March 10, 2017 – Lobby Day – Another Home Run!

Dr. Reid - MSSNY President
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
March 10, 2017
Volume 17
Number 10

MLMIC Insurance

Dear Colleagues:

This week, Moe Auster, Senior VP Government & Regulatory Affairs, wanted to thank everyone who participated in our Lobby Day.

Please send your comments to comments@mssny.org




Thank You For All Who Came to Physician Advocacy Day This Week
A big thank you to the over 250 physicians, residents, medical students and other physician advocates who took the time to come to Albany this week to participate in MSSNY’s Annual Physician Advocacy Day!  We also thank the American College of Obstetricians & Gynecologists – District II and the New York State Osteopathic Medical Society for participating and coordinating their annual Advocacy Days with MSSNY.

We appreciate the challenges you face in taking a day away from your practice or hospital to advocate for your profession and for your patients.  But your participation was absolutely essential to demonstrating to our legislative leaders the importance of ensuring physicians are able to continue to deliver the timely and quality care patients expect and deserve.  Moreover, it was important for legislators to hear the perspective of residents and students how the challenges of New York’s health care delivery system makes it difficult to considering practicing in New York State in the future.  As the Assembly and Senate will each be finalizing their respective “one-House” Budgets this week, having the opportunity to share with legislators our concerns with excessive liability exposure, and excessive health  insurer imposed prior authorization hassles is essential to ensuring that the State Budget does not incorporate provisions that will exacerbate these problems.

We also thank the several legislative and regulatory policy leaders who took the time away from State Budget negotiations to address the assembled physicians, share their vision for health care, and answer questions from the audience.  The speakers included Senate Majority Leader John Flanagan, Assembly Majority Leader Joseph Morelle, Senate Health Committee Chair Kemp Hannon, Senate Insurance Committee Chair James Seward, Assembly Health Committee Chair Richard Gottfried, Assembly Insurance Committee Chair Kevin Cahill, Deputy Financial Services Superintendent Troy Oechsner and Dr. Doug Fish, Medical Director for the New York State Department of Health.
(DIVISION OF GOVERNMENTAL AFFAIRS)

Council Meeting in Albany on March 7

Moe Auster, Dr. Frank Dowling: Dr. Art Fougner; Dr. Thomas Madejski; Dr. Nicholas Kulbida; (Front) MSSNY President Elect Dr. Charles Rothberg; MSSNY President Malcolm Reid; Assembly Majority Leader Joseph D. Morelle; Dr. Christine Herde; Dr. Carla Eng; Dr. Paul Pipia

Legislation Introduced and Debated in Congress to Make Major Changes to the ACA
This week the US House of Representatives Leadership released the American Health Care Act, its proposal to change much of the Affordable Care Act (ACA) enacted in 2010.  Several health care advocacy organizations, including the AMA, expressed strong concerns with the proposal.

The proposal would keep some of the popular provisions from the ACA, including required coverage for pre-existing conditions, prohibiting annual and lifetime limits, requiring dependent coverage up to age 26, and required coverage of “Essential Health benefits”.  It would also expand the amount of funds that a person could direct to their Health Savings Account.

At the same time, the bill would substantially revise ACA rules that facilitated various subsidized coverage programs for those who make up to 400% FPL ($94,000 for a family of 4).  While the expanded eligibility for Medicaid (up to 138% FPL) would be available through the end of 2019, starting in 2020 such expanded coverage would only be continued for those who had such coverage prior to the end of 2019.

The AHCA would also repeal the tax credits currently provided to help cover cost-sharing amounts for coverage for individuals who earn too much to qualify for Medicaid.  Instead, tax credits of $2,000-$4,500 (depending upon age) would be provided to enable the purchase of health insurance coverage.   Tax credits will be available in full to individuals earning less than $75,000 and households earning less than $150,000, but they will be capped for higher earners.  It appears as if the AHCA would also completely eliminate funding for New York’s Essential Plan, which provides low-cost health insurance coverage with little cost-sharing responsibilities for over 600,000 New Yorkers who make between 138% and 200% of the FPL.

The bill would repeal several other notable ACA provisions, including the requirement for all individuals to have health insurance coverage, the large employer coverage mandate, the provision to impose a “tanning” tax and a provision that limits the tax deductible treatment for health insurers of executive income that exceeds $500,000.

