via GNYHA noted above clarified that patients “cannot require nursing services or medical monitoring as these services are not available in hotels.” It remains unclear where homeless patients who do require such services should be discharged. In addition, we have questions about the advisability of discharging patients from isolation sites to congregate shelter settings using the same 7 day plus 72 hours after last fever criteria used for the general population given that duration of viral shedding and transmission risk is not yet well established; the CDC recommends a conservative approach be taken if individuals are being discharged to a setting with others who are at high risk for severe disease.

● The magnitude of COVID-19 among the homeless population is under-recognized. Recent reports from Boston and San Francisco based on testing universally at congregate shelters have found COVID-19 infection rates above 30%. Without such universal testing, we will not know the true number of homeless New Yorkers infected. We recommend considering the homeless population as a special group potentially warranting more liberal and rapid COVID-19 testing strategies, both to allow a better understanding of the scope of the crisis and for proper separation of infected individuals (who may be asymptomatic) and those not yet infected. In addition, numbers of infections and deaths from COVID-19 among people experiencing homelessness in NYC should be publicly reported online and updated daily.

As health care professionals, it is our privilege and our duty to care for all New Yorkers. We remain concerned about the treatment of some of our most vulnerable patients, those who lack homes. Simultaneously, an outbreak of COVID-19 among people who are homeless could threaten already burdened health systems, showing the critical interconnections between housing and health care. We understand that you are working hard and facing multiple challenges because we are too. We stand in solidarity with those working on the frontlines with homeless services organizations, who we know share many similar concerns. We hope that you will act quickly to address our concerns.

Signed,

4 Aaron Hultgren, MD, MPH, MAT Alexandra Douglas, MD-MPH Physician Physician New York City Montefiore Medical Center New York City Aarti Patel, PA-C Physician Assistant Alexandra Ewenczyk, MD New York Presbyterian Lower Physician New York City Montefiore Medical Center New York City Abbas Husain, MD Physician Alexis Vien, MD Physician New York City Weill Cornell Medicine New York City Adam J Berman, MD, MS Physician Algernon Cargill, MD Northwell Health Physician New York City NYU Langone Health New York City Adam McGahee, DNP Nurse Practitioner Alicia Gomez-West, MSW Montefiore Medical Center Care Manager New York City Montefiore Medical Center New York City Aiden Shapiro, MD Physician Alisa Sharoikina, LCSW New York City Social Worker New York City Akash Goel, MD Physician Alison Liss, MD New York Presbyterian Physician New York City NYU Langone Health New York City Alec Feuerbach, MD Physician Allison Gold, RN Kings County Hospital/SUNY Downstate Nurse New York City Janian/CUCS New York City Alessandra Scalmati, MD PhD Physician Allison Horan, MD, MSc Montefiore Medical Center Physician New York City New York City

Alex Estrella, MD Allison Lockwood Physician Physician New York City New York City

5 Aluko Gift, MD Andrea Rodriguez, LMSW Physician Social Worker New York City MJHS New York City Amanda Ramsdell, MD Physician Andrew Bonfrancesco, LMSW New York City Social Worker New York City Amanda Scher, LCSW Social Worker Andrew Goldstein, MD, MPH New York City Physician NYU Langone Health Amarilis Laboy, MSW, CASAC New York City Social Worker Montefiore Medical Center Andrew Ostergren, MSW, LCSW, ACHP- New York City SW Social Worker Amrita Seehra, MD, MPH, AAHIVS New York City Physician New York City Angel Rodriguez, LMSW Social Worker Amy Kluever, PA Montefiore Medical Center Physician Assistant New York City New York City Angela G Giovanniello, PharmD Clinical Pharmacist Andrea Avalos, MD Montefiore Medical Center Physician New York City New York City Angela Mills, MD Andrea Card, MD, MPH Physician Physician New York City New York City Angelena labella, MD Andrea Jakubowski, MD Physician Physician New York Presbyterian Montefiore Medical Center New York City New York City Angelica D'Aiello MD Andrea Lyman, MD, MSc, MS Physician Physician Montefiore Medical Center New York City New York City

6 Anjali Sudhan Ashika Jain, MD Nurse Physician New York Presbyterian Bellevue Hospital/NYU Langone Health New York City New York City

