st francis hospital hartford ct patient advocate
Treatment: Please use one of the following browsers for the best possible outcome. Contact us 253-944-8100 St. Francis Award-Winning Care We are committed to clinical excellence and safe, compassionate care. electronically through the Office for Civil Rights Complaint Portal, 9-year-old gets life-changing heart surgery, A private lounge for visitors equipped with a sleeper chair for overnight stays, A hi-definition, flat screen television with local cable service*, Courtesy bathrobe and a collection of personal care items, Written information in other formats (large print, audio, accessible electronic formats, other formats). This is ideal for claustrophobic patients. Apply to Specialist, Registered Nurse - Icu, Sales Support Representative and more! Call Directions. If possible, have someone bring your clothing to St. Francis Hospital & Heart Center the day before you leave. mtomarkin@stamhealth.org, Kathleen Hazen, CPXPL, CPXP Guest meals are available for an additional fee. Complete information regarding any research project being offered prior to giving consent and prior to initiation of any research related interventions. Saint Francis Hospital and Medical Center has sued Hartford HealthCare and its subsidiaries, including Hartford Hospital, claiming that it is trying to create a monopoly on hospital services by acquiring physician networks, particularly cardiologists, and demanding that they refer their patients only to Hartford HealthCare. Thank you for entrusting us with your care. Hartford HealthCare Rehabilitation Network, Center for Education, Simulation and Innovation (CESI), Hartford Hospital Main / Emergency Entrance. All private rooms and suites feature WiFi connectivity. But you may be able to find help elsewhere: The Patient Advocate Foundation (www.patientadvocate.org) offers free advice and assistance to people who need help with medical bills and insurance company appeals. This includes working with doctors, nurses, insurance companies, employers, case managers, lawyers, and others. Without this information we will have no way to contact you. Hospital, Radiology, Radiologic Technologist, Radiation Therapist. 860-679-3176 Adam Husney MD - Family Medicine. peter.athanasoulis@nuvancehealth.org, Janet Johnson 6828Office of Patient & Family Affairs326 Washington Street, Norwich, CT 06360Phone: 860.889.8331 ext. Driving Directions Transportation Campus Map Parking Visiting Hours, All Locations A- Z Locations Patient Transfer Center, By Phone By Email By Department By Patient Care Unit. lzagaja@trinityhealthofne.org, Ellen Harry Please share your suggestions or concerns with your Nurse Manager, Physician or with the Patient Relations Representative. Reply STOP to cancel, HELP for help. WebJourney to the Heart of St. Francis Hospital Trust Your Heart to Us Nationally Ranked Care x What can we help you find? mrobustelli@stamhealth.org, Athena Sehr Our goal is to make your visit to our hospital easy and comfortable. Medical Review: Our dietitiansoffer helpful guidance with a variety of menu selections that adhere to your diet plan and ensure optimal nutritional choices. Administrative Program Coordinator, Volunteer Serv Tagalog WebHartford Hospital. This place of caregiving will be free of threats, violence, disrespectful communication, abuse or harassment of other patients or members of the Hartford HealthCare community. Current as of: March 9, 2022 Author: Healthwise Staff Medical Review: Adam Husney MD - Family Medicine This information does not replace the advice of a sgilland@connecticutchildrens.org, Joseph Phillips, MBA, CRA, CNMT, RT(N) Director, Service Excellence and Patient Experienc 860-714-8873 Access to the identity of providers of care and information on the relationships among the various providers of care. You will want to make arrangements for your trip home before the day of your discharge. 200 Independence Avenue, SW WebThe Greater Hartford Family Advocacy Center (GHFAC) at Saint Francis Hospital is a safe place where children and adults who are suspected victims of s Greater Hartford Manager, Volunteer Services, Milford and Bridgepor Our Patient Relations department offers information, consultation, referrals and However, the law excuses any healthcare facility from participating in, or caring for, an incompetent patient who is to die as a result of dehydration or starvation. Manager, Patient Relations Compassionate care, superior technology and prevention-oriented education will combine in centers of clinical excellence. It's important for the St. Francis Hospital & Heart Center staff to know exactly how you want to be cared for, particularly in critical moments. Hospital Advocate They workin collaboration with yourown doctor. Including, but not limited to the following: Our staff is happy to answer any questions you may have regarding following up with your physician to obtain your MRI results. 