Services

Click on a heading below for more information about each of our services. Click the heading again to hide the information.

Adolescent Medicine

The Division of Adolescent Medicine provides excellent medical care to adolescents and young adults between the ages of 12 and 25 years in close coordination with an experienced team of specialists in every pediatric and surgical sub-specialty. Our services also include eating disorders, ADHD, comprehensive routine health care, depression, gynecology, interpersonal relationships, school and behavioral issues, sexually transmitted infections, substance abuse, referrals to specialists and transitioning to adulthood.

Adolescent medicine specialists use a developmentally focused and socially sensitive approach in the evaluation of teenagers and young adults. While the basic components of the health assessment of the adolescent are the same as those for a child or an adult, the content is different. It even varies as they progress through their developmental stages of adolescence. Testing and assessment characterize early adolescence. In contrast, late adolescence is concerned with achievement of autonomy and vocational and career decisions with little or no assistance from parents. Between these two ends of a very dynamic process, the middle adolescent often vacillates between strong ties to peers, and the need for parental support, while coping with an emerging and often troubling sexuality.

Our primary hospital affiliation is with the Maria Fareri Children’s Hospital at Westchester Medical Center, Valhalla, NY. We are also affiliated with Saint Joseph’s Medical Center, Harrison, NY and Metropolitan Hospital Center, New York City.

Adult Gastroenterology and Hepatobiliary Diseases

Gastrointestinal and Hepatobiliary Consultants strive to offer comprehensive gastrointestinal care. We see patients with a diversity of GI conditions, providing compassion and patient education along the way. The most sophisticated and cutting-edge diagnostic and therapeutic technologies are employed to care for our patients. Besides standard gastrointestinal procedures such as upper endoscopy and colonoscopy, many tertiary services are offered at our facilities in Westchester Medical Center that are not widely available elsewhere. These include but are not limited to complex biliary and pancreatic endoscopy, diagnostic and therapeutic endoscopic ultrasound, enteral stent placement, complex dilations, endoscopic mucosal resection, advanced polypectomy, endoscopic suturing, and radiofrequency ablation of Barrett’s esophagus. n the outpatient realm, The Westchester Center for Gastrointesinal Motility provides high resolution esophageal and anorectal manometry studies as well as esophageal impedance and pH studies essential for evaluating patients with refractory reflux symptoms. The division serves as the medical arm of the Westchester Medical Center Liver Transplantation Program and has been at the forefront of investigational trials for hepatitis C and other liver conditions. Finally, we offer expertise in inflammatory bowel disease, Crohn’s and ulcerative colitis.

Adult Infectious Disease

The Adult Infectious Diseases group at Boston Children’s Health Physicians consists of seven board certified physicians who have special expertise in the diagnosis and treatment of all types of Infectious Diseases. All of the physicians are graduates of prestigious American training programs and hold faculty positions at New York Medical College (3 are full Professors). In addition to its proficiency in identifying and managing infections in hospitalized patients (at Westchester Medical Center, a 500 bed tertiary care hospital 25 miles north of New York City) and out-patients, the Adult Infectious Diseases group is actively involved in ongoing cutting-edge research activities in tick-borne diseases, HIV, healthcare associated infections, and other important illnesses. The section devotes significant attention to scholarship and academic activities in the field of Infectious Diseases. Its members have authored hundreds of peer-reviewed articles, including over 20 publications in the New England Journal of Medicine alone, and have received funding from the National Institutes of Health, the Centers for Disease Control and Prevention and the New York State Department of Health. In addition, for the past 30+ years members of the group have run an accredited training program for Infectious Diseases fellows, and are also actively involved in teaching and training Internal Medicine residents and medical students. In addition to the in-patient and out-patient clinical practice, special services provided include the Lyme Disease Diagnostic Center during the summer (914-493-TICK) and a Travelers’ Health Service (914-493-8866).For inquiries and questions, call 914-493-8865.

Adult Nephrology

 

Nephrology Associates of Westchester provides comprehensive management of kidney disease and hypertension including all stages of kidney failure, electrolyte and acid-base disorders, inherited kidney disease, immunologic kidney disease, systemic diseases affecting the kidney, kidney stones and complicated, unresponsive hypertension. Because the kidney is affected in so many systemic diseases, we work closely with endocrinologists, cardiologists and primary care doctors to coordinate your care and prevent or slow progression of kidney disease. We also offer all aspects of dialysis care, including home hemodialysis, peritoneal dialysis and in-center hemodialysis, providing a seamless transition from kidney failure to dialysis to transplant. We have our own transplant nephrologists to evaluate and manage patients receiving renal transplantation.

