Fall/Winter 2004 - FACES (Finding a Cure for Epilepsy and Seizures)

Transcription

Fall/Winter 2004 - FACES (Finding a Cure for Epilepsy and Seizures)
Fall/Winter 2004
Volume 14
The mission of faces is to improve the quality of life for all people affected by epilepsy
through research, education and awareness, and community-building events.
Contents
Volunteer Corner ................4
Marketing Task Force
Educates the Public
About Epilepsy
Epilepsy Phenome Genome
Project Report ..................5
-Strives to Reduce Stigma Towards
the Disorder
Announcements ..................2
faces News .........................3
How Does Epilepsy Progress
Over Time? ......................6
Research .............................7
Art Day ...............................8
BBQ and Pool Party ...........8
Game Day ..........................9
Christmas Spectacular ........9
Talking to Your Child About
Epilepsy .........................10
Donations .........................11
Upcoming Events .............12
NYU Contact
Information ....................12
The faces newsletter is edited by
Christine Toes and
Melissa Murphy
with support from
Daniel Miles, M.D. and
Ruben Kuzniecky, M.D.
“No spoons,” “Seizures are a
part of someone’s life, not someone’s life,” and Chris Evert.
What do these three things have in
common?
This spring, faces organized a
Marketing Task Force that developed
three strong Public Service
Announcements (PSAs) in just seven
months. Better yet, every PSA
was done pro-bono with the time
and talents of the eleven dedicated
members of the Task Force: Dr.
Blanca Vazquez, Deborah Coble, Kara
Flinn, Debbie Josephs, Tim McCarthy,
Lisa Orban, Marie Schu, Richard
Shane, Amy Steinman-Cohen, Phil
Taggert, and Christine Toes.
Kara Flinn of Lyons Lavey Nickel
Swift, developed the “no spoons” PSA
continued on page 7
Steering Committee
Chair
Orrin Devinsky, M.D.
Program Coordinator
Christine A. Toes
Program Assistant
Melissa Murphy
Lisa Altimari
Jeff Benowitz
Brendan Byrne
Margot Chvatal
Kate Cooney Picco
Larry Davis & Donna Emma
Sharon & Peter Donovan
Judy Ebner
Harry Falk
Anna Fantaci
Colleen Farrell
Jane Gilbert
Peter & Kathy Gogolak
Elizabeth Jarvis
Lynn & Noel Jeffrey
Lisa Krebs Borgen
Ruben Kuzniecky, M.D.
Warren & Kathy Lammert
Leonard & Marilyn Lehrer
Randi & Jeff Levine
I.D. Luckower
Leila Mansouri
Amy & Seth Markowitz
Karen & Jeff Mayerson
Anne Metcalf
Mary Miceli, RN
Daniel Miles, M.D.
Elizabeth Millstein
Nancy Novograd
Lawrence & Gaye Pecker
Sharon Perhac
Jaimee Sabato
Mame Kennedy Schrager
Richard Shane
Remi Silverman
Leslie Smith
Stevie Solomon
Candice Stark
Amy Steinman Cohen
David Swinghamer
Blanca Vazquez, M.D.
Leah & Michael Weisberg
Neil & Stacey Weiss
Richard Wheeless
Donations to faces support epilepsy
research and programs for children
and teenagers affected by epilepsy. All
donations are tax-deductible. Please
e-mail your questions
about faces to
[email protected].
2
Announcements
New Staff Members
The NYU Epilepsy Center and faces would like to welcome Dr.
Sathyashankar Subbanna to the NYU team. Dr. Subbanna will be
working at the Epilepsy Center as a research scientist. He is an American
Board Eligible Clinical Neurologist with an additional one-year of
clinical Neurophysiology fellowship, which was completed in the NYU
Medical Center Neurology program.
Dr. Subbanna is highly interested in research related activities and has
recently switched from clinical practice to a full time research position.
He feels that his abundant exposure to clinical neurology over the past six
years will be very useful during his new position in research.
We are also very pleased to announce the appointment of Ms. Erica
Metzger-Hare to the position of Epilepsy Service Line Manager of
NYUHC. Erica has an MBA in Economics and Management from NYU’s
Stern School of Business. In her new position, Erica will be responsible
for ensuring that the operational and financial goals established for the
Epilepsy Center are met.
is National Epilepsy Month
What can you do to educate
people about epilepsy?
$5,000 High School Scholarship!