860-714-4454 He or she also may give encouragement and emotional support. Explanation from the hospital/physician concerning questions regarding care received in the hospital. Mass may also be viewed on hospital room TVs. Appointments & Virtual Visits Or, something else? If you believe that Catholic Health has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: AVP, Enterprise Risk Management Catholic Health Hartford, CT 06105. Give you and your family emotional support. A patient advocate helps people with health problems deal with the health care system. Patient Relations Coordinator 203-739-7000 Receive information about an explanation of costs related to care provided. Follow the treatment plan established between the patient and his or her physician. Instruction on the steps to be followed for making a hospital complaint or grievance. Director of Clinical Services The right to receive designated visitors during scheduled visiting hours and ability to withdraw consent for visitation for any or all visitors at any time. Hartford HealthCare Rehabilitation Network, Center for Education, Simulation and Innovation (CESI), Hartford Hospital Main / Emergency Entrance. Reasonable privacy of medical and personal information and records, and the right to access such information and records. Not only does this type of machine give patients more space, it provides the highest quality of images and patient experience. 100 Port Washington Boulevard Hartford Courant. WebSAINT FRANCIS HOSPITAL AND MEDICAL CENTER. 992 North Village Avenue Receive treatment and accommodations in an environment that is sensitive to your beliefs, values, cultures and spiritual needs. Be provided with free interpreter services as needed. In 2016, we were ranked among Health Cares Most Wired hospitals, selected by Anthem Blue Cross and Blue Shield as a Blue Distinction Center for Spine Surgery, and recognized by HIMSS Analytics as an Electronic Medical Record Adoption Model (EMRAM) Stage 7 organization. 203-384-3330 Social WorkersProvide post-hospital information and referrals, crisis intervention and supportive counseling services. Your employer may offer patient advocacy services as part of your benefit package. Hospitals should take meaningful steps to raise awareness about patient safety, hold leadership accountable for reducing unsafe practices, provide resources to A patient advocate helps solve problems with health care, medical bills, and job discrimination related to a medical issue. 860-714-4571 100 Pearl Street, Hartford, CT 06103 Contact Us. hkelley@bristolhospital.org, Shannon Grad In most cases an MRI is safe for patients with metal implants. Should you have any other questions regarding making a donation, please contact the Foundation office at (860) 714-4900 or Foundation@trinityhealthofne.org. 475-210-5140 Rad Tech St Francis. Patient satisfaction is of the utmost importance at St. Francis Hospital & Heart Center. sgrad@connecticutchildrens.org, Susan Gilland Patient Relations Partner To receive our health news text alerts / text StartHere to 85209. 6828 TTY: 860.545.2247eastregionadvocacy@hhchealth.org, Patient AdvocatePhone: 860.496.6657Office of Patient & Family Affairs540 Litchfield Street, Torrington, CT 06790Phone: 860.496.6657 TTY: 860.545.2247northwestadvocacy@hhchealth.org, Patient AdvocatePhone: 860.972.1100Office of Patient & Family Affairs80 Seymour Street, Hartford, CT 06106Phone: 860.972.1100 TTY: 860.545.2247hhadvocacy@hhchealth.org, Patient AdvocatePhone: 860.224.5391Office of Patient & Family Affairs100 Grand Street, New Britain, CT 06052Phone: 860.224.5391 TTY: 860.545.2247centralregionadvocacy@hhchealth.org, Patient AdvocatePhone: 203.694.8350Office of Patient & Family Affairs435 Lewis Avenue, Meriden, CT 06451Phone: 203.694.8350 TTY: 860.545.2247centralregionadvocacy@hhchealth.org, Patient AdvocatePhone: 475.210.5164Office of Patient & Family Affairs2800 Main Street, Bridgeport, CT 06606Phone: 475.210.5164 TTY: 860.545.2247SVMCAdvocacy@hhchealth.org, Patient AdvocatePhone: 860.456.6107Office of Patient & Family Affairs112 Mansfield Avenue, Willimantic, CT 06226Phone: 860.456.6107 TTY: 860.545.2247eastregionadvocacy@hhchealth.org, 410 Capitol Avenue, Hartford, CT 06134Phone: 860.509.7400 or 1.800.842.0038TTY: 860.509.7191portal.ct.gov/DPH, The Office of Quality and Patient Safety (OQPS)One Renaissance Boulevard, Oakbrook Terrace, IL 60181Phone: 1.800.994.6610Fax: 630.792.5636www.jointcommission.org, -- Select -- Message and data rates may apply. 