Ann Marie Gargiulo, LCSW Ashley Perez, RN, BSN Social Worker Nurse Montefiore Medical Center New York City New York City Atavia Whitfield, LMSW Anna-Marie Francis, MD Social Worker Physician New York-Presbyterian/Columbia New York City University Irving Medical Center New York City Anthony J. Accurso, MD Physician Audrey Bree Tse, MD Family Health Centers at NYU Langone Physician New York City New York City

Antoinette Phynn, LMSW Audrey Tan, DO Social Worker Physician Montefiore Medical Center New York City New York City Aysha Messina Arjun Prabhu, MD Physician Assistant Physician Institute for Family Health New York City New York City

Arkaprava Deb, MD, MPH B. Oyinkan Marquis, MD Physician Physician New York City Weill Cornell Medicine New York City Arlette Paul, NP Nurse Practitioner Babak Tofighi, MD Montefiore Medical Center Physician New York City Bellevue Hospital New York City Armin Gollogly, MD Physician Barry Rosenthal, MD Mount Sinai Physician New York City NYU Winthrop Hospital Mineola, New York Arvin Akhavan, MD Physician NYU Langone Health New York City

7 Belinda Johnston, MD Brendan McColgan, MPAS, PA-C Physician Physician Assistant Montefiore Medical Center New York City New York City Brian Gilberti, MD Ben Biewen, MD Physician Physician Bellevue Hospital/NYU Langone Health New York City New York City

Benedikt Ilyaguyev, DO Brian Roberts, DO Physician Physician University Hospital NYU Langone Health New York City New York City

Benjamin Hayes, MD, MPH Brianna Norton, DO, MPH Physician Physician New York City Montefiore Medical Center New York City Benjamin Hong, MD Physician Brittany Marquez, LCSW Icahn School of Medicine at Mount Sinai Social Worker New York City Montefiore Medical Center New York City Benjamin Wyler, MD, MPH Physician Bruce Soloway, MD New York City Physician Montefiore Medical Center Bernadith Russell, MD New York City Physician New York City Cailey Simmons, MD Physician Bernice Asamoah, MPH, RN New York City Nurse Montefiore Medical Center Caitlyn McNiff, PA New York City Physician Assistant NYU Langone Health Bessy Mendoza New York City Social Worker New York City Carlos Mateo, BPS Care Manager Betty Kolod, MD NYU Langone Health Physician New York City New York City Carly Ennis, PA-C Physician Assistant New York City

8 Carmen Parrilla, LCSW Chanele Assencoa PA-C Social Worker Physician Assistant New York City Lower Manhattan Hospital New York Presbyterian Carol A Bernstein, MD New York City Physician Montefiore Medical Center Charlene Yung, NP New York City Nurse Practitioner New York City Carol B. Kelly, MD Physician Cheryl Chang, MD, MPH Montefiore Medical Center Physician New York City New York City

Carolina Miranda, MD Cheryl Hurst, LCSWR Physician Care Manager Montefiore Medical Center Montefiore Medical Center New York City New York City

Casey Browder, MHA, MSWc Chike Leigh, MD Project Manager, Acting Chief Resident Physician Montefiore Medical Center New York City New York City Chinazo Cunningham, MD, MS Cassidy Dahn, MD Physician Physician Montefiore Medical Center/Albert Einstein New York City School of Medicine New York City Catherine Igel, MD Physician Chioma Unegbu-Ogbonna, MD New York City Physician Montefiore Medical Center Catherine Jamin, MD New York City Physician NYU Langone Health Chiti Parikh, MD New York City Physician Weill Cornell Medicine Catherine Paykin, MSSw New York City Social Worker NYU Langone Health Chris Counts, MD, MSc New York City Physician New York City Chandni Pawar, MD Physician Mount Sinai New York City

9 Chris Root Damond Lindsay, LMSW, C-ACYFSW Paramedic Social Worker New York Presbyterian Montefiore Medical Center New York City New York City

Christel Francois, MD Dan O’Connell, MD Physician Physician Montefiore Medical Center Montefiore Medical Center New York City New York City

Christie Lech, MD, MHPE Daniel Fitzpatrick, PA-C Physician Physician Assistant Bellevue Hospital/NYU Langone Health New York Presbyterian New York City New York City

Christopher Caspers, MD Daniel Gardner, PhD, LCSW Physician Social Worker New York City New York City

Clare Dacey, LCSW Daniel Imas, MD Social Worker Physician Bellevue Hospital/NYU Langone Health New York City New York City