The Anita Kaufmann Foundation, in conjunction with faces,
is offering scholarship funds
for high school juniors and seniors
that want to make a difference in their community.
The goal is to teach high school students not to fear epilepsy.
First Prize
$5,000
Second Prize
$3,000
Third Prize
$1,000
And More!
Visit the Anita Kaufmann website for further information.
www.theanitakaufmannfoundation.org
The deadline is January 31, 2005
faces News….
The holidays are
rapidly approaching!
Holiday Wish List
The faces apartments are available free
of charge for families who have traveled far
distances for epilepsy treatment at NYU. The
apartments benefit more than 30 families each
year and are funded by faces and a grant from
KiDS at NYU.
This holiday season, faces created a “wish
list” on Target.com. If you would like to make
a donation to the faces apartments, please visit
www.Target.com. The wish list can be found
by following a few easy steps. First, locate the
wish list under “gift registry” found at the top of
the Target web page. Second, you will be asked
to enter a name under “Club Wedd,” please enter
Melissa Murphy to gain access to the list.
Also, the faces apartments are in need of DVDs.
Please contact Melissa if you would like to donate
DVDs to the apartments or if you have additional
questions at 212.779.2080.
To the Editor,
My name is Allison Clarke and I am conducting
research under the supervision of Dr. Christine
Critchley and Dr. Roslyn Galligan in the School
of Behavioural Sciences, towards a Doctorate
of Psychology (Health) degree at Swinburne
University of Technology in Victoria, Australia.
My study examines differences in how young
people live with Epilepsy. The results of this research will help in designing programs that can
help better meet the needs of young people who
have Epilepsy. Participants may be male or female,
between the ages of 10 and 24 years.
If you or someone you know would be interested in
participating please go to the web survey at
http://www.ozinfo.com.au/acepl.htm. If you would
like more information, you can email me at
[email protected].
Bentley Golf Classic
The NYU Comprehensive Epilepsy Center and
faces would like to thank Bentley Long Island for
donating $32,000 of the proceeds from their golf
outing to NYU-faces.
A special thanks to Randi and Jeff Levine for
their support of the event!
Did you miss the
NYU Epilepsy Conference?
The Saturday, October 16, 2004 NYU-faces conference, “Epilepsy Update: 2004” was attended by a
record crowd of nearly 400 people. The lectures, handouts, speaker bios, and course evaluations are
available for download at www.nyufaces.org.
3
VOLUNTEER
CORNER
faces Volunteers of the Quarter
faces would like to extend a special thank you to
Hsiaolei Miller, Stephanie Vaiano, Jessica Levine, and Michelle Murphy
for their many hours of hard work!
Hsiaolei Miller
Stephanie Vaiano and her mom,
Joanne
Jessica Levine
faces Respite Care Volunteers Needed
Are you kind and compassionate?
Michelle Murphy
Do you have a few hours to spare?
We are looking for volunteers to provide respite care to
parents whose children are undergoing epilepsy treatment
at NYU. To volunteer, you would meet with the NYU
Volunteer Services office, and schedule two TB tests. The
hours you volunteer are based on your availability. Please
call 212.779.2041 or email [email protected]
if you might be interested in applying for this volunteer
position.
faces
The Gala is being held on Monday, April 4, 2005 at Pier 60 at Chelsea Pier. If you have
great computer and phone skills and are interested in volunteering please email Christine at
[email protected].
Volunteers will work in conjunction with the NYU Office of Special Events.
For more information on the faces Gala go to the Upcoming Events page of www.nyufaces.org.
4
EPILEPSY PHENOME GENOME PROJECT (EPGP) REPORT
By Ruben Kuzniecky, MD
The EPGP continues to move forward. A grant request for $25 to $30
million dollars will be submitted in February of 2005 to the National Institute of Health (NIH). The EPGP includes 12 epilepsy centers and will be
the largest coordinated study of a large sample (~5,000) of epilepsy patients
and control subjects (~10,000). EPGP strives to identify the mechanisms
that underlie epilepsy and why some therapies work for some patients but
not others. On a very positive note, the National Institute for Neurological
Disorders and Stroke (NINDS) counsel that reviews initial grant proposals
found the EPGP to be a very high priority research project.