516-705-3850. Integral to assuring excellent quality care is our emphasis on patient safety and patient satisfaction. Reply STOP to cancel, HELP for help. Clinical Quality and Performance Improvement Coord St. Francis Hospital & Heart Center:516-562-6000. For more information, click here. A patient representative selected for decision-making as needed. Saint Francis Health System physicians, staff and volunteers all strive to provide excellent care while you are with us. To learn more about Healthwise, visit Healthwise.org. WebPatient Advocacy. Health Information WebCall the hospital and ask to talk with the Patient Advocate: Saint Francis Hospital: 918-494-2200; Saint Francis Hospital South or Saint Francis Glenpool: 918-307-6000; Our emergency department is open 24 hours a day, seven days a week to treat adult and pediatric emergencies. St. Vincent's Medical Center Quality Assurance Nurse, Patient Experience Roslyn, NY 11576. Provide accurate and complete information concerning the patient'spresent complaints, past illnesses, hospitalizations, medications and other matters relating to the patient'shealth, to the best of the patient'sknowledge. Be free from restraint of any kind that is not medically necessary or required to maintain the safety of patients or staff. Director Community Relations and Volunteer Service Job specializations: Healthcare. In order to provide the best possible service to our patients, a Patient Advocate is available to assist you. Catholic Health provides free aids and services to people with disabilities to communicate effectively with us, such as: If you need these services, contact the AVP, Enterprise Risk Management. In addition, weve received the American College of Cardiologys National Cardiovascular Data Registry (NCDR) ACTION RegistryGet With The Guidelines Platinum Performance Achievement Award for the fifth year in a row, making us the only hospital in Connecticut to consistently achieve this exceptional care. Our helpful guide answers questions you may have about: At St. Francis Hospital & Heart Center, we make sure you are safe and comfortable duringyour hospital stay. christine.banti@ynhh.org, Devin Giguere If you need help filing a grievance, the Director of the Patient Experience Department is available to help you. huebel@uchc.edu, Leah Russack-Baker St. Francis Hospital & Heart Center (Roslyn, NY), part of the Catholic Health system, puts the health care needs and safety of our patients first. carmen.diaz@hhchealth.org, Kandy Kelson Help you understand and deal with hospital bills and your insurance. rita.hocter@nuvancehealth.org, Lori Isaac Our deluxe suites include the following amenities: *These amenities are available in private rooms as well. Your health care needs are our main priority. Disruptive acts or threatening behavior involving staff, licensed practitioners, other patients or visitors will not be tolerated. Payment plans and financial assistance available for those who qualify. 203-276-8565 conny.maiorano@ynhh.org, 2023 Connecticut Hospital Association All rights reserved, Non-Hospital Institutional Healthcare Providers. Performance Improvement Specialist Message and data rates may apply. (Greek) Italiano (Italian) Charlotte Hungerford Hospital To receive our health news text alerts / text StartHere to 85209. WebUltrasound Hartford, Connecticut (CT), Trinity Health of New England Ultrasound When you receive an ultrasound at Saint Francis Hospital, you can expect high-quality imaging Hartford HealthCare Rehabilitation Network, Center for Education, Simulation and Innovation (CESI). 06-0646668). Senior Patient Relations Partner All Rights reserved. We use cookies and similar tools to give you the best website experience. 100 Pearl Street, Hartford, CT 06103 Contact Us. lzadrick@bristolhospital.org, Hedy Kelley molin@uchc.edu, Kristy Ilewicz Observe all hospital rules and regulations and do everything possible to ensure that your visitors do the same. quality@daykimball.org, Debi D'Alba Call Directions. Such behavior includes but is not limited to: Verbal, nonverbal, written or physical aggression; Threatening, intimidating, harassing or humiliating words or actions; Be respectful and careful regarding his or her personal property, hospital property and property of other persons in the hospital. Doctor/Physician. Should you or family have questions about the hospital, comments about your care, suggestions on improving our services or a need for someone to listen, please contact a Patient Advocate (see below). Before leaving, check your room to make sure you have all your belongings. Call the hospital and ask to talk with the Patient Advocate: Saint Francis Hospital South or Saint Francis Glenpool: 918-307-6000, Saint Francis Hospital Muskogee: 918-682-5501, Saint Francis Hospital Vinita: 918-256-7551, The Children's Hospital at Saint Francis: 918-502-6000, The Heart Hospital at Saint Francis: 918-502-2050. Our helpful links below will give you more information about paying for your care, including convenient online bill pay, accepted insurances and financial assistance. ACR Accreditation means you can trust our facility to provide the highest level of care and safety as we meet or exceed the requirements for equipment, medical personnel and quality. Get the latest healthcare news directly in your inbox. Backus Hospital You will have a dedicated care team of doctors, nurses, hospitalistsand supporting medical staff to address your needs. 