Cliff Miller, MPA Daniel Kronenberg, LCSW, MSW Hospital Administrator Social Worker New York City New York City

Collette O Brown, FNP Daniel Lugassy, MD Nurse Practitioner Physician Montefiore Medical Center NYU Langone Health New York City New York City

Courtney Bancroft, PsyD Daniel Neghassi, MD Psychologist Physician Montefiore Medical Center Yonkers and NYC New York City Daniel Pomerantz, MD, MPH Crystal Jobson, MD Physician Physician Westchester, New York New York City David Gutteridge, MD, MPH Damilola Idowu, MD Physician Physician NYU Langone Health New York City New York City

10 David Herszenson, MD, MPH Deena Levine, LCSW, MPH Physician Social Worker Montefiore Medical Center Institute for Family Health New York City New York City

David Himmelstein, MD Deepa Kenia, DO Physician Physician New York City Westchester, New York

David Koterwas, NP Deepika Slawek, MD, MPH, MS Nurse Practitioner Physician Bellevue Hospital New York City New York City Delfina Virginia Adolf, MPH David M Berger, MD Care Manager Physician NYU Langone Health Montefiore Medical Center New York City New York City Derek Kennedy, CRPA, CASAC David Mortel, MD, MPH Outreach Specialist Physician Montefiore Medical Center - SATP New York City New York City

David T Schwartz, MD Destynie Sheffield, LCSW Physician Social Worker Bellevue Hospital/NYU Langone Health New York City New York City Devin Howell, DO Dawn Colena, LCSW Physician Social Worker New York City New York City Devin Worster, MD, MPH Dawn Spann, LMSW Physician Social Worker New York City New York City Diana Fuzailov, PA-C, MHA Debashree Sengupta, MD Physician Assistant Physician Northwell Health Long Island Jewish Mount Sinai Medical Center New York City New York City

Deborah Ottenheimer, MD Diana Rodriguez, LMSW Physician Social Worker New York City Montefiore Medical Center New York City

11 Dimitry Danovich, MD Eileen O’Connor, FNP Physician Nurse Practitioner Bellevue Hospital/NYU Langone Health Montefiore Medical Center New York City New York City

Dionne Avery, MS, FNP-BC Elena DiMiceli, MD Nurse Practitioner Physician SUNY Downstate Bellevue Hospital/NYU Langone Health New York City New York City

Doreen Benary, MD ELHassane Aghazzaf, LMSW Physician Social Worker New York City Mount Sinai Queens New York City Drisdy G. Kee, MSW, LCSW Social Worker Elizabeth Chapman, MD New York Presbyterian Weill Cornell Physician New York City New York City

Duncan Maru, MD, PHD Elizabeth E Harris, M.D. Physician Physician /Mount Sinai Montefiore Medical Center School of Medicine New York City New York City Elizabeth Haines DO, MAS Ebony Coleman Physician Health Attendant NYU Langone Health New York City New York City

Edward Hickson Elizabeth May, MD, MPH ED Housing Coordinator Physician St. Barnabas Hospital / BronxWorks NYU Langone Health New York City New York City

Eileen F. Matod Elizabeth Singer, MD, MPH Social Worker Physician New York Presbyterian Weill Cornell New York City New York City Elle Levy, APRN Eileen Leonard, LMSW Nurse Practitioner Social Worker Montefiore Medical Center New York City New York City

12 Ellen Tattelman, MD Eva Lerner, MSW, MPA Physician Social Worker Montefiore Medical Center New York Presbyterian New York City New York City

Emilia Hermann, MD, MPH Evan Gerber, MD Physician Physician Montefiore Medical Center New York City New York City Fadhylla Saballos Tercero, MPH, RD, CDN, Emma Gerstenzang, MD IBCLC Physician Registered Dietitian New York City Montefiore Medical Center New York City Eric Sun, MD Physician Fanny J Mantilla, DO New York City Physician New York City Eric Woods, MD Physician Fatimah Gladden, MPA New York City Care Manager Montefiore Medical Center Erica Lai, MD, MPH New York City Physician Long Island, New York Felipe Serrano, MD Physician Erika Brondsky New York City Social Worker Montefiore Medical Center Fen Ju Tai New York City Social Worker New York City Erin Goss, MD Physician Francesca Frasca, MS, PA-C Montefiore Medical Center Physician Assistant New York City Staten Island University Hospital New York City Ethan Cowan, MD, MS, FACEP Physician Francis Ignacio New York City Nurse New York City Ethan Wiener, MD Physician Francis W Bongiovanni, LMSW NYU Langone Health Social Worker New York City New York City