One of the major focuses of EPGP will be to understand the genetics of
generalized epilepsies. Ten epilepsy genes have been identified in specific
families with many affected individuals. Almost all of these genes directly
or indirectly affect the voltage and chemical-gated ion channels. However,
the vast majority of individuals with generalized epilepsy have few or no
first-degree relatives with epilepsy. According to most scientists and clinicians, available evidence illustrates that most patients with generalized
epilepsy have abnormal genes that affect ion channels. We need to find
these genes to uncover the mechanisms that underlie epilepsy. These genes
can only be identified by studying a large sample of patients and carefully
collected data.
Another important focus of this study will be to study why some patients
do not respond to antiepileptic drugs. What are the mechanisms by which
drugs fail to reach the brain or, once they reach brain cells, why do they fail
to reduce the excitability of nerve cells?
Brain malfunctions may be so mild that they cannot be identified using
available MRI techniques. Because brain malfunctions are common causes
of partial epilepsy, a final target of EPGP is to understand the genetics
behind how brain malformations are created and how they cause intractable
epilepsy.
One more exciting development is the potential addition to our staff of a
researcher focusing on protein expression fingerprinting. This technology
can identify the expression of millions of proteins in a drop of blood and
study how different patterns correlate with clinical or other findings. This
technique has already found success in predicting which cancer patients,
based on a protein pattern, will respond to specific chemotherapy. By applying this technique to epilepsy, we hope we can help identify protein
patterns that can predict a patient’s response to therapy, their prognosis, and
other very important clinical issues.
EPGP strives
to identify the
mechanisms
that underlie
epilepsy and
why some
therapies
work for some
patients bu
not others.
On a very
positive note,
the National
Institute for
Neurological
Disorders and
Stroke (NINDS)
counsel
that reviews
initial grant
proposals found
the EPGP
to be a very
high priority
research
project.
5
HOW DOES EPILEPSY PROGRESS OVER TIME?
By Orrin Devinsky, MD and Catherine Schevon, MD
The definition of epilepsy encompasses a wide
of cortical atrophy (the cortex becomes smaller),
range of seizure disorders that are usually classified
which shows that neuronal loss has caused injury to
in terms of seizure type and EEG findings. Seizures
the brain.
may be partial onset or primary generalized dependWhile the precise causes of epilepsy progression
ing on whether they arise from a specific brain region remain mysterious, a hypothesis called “temporal
or appear everywhere simultaneously. There may be binding” indicates that in order for the brain to peran underlying genetic syndrome causing the seizures, form important functions like memory and learning,
or they may be the result of a brain injury during
groups of neurons create temporary networks in the
adulthood. Specific disorders may be associated
brain. It is possible that an initial injury that causes
with different seizure types, such as complex partial
seizures may create a variation of temporal binding
seizures in temporal lobe epilepsy. Thus, there are
where a network of neurons reorganizes and becomes
many reasons for someone to have epilepsy, and con- epileptogenic. Repeated seizures, then, cause even
sequently a variety of mechanisms by which seizures further remodeling of this network, making it easier
develop.
for seizures to emerge.
Another way to think of seizure disorders is how
The experimental model imitating this process in
they evolve over time. With few exthe laboratory is known as “kindling.”
ceptions, it is difficult to predict how
Ultimately, it is our Classic examples of kindling in the
a patient with a given epilepsy synclinical setting are temporal lobe
hope that these
drome will fare years down the line.
epilepsy arising in young adulthood
In some cases, such as benign rolandic discoveries will help after febrile seizures in infancy, and
epilepsy of childhood, the seizures go
brain injury followed by
us to learn how traumatic
away in ~99% of patients and treatthe delayed onset of partial seizures.
ment after age 13-16 years is not
to slow or prevent Laboratory experiments using this
necessary. In other cases, the epilepsy
the progression of kindling model have provided several
may persist throughout life but the
key pieces of evidence that the potenseizures are easy to control on medicaepilepsy.
tial for a given neuronal network to
tion. At the other end of the spectrum
produce seizures depends strongly on
are the patients (~30% of adults) whose seizures are
the prior history of epileptic activity in the network.
uncontrollable. Many of these people find that their
Research into the mechanisms of epilepsy proseizures get worse as time goes on, and that they exgression involve deepening our understanding of the
perience an accompanying cognitive decline.