The Healthcare Association of New York State (HANYS) issued a statement saying that the AHCA “would be disastrous for New York. It would threaten health coverage for millions of New Yorkers, create a fiscal crisis for the state, and burden hospitals and health systems with fewer resources and more uninsured or underinsured patients. The proposal would also destabilize insurance markets, driving up costs for all consumers.”

The Greater New York Hospital Association released an analysis in which it noted that “the proposed Medicaid changes would put a huge amount of pressure on state budgets and put many Americans at risk of losing health care coverage. In addition, the Medicaid DSH (Disproportionate Share Hospital) cuts will cost expansion states hundreds of millions in DSH dollars, adversely affecting safety net hospitals.”

The American Medical Association sent a letter to Congressional leaders and issued a statement noting several areas where the AHCA “fell short” of the health system reform objectives that had been adopted by the AMA, including concerns with:

  • Relating tax credits to age, rather than inversely related to income, which could result in more uninsured.
  • The proposed rollback of Medicaid expansions, which the AMA noted “have been highly successful in providing coverage for lower income individuals”.
  • Cutting funding for affiliates of the Planned Parenthood Federation of America, as “the AMA cannot support the precedent of restricting access to otherwise qualified providers of care for covered services”.

After extensive debate the bill was advanced from the Ways & Means Committee, and will be combined with the bill language that was advanced by the Energy & Commerce Committee this week.  At this time, it is unclear whether there are enough votes in the US House or Senate to enact this measure.  MSSNY will continue to monitor these developments, engage with New York’s Congressional delegation, and follow up with more details.
(AUSTER)

Assembly and Senate to Finalize One House Budget This Weekend; Keep Up Grassroots Activity
Details of the Senate and Assembly “one-house” budget proposals are expected to be released over the weekend or early next week.  It is expected that the Senate will leave out all tax and fee increases, including the proposed requirement that physicians receive a “tax clearance” as a pre-condition to receiving Excess Medical Malpractice Insurance coverage, a proposal opposed by MSSNY.  The Assembly has also shown some indications that they will reject the proposal as well. We will provide an update when more details become available.

Once each house has released its budget proposal, negotiations can begin between the two houses and the Executive to find agreement on a final budget.  MSSNY will continue to fight to have our concerns addressed in any final budget agreement but we will only be as successful as the participation of the MSSNY membership.  We encourage you to talk to your friends, family and colleagues to continue a strong grassroots effort to address all of the issues facing physicians.  Please continue to remain active and reach out to your legislators throughout the finalization of the budget. (Belmont) 

Register Now for Upcoming Medical Matters 2017 CME Webinar Series
The Medical Society of the State of New York encourages you to register for its next Medical Matters webinar on Wednesday, March 15, 2017 at 7:30 a.m. with Exercise Response to Novel Influenza Strains.  Faculty for this program is Pat Anders, MS, MEP, Manager, Health Emergency Preparedness Exercises, New York State Department of Health, Office of Health Emergency Preparedness.  Registration is now open for this webinar here just click on “Upcoming”.

The educational objectives are: 1) Understand preparedness and response actions of public health and healthcare to a novel pandemic influenza, simulated in full-scale exercise.  2)  Describe two delineated strategies in which public health and office-based physicians would interact in a pandemic influenza.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Medical Matters is a series of CME webinars sponsored by MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response.

The Medical Society of the State of New York (MSSNY) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

MSSNY designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™.   Physicians should claim only the credit commensurate with the extent of their participation in the activity.                                       
(Clancy, Hoffman)


Your membership yields results and will continue to do so. When your 2017 invoice arrives, please renew. KEEP MSSNY STRONG!


First Webinar on Pain Management, Palliative Care and Addiction Completed; 2nd in Series on March 14th
The Medical Society of the State of New York held its first webinar on its Pain Management, Palliative Care and Addiction on Thursday, March 9th with over 1000 attendees and will hold the second webinar in the series on March 14th.   As has been previously reported, a 2016 law requires most physicians with DEA licenses to complete three hours of pain management education prior to July 1st of this year.

The first webinar, entitled “Understanding the Current Legal Landscape in New York State for Prescribing Controlled Substances” will be archived on the MSSNY CME site shortly.   This archived webinar will allow physicians to view the program at their leisure and receive CME credit.  The program will be free to MSSNY members and there will be a $50 charge for each archived webinar for non-members.  