13 Francisco Lopez Hanya Shatara, LMSW Care Manager Social Worker New York City New York City Harrison Marx, DO Frederick Davis, DO, MPH Physician Physician New York City LIJ Medical Center New York City Heather Paladine, MD Physician Gail Holtz RN/NP, CRRN, CS-BC New York City Leader for Case Management, Social Work, Discharge Planning and Utilization Helen Esanbor, LCSW BHMC Social Worker New York City Lincoln Hospital New York City Gal Changtroraleke, RN Nurse Helena Hansen, MD, PhD New York Presbyterian Queens Physician New York City NYU Langone Health New York City Geoffrey Jara-Almonte, MD Physician Helena Kennedy, MD NYC Health + Hospitals / Elmhurst Hospital Physician Center New York City New York City Heliana Tavarez, LCSW Giliane Joseph, MD Social Worker Physician Montefiore Medical Center Montefiore Medical Center New York City New York City Henry Cames, LCSW Gladys Rodriguez Social Worker Care Manager Montefiore Medical Center Montefiore Medical Center New York City New York City Henry Chung, MD Haejin In, MD, MPH Physician Physician New York City Montefiore Medical Center New York City Herbert Hugh, LCSW Social Worker Hannah Sommer, LCSW, MPH New York City Social Worker New York City

14 Hong Chong, MD Jacqueline Mahal, MBA/MD Physician Physician New York City New York City

Howard Greller, MD Jacqueline Paulis, MD Physician Physician SBH New York City New York City James Kenny, MD Ian deSouza, MD Physician Physician New York City New York City James Thomas, DO Ian Wittman, MD Physician Physician Hofstra Northwell at Northshore & LIJ NYU Langone Health New York City New York City Janie Cloin, PA Iman Hassan, MD, MS Physician Assistant Physician NYU Langone Health New York City New York City

Inna Leybell MD Janine Knudsen, MD Physician Physician New York City NYC Health + Hospitals New York City Iosif Davidov, MD Physician Janita Ramar, LMHC New York City Licensed Mental Health Counselor Montefiore Medical Center Irene Swanenberg, MD New York City Physician Bellevue Hospital Jason Hyde, LMSW, M.Ed. New York City Social Worker New York City Irina Khaitov, PA-C Physician Assistant Jason Wyland, PA-C LIJ Medical Center Physician Assistant New York City NYU Langone Health New York City Isaac Dapkins MD, FAAP, AAHIVS Physician Jean Cheng, LMSW Family Health Centers at NYU Langone Social Worker New York City New York City

15 Jean Weille, LCSW Jessica Fleischer-Black, MD Social Worker Physician New York City New York City Jeffrey Bouchard-Burns, MD Physician Jessica Leifer, MD Family Health Centers at NYU Langone Physician New York City New York City

Jeffrey Lazar, MD, MPH Jo Ann Ramos, LMSW Physician Social Worker SBH Health System Montefiore Medical Center New York City New York City

Jeffrey Rehnlund, RN Joanne Agnant, MD, MSc Nurse Physician New York City Bellevue Hospital/NYU Langone Health New York City Jennah Morgan M.D. Physician Joanne Atara, LCSW-R Kings County Hospital Social Worker New York City Morningside Hospital New York City Jennifer Beck Esmay, MD Physician Jody Greco, MS, RD, CDN New York City Nutritionist Montefiore Hospital - SATP Clinic Jennifer Habeeb, LMSW New York City Social Worker Montefiore Medical Center Joe Bennett, MD New York City Physician Bellevue Hospital/NYU Langone Health Jennifer Heinen, MD New York City Physician New York City Joel Bumol, MD Physician Jennifer McNeely, MD New York City Physician NYU Langone Health John Ambrosio, LMHC New York City Licensed Mental Health Counselor Montefiore Medical Center Jessica Cooper Foltin, MD New York City Physician New York City

16 John Coffey MD Juan C Mendez, MD Physician Physician Bronx Care Health Systems NYU Langone Health New York City New York City

John Rozehnal, MD, MS Julia Arnsten, MD, MPH Physician Physician New York City New York City

John-Luigi Lagula, RN Julia Marvel, PA-C Nurse Physician Assistant Northwell Health NYU Langone Health New York City New York City