In addition to outpatient care, we oversee the care of acutely ill in-patients with a variety of kidney problems at two area hospitals (Westchester Medical Center and White Plains Hospital) and provide diagnosis and management of critical kidney illness. Both intermittent and continuous hemodialysis are available.

All members of Nephrology Associates are also faculty in the Division of Nephrology, Department of Medicine at New York Medical College and are active participants in the training of medical students, internal medicine residents and nephrology fellows.

For a list of our doctors specializing in Adult Nephrology click here

 

Pediatric Cardiology

For over 25 years, Pediatric Cardiovascular services at the Westchester Medical Center have provided outstanding comprehensive clinical care for infants, children and adolescents from throughout the Hudson Valley and beyond. The opening of the Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center has strengthened those services and now provides an unmatched environment of care for children and their families.Our team pioneered noninvasive and invasive therapies for the entire spectrum of children’s cardiovascular problems in the Hudson Valley, and we continue to deliver them to area families in a state-of-the-art children’s hospital so close to home. Our pediatric cardiology team has and continues to develop new strategies for treatment and diagnosis of cardiac conditions from fetal life through young adulthood. Examples include the advent of our newest program, the Adult Congenital Heart Disease Center (in collaboration with our Adult cardiology colleagues), and the implementation of 3-D echocardiography nd similar cutting-edge technologies.

The continuum of comprehensive care, from fetus to young adult is possible due to a team-oriented approach. At Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center, 13 pediatric cardiologists work in concert with a dedicated pediatric cardiothoracic surgical team, pediatric cardiac anesthesia experts, cardiovascular nurse specialists, and a uniquely trained technical staff to deliver world-class care.

We provide the full range of pediatric cardiology services. This includes ambulatory consultation and inpatient care that consists of invasive and noninvasive electrophysiology, interventional cardiac catheterization, all modalities of echocardiography, cardiopulmonary exercise stress testing, and syncope analysis with specially designed tilt table testing. Our echocardiography staff performs more than 8,000 studies each year and we have cardiac CT and cardiac MR capabilities. Moreover, Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center is one of the few centers in New York State to provide ECMO (extracorporeal membrane oxygenation) therapy for infants and children.

Whether it’s a heartbeat irregularity or a complex heart defect detected in the womb, the pediatric cardiac specialists at Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center are dedicated to providing an uncompromised level of care for each and every patient. What’s best is that these patients and their families can stay close to home and receive treatment for their cardiac condition and continuing follow-up.

Pediatric Critical Care

The Pediatric Intensive Care Unit (PICU) at the Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center and New York Medical Collegeis an 18-bed unit including a 4-bed Pediatric Cardiothoracic Surgery unit (PCTS).The art and science of PCCM (pediatric critical care medicine) has made significant advances in the past quarter century.

We have developed a better understanding of disease and its pathophysiology, and developed the technology to monitor our pediatric patients, so that we can more effectively treat them.

Our state-of-the-art PICU allows our medical caregivers to employ our clinical expertise and newer technologies in a compassionate arena where “family centered care” is delivered. The PICU sees approximately 1300 patients a year. The breadth of pathology of admitted patients to the PICU includes all possible pediatric illnesses.

Our attending physician staff is fellowship trained and board eligible / certified in pediatrics and the sub-specialty of PCCM. The PICU nursing staff has a 25 year history of Pediatric critical care experience, and our dedicated respiratory therapy team has extensive experience dealing with pediatric patients that require respiratory support services.

The mission of the medical caregivers of the PCCM division is to deliver excellent medical care for critically ill or injured infants, children and adolescents requiring our tertiary/quaternary center – while at the same time supporting families during this intense emotional time.

For diagnostic dilemmas, PICU referrals and emergency transport call (866) WMC-PEDS or (866) 962-7337

Developmental Pediatrics

Children may be referred to Developmental Pediatrics for a variety of developmental concerns. These may include delays in a child’s developmental progress, either in a specific area, such as motor skills or language skills, or global delays in all areas of development.Children may also be referred for the evaluation and treatment of attention problems and hyperactivity, as well as the evaluation and remediation of learning difficulties. Children may also be referred if they are displaying behavioral difficulties.

In addition, our physicians are trained and certified to diagnose and treat children for physical rehabilitation needs, and to prescribe and supervise indicated Physical and Occupational Therapy Services. As children’s physical rehabilitation needs can be quite different from those of adults, having these services provided under the direction of someone trained in Pediatrics can be quite important.