The webinar is free to MSSNY member with a discount code; please check www.mssny.org website, under the Pain Management, Palliative Care and Addiction blue box on the opening page for information on how to obtain the code.  There is a fee of $50 for non-MSSNY members for each webinar.

Physicians may register for the live webinar on Tuesday below:

Tuesday, March 14, 2017—7:30-8:30am

Rational Opioid Prescribing for Chronic Pain Conditions

Faculty: Charles Argoff, MD & Patricia Bruckenthal, PhD, APRN-BS, FAAN

Educational Objectives:

Discuss evidence based best practice recommendations for opioid therapy for chronic pain, patient risk assessments and documentation

Describe palliative medical care and end-of-life care

Register for this webinar here

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (CLANCY)

CME Needs Assessment
The Continuing Medical Education (CME) Program of MSSNY strives to provide educational activities relevant to the practice of all recognized medical disciplines and include forums for public health, socio-economic, ethical, and legal issues related to the provision of quality healthcare.  In order to fulfill that goal, MSSNY’S office of CME is conducting a CME needs-assessment survey.  Physicians who have not already done so are encouraged to complete the survey here.  Questions about the survey or the MSSNY CME program may be directed to Miriam Hardin (mhardin@mssny.org or (518) 465-8085).       (HARDIN)

Register Now For Upcoming Veterans Matters CME Programs
The Medical Society of the State of New York encourages you to register for its upcoming Veterans Matters programs. These programs include CME presentations on PTSD and TBI in as well as Suicide in Returning Veterans.  Faculty for these programs is John McIntyre, MD and Frank Dowling, MD. Registration for all of these programs is open.  Just click on either of the presentation dates below.

Veterans’ Matters: PTSD and TBI

Webinar: Tuesday, April 4 at 8 a.m.

Faculty Presenter: John McIntyre, MD

The educational Objectives for the PTSD program are:

1) Describe the symptoms of PTSD and TBI.

2) Describe the treatment modalities of PTSD and TBI.

3) Describe military culture & how to overcome unique barriers to treatment intrinsic to military culture

Veterans’ Matters: Suicide
Live Seminar: Friday, April 28 at 8 a.m. at Brookhaven Memorial Hospital

Faculty Presenter: Frank Dowling, MD

The educational Objectives for the Suicide program are:

1) Address the causes and warning signs of suicide and suicidal behavior among veterans.

2) Explore the best evidence-based diagnostic and treatment options available including psychotherapy and pharmacotherapy.

3) Identify barriers in military culture to identification and treatment and how to overcome them.

Additional information or assistance with registration may be obtained by contacting Greg Elperin at gelperin@mssny.org.

Veterans Matters is a CME series made possible through a grant from the New York State Office of Mental Health.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates each live activity for a maximum of 1.0 AMA/PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity
(Elperin)

For more information relating to any of the above articles, please contact the appropriate contributing staff member at the following email addresses:

pschuh@mssny.org mauster@mssny.org         pclancy@mssny.org   jbelmont@mssny.org

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Physicians from Countries Affected by Immigration Order Serve Millions in NY
The Buffalo News (3/7) reports an analysis from the Immigrant Doctors Project found that roughly 75 doctors in the Buffalo-Niagara region from the six countries included in the most recent immigration ban “provide 100,000 to 150,000 appointments each year to patients.” On a national level, the project estimates that the six countries affected by the order have produced more than 7,000 physicians in the US who “see an estimated 14 million visits from patients each year.” The Association of American Medical Colleges criticized the executive order, stating, “We are deeply disappointed that the revised executive order and accompanying fact sheet do not explicitly recognize the importance of international medical graduates, physicians and medical researchers to the nation’s health security.”

PRI Reports $203 Million Loss in 2016 as Premiums Decline
Physicians Reciprocal Insurer reported a $203M underwriting loss (Politico, 3/7) in 2016. They now have a negative surplus of $354M as compared to an $83M loss in 2014, and $138M in 2015. Its premium revenue declined 24% in two years, from $384M to $293M. The Princeton Partnership, a firm that specializes in turnaround management, took over the day-to-day operations of PRI earlier this year.

