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Fatty Liver Disease The accumulation of fat in the liver is the most common liver disease in the United States. While it is benign in the vast majority of affected persons, this condition can lead to advanced liver disease, cirrhosis and liver cancer. Fatty liver is the second most common indication for liver transplantation and the most common cause of cirrhosis in people younger than 50 years. Fatty liver is associated with diabetes and obesity, but thin individuals are also affected. There are no FDAapproved therapies for fatty liver disease, and treatment centers around behavioral modification. Diet, exercise and weight loss have been shown to reverse fatty liver disease, even in advanced cases. Vitamin E in non-diabetics and an oral hypoglycemic agent, pioglitazone, have been shown to have a modest benefit in this condition but there is not enough data to
THE SPECIALIST David Bernstein, MD
recommend their use in all patients. As this is a common condition with significant morbidity and mortality, there is a tremendous amount of clinical research underway in an attempt to find a medication that will be effective for this condition. Last month, the results of two long awaited clinical trials were released to the public. Selonsertib, a once-daily,
oral inhibitor of apoptosis signal-regulating kinase (ASK1), which showed promise in phase two studies, reported disappointing results in a large phase three trial treating fatty liver patients with cirrhosis. While Selonsertib was well tolerated, it was not effective as it did not meet the study’s primary endpoint of improvement in hepatic fibrosis. This is very disappointing as there was a lot of excitement about this new agent. A second large selonsertib study in fatty liver patients without cirrhosis and a combination study of Selonsertib, Cilofexor and Firsocostat will report their results later this year. Hopefully, the results will be positive. Obeticholic acid (OCA), a farnesoid X receptor (FXR) agonist, reported a positive result on the study’s primary endpoint with a significant improvement in fibrosis noted in non-cirrhotic patients treated with OCA 25mg a day.
The study did not achieve its secondary endpoint of steatosis resolution and in the 25 mg group, approximately half of the patients developed pruritus and 9 percent of those who developed itching prematurely stopped the therapy. These results are highly significant, despite the side effect profile, as this is the first medication used for fatty liver to show fibrosis improvement in a large trial. These results will likely lead to OCA’s approval by the FDA for use in fatty liver cases sometime in 2020. So far, 2019 has given us one positive and one negative
result in two widely anticipated clinical trials. This field is evolving rapidly. The dual PPAR agonist elafibranor has shown positive results in phase two trials and a phase three trial of 1,000 patients is expected to release intermediate results later this year. While there is no magic bullet in fatty liver disease on the horizon and all therapies will need to be used in concert with diet and exercise, significant progress is being made. It is likely that future therapeutic regimens will be a combination of new drugs with different mechanisms of action.
New Year... New You! Trust Your Body to New York’s Top Body Contouring Specialist
Year... New You! Trust Your Body to New York’s Top Top Body Contouring Specialist New Year... New New You! Trust Your Body to temperature New York’s Body Contouring Specialist Although the outside is chilly, now is a great time to start thinking about you New New Year... Year... New New You! You! Trust Trust Your Your Body Body to to New New York’s York’s Top Top Body Body Contouring Contouring Specialist Specialist
summer body. Take the first step by scheduling a complimentary consultation with our Body Although the temperature outside is chilly,Plastic now is Surgeon a great timeDr. to Shain start thinking about Contouring Expert-Board Certified Cuber. Dr. your Cuber has over 20 Although the temperature outside is chilly, now is a great time to start thinking about your Although the temperature outside is chilly, now is a great time to start thinking about your summer body. Take the first step by scheduling a complimentary consultation with our Body years of experienceoutside performingisMommy Makeovers, Breast Augmentation Although the temperature chilly, now isconsultation a Liposuction, great with time to start thinking summer body. the step by a Body summer body. Take Take the first firstLift, step by scheduling scheduling a complimentary complimentary consultation with our Body Contouring Expert-Board Certified Plastic Surgeon Dr. Shain Cuber. Dr.Brazilian Cuber hasour over 20 Augmentation Breast Abdominoplasty (Tummy Tuck) and Buttock summerContouring body. Take the first step by Surgeon scheduling complimentary consultation w Expert-Board Certified Plastic Dr. ShainaCuber. Dr. Cuber has over 20
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To learn more about these or to schedule your consultation Dr. Cuber, call our To learn learn morewith about these or to toplease schedule your To learn more about these orschedule to schedule your To more about these or your consultation with Dr. Cuber, please call our our consultation with Dr. Cuber, please call our Great Neck with office atCuber, (516) 472-7846 consultation Dr. please call Great Neck office at (516) (516) 472-7846 Great Neck office at (516) 472-7846 visit us at newyorkfacialplasticsurgery.com. Neck office at 472-7846 is or aGreat board-certified plastic
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He also specializes inTuck, non-surgical fat reduction with C BreastAugmentation, Augmentation, Tummy Tuck, Tuck, Liposuction, Tummy Tuck, ArmLift, Lift, Breast Tummy Liposuction, Tummy Arm Breast Augmentation, Tummy Tuck, Liposuction, Tummy Tuck, Arm Lift, Liposuction Body Lift, Etching Liposuction ButtButt Lift,Lift, Body Lift, AbAb Etching Liposuction Butt Lift, Body thigh Lift, Ab Etching and non-surgical abdomen, and arm Skin Tightening with T
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Simple Ways To Cut Down On Added Sugars
re added sugars sabotaging your healthy eating efforts? Excess added sugar consumption has been linked to obesity, heart disease, and diabetes in America. The biggest sources of added sugars are soda, energy drinks, and desserts. But even if you aren’t eating ice cream sandwiches all day long, you may not realize the hidden added sugars that you are consuming on a regular basis.