Jonathan Ross, MD, MS Julianne K. Suojanen, D.O. Physician Physician New York City Montefiore Medical Center New York City Jordan Foster, MD, MSc Physician Julianne Vasconcellos, MS, PA-C New York Presbyterian Physician Assistant New York City New York City

Joseph Habboushe, MD Julie List, LCSW Physician Social Worker Bellevue Hospital/NYU Langone Health Montefiore Medical Center New York City New York City

Joseph Stephens, MD Kadian Baker-Allen Physician Care Manager Montefiore Medical Center New York City New York City Kamini Doobay, MD, MS Joshua D Lee, MD, MSc Physician Physician Bellevue Hospital/NYU Langone Health NYU Langone Health New York City New York City Karen Green, LCSW Joshua Schiller, MD Social Worker Physician Einstein Hospital/Montefiore Maimonides Medical Center New York City New York City Karen Shamus, LMHC Counselor New York City

17 Karin Rhodes, MD, MS Kenny Venere, PT, DPT Physician Physical Therapist Northwell Health New York City New York City Keona Serrano, LMSW Karine Raymond, RN, MSN Social Worker Nurse Montefiore Medical Center Montefiore Medical Center - Weiler New York City New York City Kevin Johnston, MD Karinn Glover, MD, MPH Physician Physician New York City Montefiore Medical Center New York City Khizer Rizvi, MD Physician Kathryn Getzewich, MD LIJ Medical Center Physician New York City NYU Langone Health New York City Kim Bui, MD Physician Kathy Chu, MD Montefiore Medical Center Physician New York City Montefiore Medical Center New York City Kim Leslie-Underwood, CASAC-2 Care Manager Kaushal Shah, MD Montefiore/UBA Physician New York City New York City Kimberly Garcia BSN, RN Kavita Patel, MD Nurse Physician New York City New York City Kimberly Lynch, MD Kay Naito, LCSW Physician Social Worker Montefiore Medical Center New York City New York City

Keara English, MD Kirk James, DSW Physician Social Worker New York City NYU Langone Health New York City Kelly Doran, MD, MHS Physician Kristie Doheny PsyD NYU Langone Health Psychologist New York City New York City

18 Kristin Carmody, MD, MHPE Laura Liebman, LCSW-R Physician Social Worker Bellevue Hospital/NYU Langone Health New York City New York City Laura Papadimitropoulos, MD Kristine Torres-Lockhart, MD Physician Physician New York City New York City Laura Parente, MD Ky-Shana Urie Physician Department Administrator New York City New York City Laura S. Boylan, MD, FAAN, FANA Laila Khalid, MD, MPH Physician Physician New York City New York City Laura Ucik, MD Lance Becker, MD, FAHA Physician Physician Montefiore Medical Center Northwell Health New York City New York, New York Lauren Ann Kelly, MD, MPH Laquan Superville RN, BSN Physician Nurse New York Presbyterian Weill Cornell New York City New York City

Latoya Skerrette, MPH Lee Isaacsohn, MD, MS Occupational Specialist Physician New York City New York City

Laura Collins, LCSW Lee Johnson, MD Social Worker Physician New York City New York City

Laura Kolbe, MD Leila Vaezazizi, MD Physician Physician Weill Cornell Hospital, NYP/Lower Montefiore Medical Center/Albert Einstein Manhattan Hospital School of Medicine New York City New York City

Laura Korin, MD, MPH Leslie Lee, MD Physician Physician Montefiore Medical Center New York City New York City

19 Leslie Lind-Hernaiz, LCSW-R Lisa A. Calhoun, RN Social Worker Nurse New York City Montefiore Medical Center New York City Lewis Goldfrank, MD Physician Lisa Dixon, MD, MPH Bellevue Hospital Physician New York City New York City

Liliana Maria Calle, MHC-LP, CASAC-II Lisa Philip, LCSW, MPH Counselor Social Worker Montefiore Medical Center New York City New York City Lisa Thomas, LCSW Lincoln Allen, PA Social Worker Physician Assistant New York City Montefiore Medical Center New York City Lorraine Gonzalez Care Manager Linda Prine, MD, FAAFP Montefiore Medical Center Physician New York City Institute for Family Health New York City Louise Ellis, LCSW-R Social Worker Lindsay Davis, MD Westchester, New York Physician Bellevue Hospital Louise Galarza, MSW New York City Care Manager New York City Lindsey Bohrer-Yardley, MD Physician Lucas Dreamer, MD NYU Langone Health Physician New York City New York City