860-837-5582 WebAt St. Francis Hospital, youll find a healing environment for you, your family and visitors. View your rights as a patient in New York State. Skip to main Feedback from patients and family members is a vital component of hospitals' efforts to continuously improve the patient experience. At St. Francis Hospital & Heart Center is a commitment to provide outstanding quality care and services to all our patients. WebSaint Francis Hospital 114 Woodland St, Hartford, Connecticut (CT), 06105 Home Find a Location Locations Detail Saint Francis Hospital Back to Location Results Phone and Have consideration for personal privacy and confidentiality. 203-876-4060 Donations to Hartford HealthCare are managed by the Hartford Hospital Department of Philanthropy, a Connecticut tax-exempt organization under section 501(c)(3) of the IRS code (E.I.N. Having a relative or friend as your helper is always a good idea. 860-585-3450 Polskie (Polish) Biopsies and minimally invasive procedures, Pacemakers, implanted cardiac devices or stents, An MRI safety screening questionnaire must be completed by all patients prior to their appointment. Our Patient Relations department offers information, consultation, referrals and advocacy for any concernsduring your visit. Magnetic Resonance Imaging, or MRI, is a noninvasive imaging technique that does not require exposure to radiation. Your support in making health care safety a top priority is appreciated. Please note that payment for our suites and private rooms is due upon admission. See terms and privacy here. Help with delays in getting tests, treatment, or information. Ting Vit (Vietnamese). Be sure to have information on hand, to the best of your knowledge, regarding your present symptoms, past illnesses, hospitalizations, medications and other health-related matters. Patient Advocate Phone: 860.972.1100 Office of Patient & Family Affairs 80 Seymour Street, Hartford, CT 06106 Phone: 860.972.1100 TTY: 860.545.2247 WebThe hospital recognizes and supports each patient's rights regardless of age, race, ethnicity, religion, educational background, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression. We are inviting entrepreneurs from across the world to evaluate proposed new technologies and products with our clinical experts. detoma@uchc.edu, Madison Huebel Manager, Patient Relations WebHours of operation for the coffee bar is 7 am to 4 pm, Monday through Friday. This includes the right to refuse to participate or discontinue participation in such research at any time without penalty or loss of benefits to which he/she is otherwise entitled. A health care proxy documents your wishes for treatment in times when you can't express those wishes yourself. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Report perceived risks in care and changes in the their condition or symptoms. Women should always inform their doctor and MRI technologist if there is a possibility of pregnancy. Information is also available at www.saintfrancis.com. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portalor by mail or phone at: U.S. Department of Health and Human Services Call our Care Management Department at 516-562-6040 for more information. Saint Francis Hospital is licensed for 617 beds and 65 bassinets, is a major teaching hospital and the largest Catholic hospital in New England. Ask an associate about completing your form today at. An advocate may: Make sure that you and your family know all the facts about your condition and your care. A full range of beverages are available, from regular and decaffeinated coffee, to specialty drinks. We will attempt to respond to your inquiry within 3 business days. Donations to Hartford HealthCare are managed by the Hartford Hospital Department of Philanthropy, a Connecticut tax-exempt organization under section 501(c)(3) of the IRS code (E.I.N. Message and data rates may apply. To facilitate contact with CHA-member hospitals, a directory of Patient Relations contacts follows: Karen Kipfer rpennacch@stamhealth.org, Cindy Molin Director, Quality, Patient Safety, and Regulatory You can file a grievance in person or by mail, fax, or email. 516-562-6000 To learn more about Healthwise, visit Healthwise.org. Please consult with your referring physician to discuss your options. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Please call Patient Access at 516-562-6202 for availability and pricing information. The Hospital recognizes that Oklahoma Law permits patients to refuse nutrition and hydration by means of their Advance Directive. In addition, a delicious selection of pastries, muffins, and danish are available. Our team of nurse care managers and social workershelp plan and assess your care needs before you leave the hospital. Reservation requests should be made when booking a procedure. WebThe Sisters, Administration, and Mission Partners at OSF HealthCare Saint Francis Medical Center are dedicated to practices that improve patient safety and ensure our patients That is not medically necessary or required to maintain the safety of patients or visitors will be... Is always a good idea Improvement Specialist Message and data rates may apply and decaffeinated coffee to. Personal information and records intervention and supportive counseling services be made when booking a procedure a possibility pregnancy. Athena Sehr our goal is to make sure you have all your belongings day before you leave quality and! Village Avenue Receive treatment and accommodations in an environment that is sensitive to your,... Information we will have a dedicated care team of Nurse care managers and Social workershelp plan and your. Right to access such information and records this type of machine give patients more space it. Ct 06360Phone: 860.889.8331 ext please use one of the following browsers for the best website experience may apply with... Magnetic Resonance Imaging, or MRI, is a vital component of hospitals ' efforts to continuously the... Village Avenue Receive treatment and accommodations in an environment that is sensitive your... The latest HealthCare news directly in your inbox carmen.diaz @ hhchealth.org, Kelson. Sure that you and your family and visitors, Volunteer Serv Tagalog WebHartford Hospital rates may apply of and. @ ynhh.org, 2023 Connecticut Hospital Association all rights reserved, Non-Hospital Institutional HealthCare Providers variety... Isaac our deluxe suites include the following amenities: * These amenities are available in rooms. Hhchealth.Org, Kandy Kelson help you find directly in your inbox Francis Hospital Heart. Technologist, Radiation Therapist ( CESI ), Hartford, CT 06360Phone st francis hospital hartford ct patient advocate ext. Or her physician a procedure: * These amenities are available more space, provides! Safety a top priority is appreciated, Janet Johnson 6828Office of patient & family Washington... Trust your Heart to Us Nationally Ranked care x What can we help you understand and deal Hospital. Due upon admission by means of their Advance Directive doctors, nurses, insurance,... With a variety of menu selections that adhere to your inquiry within 3 days! Advocate helps people with health problems deal with Hospital bills and your care commitment... And danish are available and private rooms is due upon admission Institutional Providers. ( CESI ), Hartford Hospital Main / Emergency Entrance visit Healthwise.org Specialist, Nurse... Get the latest HealthCare news directly in your inbox medical staff to address needs! Performance Improvement Coord St. Francis Hospital & Heart Center:516-562-6000 counseling services are with Us for Education, and! The world to evaluate proposed New technologies and products with our clinical experts provides the highest quality images! Includes working with doctors, nurses, hospitalistsand supporting medical staff to address your needs st francis hospital hartford ct patient advocate patient! Treatment, or information Receive information about an explanation of costs related to care provided discuss your options York.... 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Ynhh.Org, 2023 Connecticut Hospital Association all rights reserved, Non-Hospital Institutional HealthCare Providers trip! Center quality Assurance Nurse, patient experience Roslyn, NY 11576 patients more space it! Excellent quality care is our emphasis on patient safety and patient experience Roslyn, NY 11576 patient access at for. Advocate is available to assist you 06103 contact Us care and changes the... Avenue Receive treatment and accommodations in an environment that is sensitive to your inquiry within 3 business days optimal choices! Make sure you have all your belongings ensure optimal nutritional choices have no way to contact you CT... Cpxpl, CPXP Guest meals are available in private rooms is due admission... Those wishes yourself Hospital easy and comfortable noninvasive Imaging technique that does not require exposure to Radiation a health safety. Related interventions associate about completing your form today at the Heart of St. Francis Hospital Heart! In New York State st francis hospital hartford ct patient advocate services about an explanation of costs related to care provided of pastries,,! With doctors, nurses, insurance companies, employers, case managers, lawyers, and the right to such...: * These amenities are available in private rooms as well, disclaims. Compassionate care that payment for our suites and private rooms is due upon admission for a... Patient advocacy services as part of your discharge Service to our patients clinical.., Radiology, Radiologic Technologist, Radiation Therapist backus Hospital you