Pediatric Gastroenterology

152 x 150 What Can I Eat ButtonBoston Children’s Health Physicians’ pediatric gastroenterologists are dedicated to providing comprehensive diagnostic and therapeutic services for children from infancy to adolescence with a wide variety of problems of the gastrointestinal tract, liver or biliary system, as well as children with nutritional disorders. We also strive to educate our patients and their families about their problems as well as training medical students, residents, and fellows in pediatric gastroenterology and nutrition.We are fully equipped to perform a number of diagnostic procedures to help make a definitive diagnosis. The diagnostic center includes state-of-the-art endoscopic equipment, allowing for complete evaluation of the upper and lower intestine. These procedures can be performed in an outpatient setting, utilizing conscious sedation when necessary. Other tests that can be performed include testing to look for excessive amounts of acid reflux into the esophagus, tests that can look for abnormalities in the motility of the upper and lower GI tract, biopsy of the liver, and tests that can determine the amount of calories required for proper growth.

Pediatrics (Hawthorne, NY)

Office hours by appointment:  Monday to Friday 9:00 am – 5:00 pm and Saturday 10:00 am – 12:00pm.  Walk-in hours for acute illnesses are Monday – Friday 8:00am – 9:00am.

Boston Children’s Health Physicians’ Academic General Pediatric group is comprised of New York Medical College faculty, who are experts in the health supervision of children from newborn to 21 years of age. The group of 15 board certified physicians are available for urgent care visits as well as periodic health supervision visits as recommended by the American Academy of Pediatrics. We are experienced in the care of healthy newborns, toddlers, school aged children and young adults In addition, we provide comprehensive office-based care to children with special health care needs and their complex medical conditions. With outstanding pediatric nurses and office staff, we pride ourselves in providing a family centered medical home for all our patients.  Our physicians have a plethora of individual interest including the care of premature infants, children with obesity, failure to thrive, asthma, learning disabilities, developmental delays, unique complex medical conditions and syndromes, and the care of international adoptees.  As part of the largest pediatric multi-specialty practice in the region, communication with and access to pediatric specialists within Boston Children’s Health Physicians is readily available. As New York Medical College faculty, we are involved in the education of medical students and pediatric residents in many venues. Our office provides Primary Care Pediatrics training to the pediatric residents of New York Medical College / Maria Fareri Children’s Hospital, who see patients with our physicians in the office.  Newborn care is provided by our group in the Newborn Nursery at Westchester Medical Center.

Pediatric Hospitalists

Members of the section also serve as the Pediatric Hospitalists at the Maria Fareri Children’s Hospital. With 24 hour inpatient coverage, these physicians work as a team with the pediatric medical and surgical specialists to provide expert comprehensive care to the children of the Hudson Valley who are referred to Maria Fareri Children’s Hospital with moderate to severe illnesses and  complex chronic diseases. They are recognized in the region for their coordination of care during the child’s hospitalization and for facilitating seamless transfer back to the referring doctor upon hospital discharge.

Pediatric Endocrinology

Pediatric Hematology, Oncology and Stem Cell Transplantation

Pediatric Infectious Disease and Immunology

Childhood infections are one of the most common reasons for a parent to bring a child to see a healthcare provider. While the majority of infections are benign and recovery is quick, situations do arise when consultation with a specialist is needed for evaluation of children with recurrent, prolonged, or severe infections. The pediatric specialists in the Infectious Disease and Immunology section assist in the diagnosis and management of children with a variety of known or suspected infections as well as immune deficiencies. Children are commonly referred for outpatient evaluation of recurrent or prolonged infections, persistent fever, suspected immune deficiency, enlarged lymph nodes, pneumonia, and a wide range of childhood infections. Children with meningitis, encephalitis, bone infections, endocarditis, and a spectrum of serious or difficult-to-treat infections are usually evaluated by the Infectious Disease specialists in an inpatient setting.

Pediatric Medical Genetics

Infants and children with birth defects, growth problems and abnormal sexual development are cared for at the Regional Medical Genetics Center at Westchester Medical Center. State-of-the-art technologies are used to evaluate patients of all ages with suspected genetic problems. In addition, comprehensive diagnosis and treatment is available to patients of all ages, who have a history of a familial disorder, infertility, repeated miscarriages, family history of mental retardation or birth defects and growth disorders. The program is home to one of the few approved Pediatric Metabolic Centers in the state, and these physicians diagnose and treat children with inborn errors of metabolism and other inherited metabolic problems.We offer genetic screening, diagnosis, and counseling services for pediatric and adult patients as well as prenatal testing. Our staff follows a multidisciplinary approach to care and works closely with specialists from pediatrics and obstetrics. Our Genetics Division offers a range of comprehensive services, and is staffed by board-certified professionals in the fields of clinical and molecular genetics, and genetic counseling.