119 Health Organizations Call for Task Force to End HepC in New York
A group of 119 health care organizations, including hospitals, advocacy groups and drug treatment centers have signed onto a statement renewing the call for Gov. Andrew Cuomo and the state legislature to create a task force to end the hepatitis C epidemic in New York. More than 100 organizations from across the state signed a letter to Gov. Andrew Cuomo and the leaders of the Legislature, calling for a commitment to eliminate hepatitis C, and, more specifically, an additional $10.8 million in this year’s budget to combat the virus. The statement comes one month after activists held a HepC elimination summit in Albany. An estimated 200,000 New Yorkers have chronic hepatitis C, with as many as half unaware they carry the virus, according to patient advocate VOCAL-NY. There were more than 16,000 reported new cases in 2014.

AG: $7.9M Settlement and Prison in Illegal Script Buy-Back/Laundering Scheme
AG Eric T. Schneiderman announced the sentencing of two pharmacy owners, a supervising pharmacist and ten corporations for defrauding several government-funded healthcare programs, including Medicaid and Medicare. An investigation revealed that on at least eight separate occasions between November 2013 and February 2014, the defendants paid patients hundreds of dollars in cash to forgo their prescription medications, the vast majority of which were to treat HIV. The defendants then submitted false claims to Medicare, Medicaid and Medicaid-managed care organizations and were reimbursed for distributing the medications, despite the fact that they were never dispensed to patients. Tarek Elsayed, 50, of Elmhurst Queens, the co-owner of 184th Street Pharmacy in the Bronx, was sentenced today in Bronx County Supreme Court by the Honorable Stephen Barrett to one to three years in state prison.

Previously, in August of 2016, Ahmed Hamed, 39, of Elmhurst, Queens, the second co-owner of 184th Street Pharmacy, was sentenced to two to six years in state prison. In October of 2016, Mohamed Hassan Ahmed, 38, of Bayside, the supervising pharmacist at 184th Street Pharmacy, was sentenced to one to three years in state prison and was required to surrender his license to practice pharmacy. Collectively, the three defendants stole over $10 million from government-funded health care programs.

In addition, the Attorney General’s Medicaid Fraud Control Unit (MFCU) reached a $4.1 million civil settlement agreement with defendant Elsayed and a $3.8 million civil settlement agreement with defendant Hamed. Defendant Hamed was also required to forfeit a Maserati and BMW he purchased with the proceeds from the scheme. Both vehicles have since been sold and proceeds from the sales returned to the state Medicaid program.

Between March 2013 and March 2014, Medicare, Medicaid and Medicaid-managed care organizations paid 184 St. Pharmacy over $10 million for medications 184 St. Pharmacy claimed to have dispensed to patients. MFCU’s investigation revealed however that the pharmacy ordered only $1 million in medications from legitimate pharmaceutical wholesalers. 

HHS: OIG Hotline Number Part of a Nationwide Phone Spoofing SCAM
The HHS Office of Inspector General (OIG) recently confirmed that the HHS OIG Hotline telephone number is being used as part of a telephone spoofing scam targeting individuals throughout the country. These scammers represent themselves as HHS OIG Hotline employees and can alter the appearance of the caller ID to make it seem as if the call is coming from the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477).

The perpetrator may use various tactics to obtain or verify the victim’s personal information, which can then be used to steal money from an individual’s bank account or for other fraudulent activity. HHS OIG takes this matter seriously. We are actively investigating this matter and intend to have the perpetrators prosecuted.

It is important to know that HHS OIG will not use the HHS OIG Hotline telephone number to make outgoing calls and individuals should not answer calls from 1-800-HHS-TIPS (1-800-447-8477). We encourage the public to remain vigilant, protect their personal information, and guard against providing personal information during calls that purport to be from the HHS OIG Hotline telephone number. We also remind the public that it is still safe to call into the HHS OIG Hotline to report fraud.  We particularly encourage those who believe they may have been a victim of the telephone spoofing scam to report that information to us through the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477) or spoof@oig.hhs.gov. Individuals may also file a complaint with the Federal Trade Commission 1-877-FTC-HELP (1-877-382-4357).

More information is available on the OIG Consumer Alerts webpage.

Percentage of “Inappropriate” PCIs Decreased in NY between 2010 And 2014
The New York State Insurance Fund is pleased to announce several enhancements to our online services for medical providers, improving your experience at nysif.com. We encourage you to register for an online account so you can take full advantage of the services we provide.