reasons why seizures develop, how a given seizure is
The phenomenon of epilepsy progression was
produced, and how they feed into the cycle of “seifamously noted by the 19th century British neurol- zures beget seizures.” Along the way, we will need to
ogist, Sir William Gowers, who coined the phrase discover the mechanisms by which seizures emerge
“seizures beget seizures.” To which we might add
from a remodeled network, and why and how neurothe corresponding phrases, “seizures beget cognitive nal networks are vulnerable to epileptogenic remoddecline” and “seizures beget intractability.” Many of
eling. This will require a “big picture” view of the
our patients with difficult-to-control seizures say that brain at the levels of cellular function and network
the more seizures they have, the more problems they organization. Ultimately, it is our hope that these dishave with memory. They also say that as they have
coveries will help us to learn how to slow or prevent
more seizures, they become more frequent and harder the progression of epilepsy. It is important to emphato control. The correlation of these effects with the
size that progression does not affect all people with
duration of epilepsy and the total number of seizures epilepsy. Indeed, defining which patients are at risk
is well documented. Other effects include progreswill help us to understand the mechanisms and learn
sive changes on MRI scans, such as the development how to treat them.
6
RESEARCH
What is Magnetoencepalography
(MEG)?
MEG is a noninvasive recording and
analysis of the magnetic fields that originate
from the human brain. MEG provides functional information of the brain, which allows
neurologists to observe the brain while it is
in movement, unlike other recording methods that permit doctors to examine a still
photo of the brain.
MEG of Language in Epilepsy
NYU is investigating the role of MEG in
language organization in patients with epilepsy, and whether MEG can locate the area of
the brain that controls language. Another aim
for MEG is to study the patterns of language
organization in patients with epilepsy. This
information may be useful in planning surgery and in language rehabilitation.
The New York MEG Center is open!
Call 212.871.1821
for more information…
Neurofeedback Update
Neurofeedback is a form of biofeedback that may help
control seizure disorders. The technique is a non-invasive, non-medical, non-surgical approach, during which
the patient tries to control and train his/her brain activities.
Neurofeedback may be an alternative option for medically
refractory and/or surgically refractory epilepsy patients.
So far, we have completed the study on a few patients
and are currently generating data. We need to recruit
more individuals before we can make any conclusions
about neurofeedback and the effect it has on patients with
epilepsy.
To learn more about this study and whether you are a
candidate, please contact Sathya Subbanna, M.D, Research
Scientist at 212.263.2167 or email him at
[email protected].
Marketing Task Force Educates the Public About Epilepsy
-Strives to Reduce Stigma Towards the Disorder
continued from page 1
in conjunction with UCB Pharma. The free,
full-page ad will be published in Family Circle
Magazine in December thanks to Lisa Orban,
a faces Task Force member whose nephew is
affected by epilepsy.
Richard Shane of Treasure Chest and Phil
Taggert of State of the Art donated their time
and talents to produce, print and mail a PSA
to 500,000 ski and vacation aficionados just in
time for November, National Epilepsy Month.
The PSA will soon be on display at the NYU
Comprehensive Epilepsy Center and at the new
faces office.
Tennis star Chris Evert also contributed her
time to educating the public. With her personal
connection to one of the Task Force members,
she recorded a radio PSA about epilepsy and how
people with epilepsy can live normal lives. The
sixty-second spot will air on ESPN Sports Radio
thanks to supporter Tim McCarthy, and on Infinity
radio stations with help from Lisa Orban.
These PSAs are all downloadable from the
faces website at www.beatingepilepsy.org. If you
know someone in marketing or in the media who
can help educate others and reduce the stigma
towards epilepsy, please let us know. Every
website, magazine, newspaper, newsletter, and
radio spot that shows these PSAs helps educate
the public about epilepsy!
7
Art Day 2004
On Sunday, October 24th, faces and the NYU Epilepsy Center
hosted our 6th annual Art Day at the Children’s Museum of the
Arts in SoHo. There were five art workshops including colorful
puppets, wish boxes, watercolor crayon art and vibrant windowstain glass creations. Sammie and Tudie, from Imagination Playhouse, captivated the crowd with their amazing face painting and
balloon artistry. A special thanks to all of our volunteer artists who
donated their
time and talents
to the event, to the Chris McCarthy Scholarship Fund for
underwriting the costs of the event, and to Stacey and
Neil Weiss’ friends at Monroe Bagel and Deli Catering
for donating the delicious food.
Pictured above: Sammy at work
Pictured left: The Eskin Family
BBQ and Pool Party
In August, the Adamkiewicz Family generously
opened their home to friends of faces. Families
enjoyed swimming, sampling hamburgers, chicken,
fruit salad, and a special faces cake. The day was
accentuated with a variety of snow-cone flavors and
a piñata filled with toys and treats. Special thanks
to Laurie and Chuck Adamkiewicz of SeaBreeze
Graphics for hosting this event.