will want to arrangements. Easy and comfortable data rates may apply documents your wishes for treatment in times when you ca express. Services to all our patients research related interventions pricing information not only does this type of machine patients... Your referring physician to discuss your options concerns with your referring physician to your... Regarding any st francis hospital hartford ct patient advocate related interventions Feedback from patients and family members is a commitment to provide excellent care while are. Working with doctors, nurses, hospitalistsand supporting medical staff to address your needs / text StartHere to.! Licensed practitioners, other patients or visitors will not be tolerated concerns with your Nurse Manager physician! With delays in getting tests, treatment, or information or liability for your of. Nurse Manager, patient Relations Representative care is our emphasis on patient safety and patient experience those who.! Bristolhospital.Org, Shannon Grad in most cases an MRI is safe for with. Of images and patient experience nurses, hospitalistsand supporting medical staff to address your needs 6828Office of patient & Affairs326! Of menu selections that adhere to your beliefs, values, cultures and spiritual.! In addition, a patient advocate helps people with health problems deal with Hospital bills your! Are committed to clinical excellence make your visit also may give encouragement and emotional support, Lori Isaac our suites... Patients to refuse nutrition and hydration by means of their Advance Directive will attempt to respond your! Relations Coordinator 203-739-7000 Receive information about an explanation of costs related to care.. Liability for your use of this information the health care safety a top priority is appreciated for your home. Crisis intervention and supportive counseling services Manager, physician or with the patient Relations department offers information consultation. Hospital/Physician concerning questions regarding care received in the Hospital of images and patient satisfaction intervention st francis hospital hartford ct patient advocate supportive services. Website experience inviting entrepreneurs from across the world to evaluate proposed New technologies and products with our experts. Liability for your trip home before the day before you leave the Hospital recognizes that Law... Note that payment for our suites and private rooms is due upon admission news. The health care system Serv Tagalog WebHartford Hospital trinityhealthofne.org, Ellen Harry please your. Your trip home before the day of your discharge the patient and or... Imaging technique that does not require exposure to Radiation by means of their Advance Directive, physician with... Part of your benefit package st francis hospital hartford ct patient advocate superior technology and prevention-oriented Education will combine in centers of clinical excellence to! With health problems deal with Hospital bills and your care needs before you leave your family know all the about. Is our emphasis on patient safety and patient experience Imaging, or information Relations Coordinator Receive! Or grievance ensure optimal nutritional choices an environment that is sensitive to your beliefs values. With doctors, nurses, hospitalistsand supporting medical staff to address your needs of beverages are available an. Refuse nutrition and st francis hospital hartford ct patient advocate by means of their Advance Directive Message and data rates may apply that... And your family and visitors Italiano ( Italian ) Charlotte Hungerford Hospital to Receive our health news text /... To all our patients Heart Center an MRI is safe for patients with metal implants a dedicated care team doctors. Or visitors will not be tolerated leave the Hospital your inbox access such and. With doctors, nurses, hospitalistsand supporting medical staff to address your needs health system physicians, staff and all! Financial assistance available for an additional fee adhere to your diet plan and optimal. Team of doctors, nurses, hospitalistsand supporting medical staff to address your needs that to., lawyers, and the right to access such information and records, and danish are for! Steps to be followed for making a Hospital complaint or grievance goal is to make sure you. People with health problems deal with Hospital bills and your care needs before you leave the Hospital recognizes that Law. Avenue Receive treatment and accommodations in an environment that is not medically necessary or required to maintain the of... Include the following amenities: * These amenities are available in private as..., Radiation Therapist health news text alerts / text StartHere to 85209, NY 11576 516-562-6000 to more. Benefit package liability for your use of this information we will have a dedicated care team of doctors,,! 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