Neonatology

The excitement of newborn medicine lies first in the rapid evolution of new technologies, cutting edge developments in clinical and basic science, and bench-to-bedside correlates of human biology that are matched only by the avalanche of new discoveries that change today’s management of old diseases.Each of these features contributes to the overall intensity of neonatology and its ability to re-invent itself nearly every 5 years.

The physicians in the Division of Newborn Medicine at New York Medical College, through their clinical and basic science research investigations, are seeking ways to improve care for extremely preterm babies and other conditions of the newborn. These challenges include newborns born as early as 23 weeks’ gestation – nearly 4 ½ months earlier than the 40 weeks of a full term pregnancy.

The Division of Newborn Medicine is dedicated to the highest quality of patient care, teaching, research outreach and public health. Clinical and Basic Science research projects at the Regional Neonatal Center, a NYS DOH level IV designated program, afford these tiny patients and their families an opportunity to receive new treatments and therapies not available at community hospitals or even at many other major medical centers (e.g., ECMO, Jet and Oscillatory Ventilation, Selective Brain Cooling for asphyxia, High Frequency Ventilation for transport, etc…). We run a network of neonatal intensive care programs at 11 hospitals and coordinate the largest High Risk Neonatal Follow-up Program in New York State.

The Division is also involved with many public health initiatives focused on enhanced access to health care and in identifying opportunities to improve perinatal outcomes for the citizens of our entire 5,000 square mile catchment area through a formal collaboration with the Lower Hudson and Mid-Hudson Valley Perinatal Networks. There have been over 20,000 sick or premature newborns cared for since the Division was established in 1985.

Our Faculty scientists hold leadership positions in many professional societies and are frequent contributors of important perinatal research in multicenter trials, single institution trials, and in basic research.

Neonatal Follow Up Program

Spanish Neonatal Follow Up Program Brochure
English Neonatal Follow Up Program Brochure
Card for Neonatal Follow Up Program

Nephrology

Diagnosing and treating kidney diseases in infants, children and adolescents is the focus of pediatric nephrologists at the Maria Fareri Children’s Hospital at Westchester Medical Center. Specialists also work with children facing end-stage kidney disease, who may require dialysis and life-saving kidney transplants. The hospital is a collaborating center in the North American Pediatric Transplant Consortium. Our service consists of three board certified pediatricians, who have additional training & certification in the subspecialty of nephrology.  We collaborate with a large pediatric urology group at the same facility, to provide seamless, comprehensive, medical & surgical care, for infants, children & adolescents with all kidney & urinary tract conditions.

The program includes acute & chronic peritoneal & hemodialysis, as well as kidney transplantation. Our group is active in multi-center clinical research trials & has a dedicated clinical research nurse.  A renal dietician & social worker are also part of our team.

View articles related to Pediatric Nephrology.

Neurology

Our pediatric neurologists treat children and adolescents which have neurological problems, developmental, learning, attention or hyperactivity disorders, as well as seizures, headaches, tumors or other problems of the brain, nerves and muscles. The combined use of sophisticated non-invasive testing, in addition to close cooperation with pediatric neurosurgeons and other specialists, enables patients to receive a coordinated approach to all types of neurologic problems.

Psychology

The Department of Pediatric Psychology provides psychological services to patients and parents during the child’s hospitalization. The request for services can be made by the doctor or generated by the family. The division sees children and adolescents who are anxious, depressed or overwhelmed with their hospitalization or recent diagnosis. Patients with behavioral difficulties, eating disorders, noncompliance issues and conditions that may be psychogenic in nature are also seen. On going psychological services and support is given to children and adolescents with chronic illnesses that often require frequent or periodic hospitalizations over time. The psychological services offered include crisis intervention, short term psychotherapy (cognitive / behavioral, dynamic or supportive), relaxation techniques and hypnosis. The division also works collaboratively with the pain management services at the hospital. Follow up psychological services are also available upon discharge from the hospital.