  • Direct Deposit
    Beginning March 1, medical providers will be able to sign up for direct deposit with simple online enrollment. Enjoy quicker access to funds, and avoid trips to the bank. Direct deposit payments are more secure, with no worry that your check may be lost or stolen. We’ll send you an email each time we deposit a payment into your account. Each direct deposit can contain payment for up to 25 separate bills. You can access information on each individual bill payment through your NYSIF online account.
  • Medical Provider Portal Search
    We have expanded search parameters in the medical provider portal to make it easier for providers to obtain the information needed to submit their bills for payment. Including complete information on your bill submission helps NYSIF process your bill more efficiently, resulting in faster payments to you.
  • Enhanced Online Privacy Protections
    NYSIF takes privacy seriously. NYSIF will be adding a second layer of protection to verify your identity. This additional step will help safeguard your login credentials and the confidential health information of your patients.

In addition, a third billing vendor has been added, which you can now use to submit your medical bills electronically. We urge you to take advantage of electronic bill submission by using any of our three vendors: iHCFA, ImageWork or IT Solutions of WNY. There is no cost to you to submit, and you’ll save on paper and postage.

NYSIF appreciates the important role health care providers play in the workers’ compensation system. We want to make doing business with NYSIF easier for you, and we expect these improvements will help accomplish that goal. Visit the Medical Provider section of nysif.com for more details. Link to ACH Med Provider User Guide:

JACC: Quality Improvement in Inappropriate Use of PCI in New York
Findings published online in the Journal of the American College of Cardiology http://bit.ly/2mtMEyI report that research indicated “quality improvement efforts in 2011-2012 took a solid bite out of inappropriate use of percutaneous coronary intervention (PCI)—at least in New York.” Investigators found that “in that state, inappropriate PCIs fell from 18.2% in 2010 to 10.6% in 2014, with a particularly sharp drop of 15.3% to 6.8% for the subgroup of Medicaid patients.”

Nasal Spray Approved to Treat Frequent Overnight Urination in Adults
The FDA has approved desmopressin acetate nasal spray (marketed as Noctiva) to treat adults who wake up at least twice nightly to urinate due to nocturnal polyuria.

The treatment is taken each night, about 30 minutes before bedtime. It increases water absorption through the kidneys, thereby decreasing urine production. Noctiva is approved only for those with nocturia caused by overproduction of urine. Accordingly, a 24-hour urine collection should be taken before treatment to confirm nocturnal polyuria.

Noctiva’s label includes a boxed warning about the risk for hyponatremia with treatment. Clinicians should check that patients’ serum sodium levels are normal before treatment, at 1 week and 1 month after treatment initiation, and periodically after that. The drug should not be used in those at high risk for severe hyponatremia — for example, patients with excessive fluid intake, those with conditions that can lead to fluid or electrolyte imbalances, and patients taking loop diuretics or glucocorticoids.

Additionally, Noctiva should not be used in those with symptomatic congestive heart failure or uncontrolled hypertension or in pregnant women. FDA news release

Physician Charged with Narcotics Distribution Resulting in Death
Avinoam Luzon, 32, a physician at Mercy Medical Center, allegedly provided Gabriel Tramiel, 32, with the fentanyl that took his life, according to US Attorney Preet Bharara.  Mr. Bharara said: “As a medical doctor and graduate student in public health, Avinoam Luzon was supposed to help the sick get healthy, but instead he allegedly helped fuel the nation’s most serious health crisis, the opioid abuse epidemic. As an alleged drug dealer with a medical degree, Luzon sold fentanyl to Gabriel Tramiel, a 32-year-old New Yorker, and it allegedly killed him.” Luzon, 32, of New York, New York, has been charged with one count of narcotics distribution resulting in the death of another, which carries a maximum sentence of life in prison, and a mandatory minimum sentence of 20 years in prison.

Cuomo: $1.4 Billion Plan to Fight Poor Health, Poverty in Central Brooklyn
The New York Times (3/9) reports Gov. Andrew Cuomo announced a $1.4 billion plan called Vital Brooklyn, which will target the persistence of poverty, violence, and poor health in central Brooklyn. Cuomo said his “holistic plan” will focus particularly on “health and wellness,” in a move the Times calls a “striking investment in one geographic location.” Other parts of the plan promote “healthy food, education and youth development, job creation, violence prevention, affordable housing and climate resiliency.”

The plan intends to add “$700 million for community health care clinics and programs, five acres of new recreation space, and programs to help young people stay out of trouble and learn job skills.” As Cuomo spoke, the Department of Health released a request for applications for the $700 million. The application can be found here.