Ling Zhang, MD, MBA Lucy Willis, MD Physician Physician Bellevue Hospital Weill Cornell Medicine New York City New York City

Lionel Wininger, PhD Lyssepp Beker Clinical Psychologist Care Manager New York City Montefiore Medical Center New York City Lipi Roy, MD, MPH Physician New York City

20 Madeleine S. Abrams, LCSW Maria Duda, MD Social Worker Physician New York City Montefiore Medical Center New York City Madeline Renny, MD Physician Maria Gervits, MD New York City Physician New York City Madeline Tsang Nurse Maria Malave New York Presbyterian Weill Cornell Care Manager New York City NYU Langone Health New York City Magdalena Robak, MD Physician Maria Militano, LMSW New York City Social Worker Montefiore Medical Center Makini Chisolm-Straker, MD, MPH New York City Physician Icahn School of Medicine at Mount Sinai Maria Roque, RN New York City Nurse New York City Mansi Nayak, MD Physician Marian Moore Gambrell, MD Mount Sinai Physician New York City Mount Sinai Morningside New York City Marc N Gourevitch, MD, MPH Physician Maribel Montanez-Corrales NYU Langone Health Social Worker New York City Bronx Care Health Systems New York City Marc Probst, MD, MS Physician Marie-Laure Romney, MD, MBA Mount Sinai Physician New York City New York City

Marc Shi, MD Maritza Casillas, LCSW Physician Social Worker New York City New York City

Margarita Mariya Masyukova, MD, MS Counselor Physician Montefiore Wellness Center DOSA Montefiore Medical Center New York City New York City

21 Mark Cort, MD Medhanit Tekle, MD Physician Physician New York City Montefiore Medical Center New York City Mark J Polisar, MD Physician Meghan Wolfman, LCSW New York City Social Worker New York City Mark Richman, MD, MPH Physician Melanie Jay, MD, MS Northwell Health Long Island Jewish Physician Medical Center NYU Langone Health New York City New York City

Marta Rico, MD Melida Tamayo, LMSW Physician Social Worker Montefiore Medical Center PHS New York City New York City

Martha L. Castro, MD Melissa Cohen, LMSW Physician Social Worker New York City Lincoln Hospital New York City Mary Gover, MD Physician Melissa Tam, DO Montefiore Medical Center Physician New York City New York City

Matt Holm, MD Melissa Villars, MD, MPH Physician Physician Children’s Hospital at Montefiore New York City New York City Michael Danziger, MD, MS Matthew Anderson, MD Physician Physician New York City New York City Michael Mojica, MD Max Berger, MD Physician Physician Bellevue Hospital/NYU Langone Health New York City New York City

May Li, MD Michelle Lin, MD Physician Physician Bellevue Hospital/NYU Langone Health New York City New York City

22 Michelle Romeo, MD Natasha Anushri Anandaraja, MD, MPH Physician Physician New York City Mount Sinai New York City Mildred Espinosa Social Worker Assistant Naureen Dharani, LMHC, NCC Bronx Care Health Systems Licensed Mental Health Counselor New York City Montefiore Medical Center New York City Minnelly Vasquez Social Worker Nell Baldwin, MD New York-Presbyterian/Columbia Physician University Irving Medical Center Montefiore Medical Center New York City New York City

Mira Batra, MD Nell Eisenberg, MD Physician Physician Family Health Centers at NYU Langone Weill Cornell Medicine New York City New York City

Misha Vernatter, LMSW Nelly Parisot, MD Social Worker Physician Montefiore Medical Center New York City New York City Nelsy Hernanndez, LCSW-R Nabila Carabajo, LMHC Social Worker Licensed Mental Health Counselor New York City Montefiore Medical Center New York City Nicholas Gavin, MD, MBA, MS Physician Nancy Creech, MD New York Presbyterian/Columbia Physician University Irving Medical Center Bellevue Hospital/NYU Langone Health New York City New York City Nicholas Moran, M.A., Ed.M., LMHC Nancy Kwon, MD, MPA Licensed Mental Health Counselor Physician Montefiore Medical Center Northwell Health Long Island Jewish New York City Medical Center New York City Nicole Berwald, MD Physician Nancy Martinez BSN RN New York City Nurse Manager NYU Langone Health Brooklyn New York City