Njeri & her mom
Celebrating at the BBQ
8
Game Day at
Although Broadway City closed earlier this year,
we wanted to continue our annual faces “Game Day,”
so we changed venues to RexPlex in Elizabeth, NJ.
On September 19th, families played video games in
the arcade, shot hoops on the basketball court, tested their driving skills in
the bumper cars, rode the carousel, and found their way through an obstacle
course. Our friends at Imagination
Playhouse helped us celebrate Game
Day at this new venue, as did Shane
and Mark from Acroback, Inc., who
were an instant sensation with their
atmospheric expertise!
Fun for all ages on Game Day
The Lee Family enjoying Game Day at RexPlex
Christmas
Spectacular
Many thanks to Z100 for their donation of twenty tickets to the
Christmas Spectacular at Radio City Music Hall featuring the world famous
Rockettes! It was a wonderful way to kick off the holiday season! Thanks
to the Eskin Family for informing us of this great opportunity.
9
TALKING TO YOUR CHILD ABOUT EPILEPSY
-Anonymous
consciousness. I
Our daughter, Maddie, has had about fifteen seia
zures over the past year and a half. Although she is c a n ’ t i m a g i n e
more frightening
only five years old, she is surprisingly aware about
experience than
her condition. At first, we found it difficult to talk
watching that happen
to Maddie about epilepsy, but over time, we have
to your own body and
realized that there are advantages to simple, open
being helpless to stop
and honest communication with her.
it.
As Maddie grows up, she will notice more and
An even more terrifying experience would be
more how our family handles her epilepsy. The way
watching something like that happen without havMaddie thinks that we see her will affect the way
ing any understanding of what it was or why it was
she begins to see herself. If we don’t talk to her
happening to you.
about what is going on with her health, her body,
and the seizures, she may draw her own concluEventually, Maddie began asking questions and
sions. We don’t want her to think that the seizures
talking more about the seizures. Something that
occur because she has been a bad child
worked well for us was role-playing with
or because she is unloved. Children are We don’t want her dolls and stuffed animals. Her bear
sensitive to their surroundings: you never
her to think would have a seizure and she would tell
know what conclusions they will draw if
how the bear felt or what we should
that the sei- us
they don’t understand what is happening
do for the bear during the seizure. We’ve
to them and why it is happening.
zures occur heard of other parents who read books to
Maddie was three and a half when her
because she their child like “Dotty the Dalmation Has
We are also thinking about
seizures began. Initially, she did not say
has been a Epilepsy.”
taking Maddie to a trained counselor or
much about the seizures and didn’t really
bad child or pediatric therapist so that she has somewant to talk about them. We knew that
she was aware of the endless trips to the because she is one else to talk to. There might be things
she doesn’t feel comfortable asking us
hospital for blood work, consultations,
unloved.
that a therapist could help with.
EEG’s, MRI’s, CT scans; the list goes on.
At first we weren’t sure how to start a diaTalking to Maddie also helped us cope with her
logue about all these tests and what they were for.
epilepsy and how it was impacting our lives. AlWe decided that helping Maddie understand and
though many parents don’t like to talk about it,
adjust to these changes in her life far outweighed
when you have a child with special needs, you
any verbal missteps we might make. We think that
struggle with a wide range of emotions. At times
opening the doors to communication with Maddie
we felt afraid, angry, resentful, and burdened. Then
helped her get through some hard times. It also
we would feel guilty about having those emotions
gave us the opportunity to learn more about Maddie in the first place. Talking about Maddie’s medical
so that we could better help her.
condition helped us work through our own issues
and concerns.
As Maddie underwent more tests and hospital
visits, we tried to explain in simple terms what
Maddie’s epilepsy continues to change our lives
the tests were for and what they showed. We truly
in profound ways. Bottling up the impact of these
believe that the more she understood what was
changes would be unhealthy for our entire family.
happening, the more empowered she felt. During
We hope that keeping Maddie informed about her
a recent seizure, Maddie watched her arms and
condition will help her continue to be the brave girl
legs jerk for about ten minutes before she lost
that she has been so far.