CDC: 25% of US Adults Have Arthritis
Centers for Disease Control and Prevention Vital Signs report indicates that approximately 25% of US adults have arthritis. The report also indicated that “activity limitations from arthritis increased by 20 percent since 2002.”

Last Chance to Take Action! New and Improved NGSConnex Coming 3/6/2017!
NGSConnex is going through a transformation. On Monday, 3/6/2017 the new and improved NGSConnex provider portal launched. In order to make sure you are prepared follow these three simple steps.

Step 1: Verify you are using a supported browser to prevent interruption in use and for an optimal NGSConnex experience. (A supported browser is also required to access NGSMedicare.com.)

Step 2: Confirm the email address associated with your NGSConnex User Profile is current so that you can receive your MFA code and successfully log in.

Step 3: Familiarize yourself with the redesigned navigation for efficient use by reviewing the NGSConnex Navigation Crosswalk.

For detailed instructions on the new and improved NGSConnex and multi-factor authentication, visit the NGSConnex home page in the Provider Resources section of our website, NGSMedicare.com.

If you’re not already registered to use NGSConnex, you are missing out on an innovative and ever-evolving self-service tool; it’s free of charge and available 24/7 to all NGS providers. Sign up today at NGSConnex.com.

Council Notes-March 7, 2017 

  • Council reconsidered the MSSNY Physician Stress and Burnout Task Force Report, which was developed following a 2015 HOD resolution that directed MSSNY to “develop a series of programs, which may include CME credit, to assist physicians in early identification and management of stress.” In January 2017, Council approved four Task Force recommendations, but voted to table two recommendations. At Tuesday’s meeting, Council approved the following amendments by addition to the tabled recommendations:
  1. MSSNY membership distribution of burnout survey data coupled with a preliminary plan for interventions, beginning with distribution of survey results at House of Delegates and CME presentations during the annual meeting weekend.
  2. Development of a program to assist doctors when they need to reach out for help to sustain their wellness before it progresses to mental health or substance use disorder; charge MSSNY legal team and MSSNY staff to devise a solution which meets the needs of our members and maintains the legal and financial integrity of the MSSNY organization.
  • Valerie Grey, Executive Director of New York e-Health Collaborative (NYeC) presented a briefing on the Statewide Health Information Network of New York (SHIN-NY).
  • Douglas G. Fish, MD, Medical Director, Division of Program Development & Management for the New York State Department of Health presented on the Delivery System Reform Incentive Payment program (DSRIP).


CLASSIFIEDS



Prime NYC Space for Rent
Prime Midtown Manhattan space two blocks away from Grand Central Station
next to Park Ave. 3100 RSF with nine windows in a professional building filled with MDs and DDSs. $59/RSF please inquire at wnyllc@aol.com



Elegant Plastic Surgery Office (Upper East Side Manhattan)
Very large and classy office to share. Located in the ground floor of a 25′ x 100′ carriage house opposite the 66th Street Armory with large consult room, 2+ treatment/exam rooms, large waiting room, business office, storage. See video of office — you won’t believe it: www.youtube.com/watch?v=Uli8Cck_eRA   $5000/month incl utilities. no brokers. Call Doctor Fischman at (212) 472–3300.Jeffrey R. Fischman, M.D.  110 E 66th Street.

Physician Opportunities

Internist Needed Mon.-Fri. for Psychiatric Inpt in Queens
Internist needed for Full time general medical care of psychiatric inpatients.  Creedmoor Psychiatric Center is in Queens, and convenient to NYC, Nassau/Suffolk and near major transportation.  We are a small well organized Medical Department looking for another member.  Our physicians enjoy their work- life balance. Please contact: alan.diner@omh.ny.gov or call 718-264-4046

Ophthalmologist Part Time
Ophthalmologist needed to work at multiple nursing homes in all 5 boros except Staten Island. Part time or full-time position available.  Generous salary and incentives.Ttech provided. Opportunity to perform surgery, but not required. Please email cv to privacyssw@gmail.com



A Private Multidisciplinary Medical Group is seeking an Internal Medicine/Family Medicine Physician in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire an Internal Medicine/Family Medicine Physician. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.

A Private Multidisciplinary Medical Group is seeking a Podiatrist in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire a Podiatrist. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.

CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355