23 Nicole Brown, MD, MPH, MHS Oluchi Iheagwara, MD, MPH Physician Physician Strong Children Wellness New York City New York City Olumide Akindutire, MD Nicole Brown, MS Ed, LMHC, CRC Physician Vocational Rehabilitation Counselor/Mental New York City Health Counselor New York City Orianne Sharir, LMSW Manager Nicole Lashley, PA-C New York City Physician Assistant Bellevue Hospital/NYU Langone Health Pamela Mund, MD New York City Physician Montefiore Medical Center Nima Majlesi, DO New York City Physician Northwell Health Pamela Ryder, NP New York City Nurse Practitioner New York City Norma Reid-Archibald , MS, RD,CDN, CDCES Paul Gross, MD Dietitian Physician NYU Langone Health Montefiore Medical Center New York City New York City

Odessia Nicole Brown, LMSW Paul Meissner, MSPH Social Worker Administrator / Researcher Montefiore Medical Center Montefiore Medical Center New York City New York City

Oladimeji Oki, MD Paul Peng, MD Physician Physician Montefiore Medical Center New York City New York City Pauline Levy, PsyM Olga Apt-Dudfield, LMSW Psychotherapist Social Worker New York City New York City Peggy Leung, MD Olivia Nolan, MD Physician Physician New York City New York City

24 Penelope Lema, MD Ramiro Jervis, MD Physician Physician New York Presbyterian/Columbia New York City University Irving Medical Center New York City Ramona Sunderwirth, MD Physician Perry Sheffield, MD, MPH Mount Sinai Morningside Physician New York City New York City Raquel Fedebagha, LCSW Philip DiSalvo, MD Social Worker Physician Montefiore Medical Center New York City New York City

Pinaki Mukherji, MD Raquel Teixeira Yokoda, MD Physician Physician LIJ Medical Center Montefiore Medical Center New York City New York City

Puspa Poarangan, PA-C Rayna Sobieski, MD Physician Assistant Physician New York City New York City

Quinn Leslie, MD Rebecca Dejesus Physician Clerical Mount Sinai Montefiore Medical Center New York City New York City

Rachel Rothstein Reeves Bright, MD EMT Physician NYU Langone Health New York City New York City Rithika Mathias, MD Rachel Sobolev, MD Physician Physician Montefiore Medical Center New York City New York City

Rafael Frias, MD Rokia Gittens Physician Nurse Montefiore - New York Children's Health New York City Project New York City Rosanna Rodriguez, LMSW Social Worker Rafael Gonzalez, MD Montefiore Medical Center Physician New York City New York City

25 Rose Moran-Kelly, DNP, RN, NP Sasha Gifford, MD Nurse Practitioner Physician Bellevue Hospital New York City New York City Saundra Sealy, LMSW Rubayat Qadeer MD AAHIVS Social Worker Physician Montefiore Medical Center-Wakefield Montefiore Medical Center Division New York City New York City

Runjhun Bhatia MD Scott Goldberg, MD Physician Physician New York City Montefiore Medical Center New York City Ruth Concepcion, LMSW Social Worker Scott Ikeda, MD, MPH New York City Physician Montefiore Medical Center Ryan P. McCormack, MD, MS New York City Physician Bellevue Hospital/NYU Langone Health Sean Hickey, MD New York City Physician New York City S Oakley Secretary Serena Chung Montefiore Medical Center Mental Health Counselor New York City Montefiore Medical Center New York City Samantha Suarez, BA Care Manager Serena Roth, MD New York City Physician Montefiore Medical Center Sandhya Kumar, MD New York City Physician New York City Serenidad Smith Senior Secretary Sarah Battistich, MD, MSc Montefiore Medical Center Physician New York City

NYU Langone Health Seth F Congdon, MD New York, NY Physician Sarah Han, RN, BSN Montefiore Medical Center Nurse New York City New York Presbyterian New York City

26 Shaheen Srivastava-Malick, MD Sichen Liu, MD Physician Physician New York Presbyterian Montefiore Medical Center New York City New York City

Shannon McNamara, MD Sneha Patel MD Physician Physician New York City Montefiore Medical Center New York City Shannon Morrissey, PA-C Physician Assistant Soma Pathak, MD Montefiore Medical Center Physician New York City Bellevue Hospital/NYU Langone Health New York City Shawnette M Proper, RPA-C Physician Assistant Stasha O'Callaghan, MD Bellevue Hospital/NYU Langone Health Physician New York City New York City