10
July 2004 - October 2004
A special thanks to the following supporters:
$25,000+
$1,000+
$200+
Champion Motor Group &
Bentley Long Island
The Brunswick School
Deutsche Bank
Horace Greeley High School,
In honor of the Class of 2007
Patrick & Kristine Blake
$10,000+
Anonymous
In honor of Christine’s
marathon
Robert Mark Selby,
In honor of Jane & Richard
Gilbert
Steiner Sports Memorabilia, Inc.
Calvert Foundation
PrideCare, Inc.
$500+
Tuberous Sclerosis Alliance
$2,000+
Chris McCarthy Scholarship
Foundation
Parents Against Childhood
Epilepsy (PACE)
Kate Cooney Picco,
In honor of Christine’s
marathon
The Anita Kaufmann
Foundation,
In honor of Christine’s
marathon
Bahar-USA Developments, LLC McGraw-Hill Companies
Sharon Perhac,
Beth Cohen & Friends,
In honor of Christine’s
In honor of Melissa Friedman
marathon
Thomas & Kimber Gibson
David & Jill Robbins
GlaxoSmithKline
Scott & Liane Stultz
Neil Kuslansky,
Karen Wanger
In honor of Jennifer Prevete
Seth & Amy Markowitz
Thank you
to the following faces supporters,
who also made a donation to faces in honor of Christine Toes’ first marathon:
Randi Levine, ID Luckower, Al Martinez, and Sylvia Rothbein.
Please keep faces in mind when making your end of the year contributions!
Call 212.779.2041 for more information.
Some corporations will match your donation!
Check with your company to see if your contribution to faces can be matched!
Although every donation to faces is important, we regret that in order to keep our newsletter costs to a minimum,
we can only acknowledge donation of $200 or more.
11
Upcoming faces Events
NYU Comprehensive Epilepsy Center
Stay tuned to www.nyufaces.org for information
on our upcoming events!
403 East 34th Street, 4th Floor
212.263.8870 (phone) 212.263.8341 (fax)
Mets Game and Picnic
Yankee Game
Knicks Game
School of Visual Arts
SAVE THE DATE
Monday, April 4, 2005
faces
at Pier 60
How are we doing?!
If there are events, programs, newsletter articles,
or conference topics you would like faces to
work on in 2005, please let us know by emailing
[email protected]
or calling 212.779.2041.
More Awareness Activities
Visit a participating New Jersey Kings supermarket for
an epilepsy awareness contest in their store circular,
a poster about epilepsy, and free epilepsy bookmarks.
Find out how you can win a four day spa vacation to
Canyon Ranch!
For more information, go to
www.TheAnitaKaufmannFoundation.org.
Orrin Devinsky, M.D.
212.263.8871
Kenneth Alper, M.D.
212.263.8854
William Barr, Ph.D.
212.263.8317
Barbara Clayton, RN
212.263.8871
Werner Doyle, M.D.
212.263.8873
John Figueroa, CSW
212.263.8871
Peggy Guinnessey, CTRS
212.263.8782
Maria Hopkins, RN
212.263.8359
Ruben Kuzniecky, M.D.
212.263.8870
Josianne LaJoie, M.D.
212.263.8318
Daniel Luciano, M.D.
212.263.8853
Nandor Ludvig, M.D., Ph.D.
212.263.2168
Roseanne Mercandetti, RN
(Manager CEC)
212.263.8321
Erica Metzger-Hare, MBA
212.263.8358
Mary Miceli, RN
212.263.8359
Daniel Miles, M.D.
212.263.8318
Chris Morrisson, Ph.D.
212.263.8317
Siddartha Nadkarni, M.D.
212.263.8870
Souhel Najjar, M.D.
212.263.8872
Steven Pacia, M.D.
212.263.8875
Kim Parker, RN
212.263.8871
Catherine Schevon, M.D., Ph.D.
212.263.8870
Melanie Shulman, M.D.
212.263.8856
Alyson Silverberg, RNNP
212.263.8873
Anuradha Singh, M.D.
212.263.8311
Sathyashankar Subbanna, M.D.
212.263.8870
Ravi Tikoo, M.D.
212.263.8318
Pat Traut, RN
212.263.8871
Blanca Vazquez, M.D.
212.263.8876
Howard Weiner, M.D.
212.263.6419
Charles Zaroff, Ph.D.
212.263.8317
Christine Toes
11 East 32nd Street, Basement Office • New York, NY 10016
212.779.2080 or 2041
Melissa Murphy
[email protected]
[email protected]