Pediatric Pulmonology, Allergy, Immunology, and Sleep Medicine

The Division of Pediatric Pulmonology, Allergy, Immunology, and Sleep Medicine is the largest such division in New York State, and one of the largest in the nation. We have over twenty physicians in our division and we continue to grow. Between twenty and thirty new patients a week are referred for evaluation. All physicians in the division are on the medical staff of the Maria Fareri Children’s Hospital, which is part of WMCHealth; and faculty of New York Medical College. The division is dedicated to top rated clinical care, educational programs, and research, and in 2015-2016, the division was again ranked as one of the best in the nation by US News and World Report. For more details about our educational programs including our training program (fellowship) in pediatric pulmonology, see our NYMC website: http://www.nymc.edu/departments/academic-departments/school-of-medicine/pediatrics/divisions/pulmonology-allergy-immunology–sleep-medicine/

The division offers consultation and management for children suffering from a broad variety of respiratory problems, including allergies, asthma, sleep disturbances of many kinds, and a variety of complex pulmonary disorders. We care for over 12,000 children annually. We are the only accredited Cystic Fibrosis Center in the Hudson Valley. Our center has both pediatric and adult CF programs. Our main offices are at 19 Bradhurst Avenue, Hawthorne, New York, adjacent to the main campus of both Westchester Medical Center and New York Medical College. Our physicians also see patients at 11 outreach sites throughout the Hudson Valley and Connecticut.

Your physician may recommend you see a pediatric allergist, pediatric pulmonologist, or pediatric sleep specialist. If you are not certain which subspecialty is appropriate, feel free to call and talk it over with our office staff. We have a large multidisciplinary team, including dedicated nurses, social worker, respiratory therapist and dieticians.

Our division has a very active clinical research program, and we are always performing many clinical studies, particularly focused on asthma and cystic fibrosis. If you are interesting in hearing more about our research projects, feel free to call and speak to Meighan Gallagher, our division research manager.

In 2008, we opened the Children’s Environmental Health Center of the Hudson Valley, the first such center in the area, and a unique feature of our division. Our center is open for consultations for children with any suspected or known exposures to environmental toxins. For more information, see our website: http://childrensenvironment.org.

Pediatric Rheumatology

Our pediatric rheumatologists specialize in the diagnosis and treatment of autoimmune diseases, childhood arthritis, musculoskeletal pain disorders and osteoporosis. There are more than 100 types of these diseases, including rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis, fibromyalgia and tendonitis. Some of these are very serious diseases that can be difficult to diagnose and treat. Our pediatric rheumatologists have special expertise in the care of:

  • Juvenile Idiopathic Arthritis
  • Juvenile Rheumatoid Arthritis
  • Systemic Lupus Erythematosus
  • Neonatal Lupus Erythematosus
  • Lyme Arthritis
  • Rheumatic Fever
  • Henoch-Schonlein Purpura
  • Wegener’s Granulomatosis
  • Takayasu Arteritis
  • Kawasaki Disease
  • Familial Mediterranean Fever
  • Periodic Fever Syndromes
  • Idiopathic Uveitis
  • Behcet syndrome
  • Sarcoidosis
  • Thrombophilic syndromes
  • Dermatomyositis
  • Systemic sclerosis
  • Linear scleroderma
  • Antiphospholipid antibody syndrome

The role the rheumatologist plays in health care depends on several factors and needs. Typically, the rheumatologist works with other physicians, sometimes acting as a consultant to advise another physician about a specific diagnosis and treatment plan. In other situations, the rheumatologist acts as a a manager, relying upon the help of many skilled professionals including nurses, physical and occupational therapists, psychologists and social workers. Team work is important, since musculoskeletal disorders are chronic. Health care professionals can help people with musculoskeletal diseases and their families cope with the changes the diseases cause in their lives.

Our pediatric rheumatologists work closely with colleagues in Pediatric Infectious Disease & Immunology, Pediatric Hematology/Oncology, Pediatric Cardiology, Pediatric Orthopedic Surgery and Pediatric Nephrology.

Surgery

Our pediatric surgeons work with a variety of medical specialists and referring physicians to provide a full spectrum of surgical services to pediatric patients – from newborns and infants to adolescents.The pediatric surgeons treat patients with many congenital and acquired diseases of childhood, using the latest advances in surgical therapies.

The team works closely with other departments to treat complex pediatric surgery cases, performing a wide range of general, thoracic, head, neck, pelvic and soft tissue procedures, including advanced, minimally invasive state-of-the-art robotic, laparoscopic and thorascopic operations.

As part of the Regional Trauma Center at Westchester Medical Center, our team also supervises emergency and surgical care of infants and children who are victims of trauma.