Sheela Maru, MD, MPH Steffie Woolhandler, MD, MPH Physician Physician Elmhurst Hospital Center/Mount Sinai New York City School of Medicine New York City Stella Koltunov, LCSW Social Worker Sheila Langan New York City Social Worker New York City Stella Safo, MD Physician Shelby Harvey, LMSW Mount Sinai Social Worker New York City New York Presbyterian New York City Stephanie Gallo, LCSW-R Social Worker Shenell Thomas, RN Montefiore Medical Center Nurse New York City Montefiore Medical Center New York City Stephanie Maung, MD Physician Shivani Agarwal, MD, MPH New York City Physician New York City Stephanie Paga, LMHC Clinical Supervisor- LMHC Montefiore Medical Center New York City

27 Stephanie Tutak, MD Sze Lam, RN Physician Nurse New York City New York City

Stephen Antony Beasley Tamara Dopwell, LMSW Community Affairs Social Worker New York Presbyterian Kingsbrook Jewish Medical Center New York City New York City

Stephen Menlove, MD Tania Carty, MA Physician Counselor Bellevue Hospital New York City New York City Tanping Wong, MD Stephen Wall, MD Physician Physician New York City New York City Taryn Webb, MD Sumanth Kaja, MD Physician Physician New York City Bellevue Hospital/NYU Langone Health New York City Tatiana Vera Health Educator Susan E Bonadonna, MD Montefiore Medical Center Physician New York City Montefiore Medical Center New York City Tausif Billah, MD Physician Susan E Williams, MD Mount Sinai Elmhurst Physician New York City New York City Teresa Choe, MD Susan HauChor Cheng, MD, MPH Physician Physician New York City New York City Tess Studholme, DNP, FNP-BC, RN, CEN, Susi Vassallo, MD, MS EMT Physician Nurse Practitioner NYU Langone Health New York City New York City Tiffany Lu, MD, MS Sydney Katz, MD Physician Physician Montefiore Medical Center New York City New York City

28 Tim Greene, MD Vera Taradova, PA Physician Physician Assistant New York City NYU Langone Health New York City Timothy Gallagher, MD Physician Victoria Gorski, MD New York City Physician Montefiore Medical Center Tony Malek, NP-c New York City Nurse Practitioner New York City Viraj Lakdawala MD Physician Trajko Bojadzievski, MD Bellevue Hospital/NYU Langone Health Physician New York City New York City Virge Luce Trevor Pour, MD, FACEP Social Worker Physician New York City New York City Virginia Mutch, PhD Trina Dhar, MD Psychologist Physician Montefiore Medical Center New York City New York City

Tunya D. Harris, LCSW-R Wendy Green, LMSW Social Worker Social Worker Montefiore Medical Center Montefiore Medical Center New York City New York City

Turandot Saul, MD Wendy Maleri, MSCRC, CASAC, Physician MHC_LP Rehabilitation Counselor New York City New York City

Tynesha Finlay William B. Jordan, MD, MPH Care Manager Physician Montefiore Medical Center Albert Einstein College of Medicine Yonkers and NYC New York City

Usman Ria William Boylan, LCSW Physician Social Worker New York City Montefiore Medical Center New York City Vanessa K Ferrel, MD, MPH Physician New York City

29 William Chiang, MD Yvonne Pradier, LMSW Physician Social Worker Bellevue Hospital/NYU Langone Health New York City New York City Zachary Zuniga, MD William Goldberg, MD Physician Physician New York City New York City Zak Anolic, LCSW William Levine, MD Social Worker Physician New York City New York City Zoe Canteras, RN Windy Bravo, LMSW Nurse Social Worker Mount Sinai Morningside New York Presbyterian New York City New York City Zoe Stopak-Behr, MPH, MIA Winsome Sewell Director, Care Coordination Systems Social Worker New York City New York Presbyterian - Columbia New York City Zsuzsanna Sidlo, MD Physician Yael Offer, MSN New York City Midwife Betances Health Center New York City

Yasmine Awais, MPhil, LCAT Art Therapist New York City

Yinan Lan, MD Physician New York City

Yue Jay Lin, MD Physician New York City

Yvonne Giunta, MD Physician Staten Island University Hospital North New York City

30