There are two main types of sugars in the diet—naturally occurring sugars and added sugars. Naturally occurring sugars are found naturally in foods like fruit or milk. Added sugars are sugars and syrups that are put into foods and beverages when they are being processed or prepared. Added sugars provide zero nutritional value, and unfortunately, boost the caloric content of foods. Empty calories in added sugars can lead to unnecessary weight gain and poor glycemic control. The American Heart Association provides daily added sugar limits for men and women. Specifically, women are advised to consume no more than 6 teaspoons or 25 grams of added sugar per day; men
Try your best to become a food label “detective” and really dive into the nutrition label. When looking at the ingredients list, make sure you aren’t missing any potential sweeteners. Names for added sugars on labels include, but are not limited to, brown sugar, corn sweetener, corn syrup, fruit juice concentrates, high fructose corn syrup, invert sugar, malt sugar, molasses, CHOOSING HEALTH white granulated sugar and Stefani Pappas syrup. Many breakfast foods tend to be full of added sugars. For are advised to consume no more than nine teaspoons or your first meal of the day, it’s important to choose foods 36 grams of added sugar per day. To help put things in per- that nourish and energize spective, one can of cola soda the body. Try to choose has eight teaspoons of added whole, unprocessed breakfast foods if possible. Skip sugary sugar. Research shows that frosted cereals and opt for Americans are far exceeding these guidelines, consuming breakfast cereals with less about 17 teaspoons of added sugar. A good rule of thumb is that a breakfast cereal should sugar each day. not exceed 10 grams of sugar; By 2021, all food labels will be required to list added if you can find a variety with sugars under the total sugars six grams of sugar or less, that is even better. potion of the label. This Instead of buying flavored specification will help consumers identify the portion of yogurt or oatmeal, purchase plain varieties and naturally added sugars in a food, and distinguish how much of the sweeten with fresh fruit and cinnamon. Add sliced nuts sugar in the food is natural.
for extra protein, and include a drizzle of honey if you are still craving something sweet. You won’t be adding nearly as much sugar as pre-flavored varieties carry. Some of us may think that artificial sweeteners are the answer to this sugar dilemma, but did you know that artificial sweeteners are more than 200 times sweeter than regular sugar? These artificial sweeteners hyper-stimulate our taste buds and mess with the taste receptors in our brain. The solution is to eat whole, natural, real, unprocessed foods. Indulge in the real thing, but in moderation. Give your taste buds at least three weeks to adapt to less added sugar and sweeteners—your body will thank you. Stefani Pappas, MS, RDN, CSO, CDN, CPT, is a clinical dietitian and certified personal trainer. She provides private nutrition counseling at her office in Great Neck. Visit her website www.stefhealth tips.com for more information or call 516- 225-1745 to schedule an appointment.
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5 Reasons to Call, Now: 1. Founded in Freeport, 1958. 2. First practice on Long Island to adopt routine collaborative care for complex spinal conditions. 3. Only our experienced neurosurgeons will perform your surgery. 4. Leaders in “Bloodless” brain and spine surgery, including laser spine surgery, radiosurgery, and other advanced minimally invasive techniques. • Herniated Disc • Spinal Stenosis • Back Pain
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ADVERTORIAL
Medicare Skilled Nursing Facility (SNF) Coverage When will Medicare cover a stay in a Skilled Nursing Facility (SNF)? There are specific rules as to when, how much and how long Medicare will cover a stay in a Skilled Nursing Facility (SNF). After having a hip replacement or knee replacement, many people stay in a SNF to receive physical therapy. Skilled care in a SNF is generally for a short period of time and is not custodial care or long term care. Included in the rules for Medicare to cover a stay in a SNF: • You must have Medicare Part A and “days remaining” in the benefit period • You have an inpatient hospital stay of 3 days or more. Starting with the day you were admitted to the hospital as an inpatient and does NOT include the day discharged from the hospital. • Must enter the SNF shortly after leaving the hospital. In general, a stay in a SNF must begin within 30 days of being discharged from the hospital. • Your doctor has prescribed inpatient services provided by a SNF (ex. Physical Therapy). Original Medicare covers all or part of the cost for up to 100 days in a SNF. The following chart details Medicare’s 2019 coverage and your responsibility in a SNF.
A Medicare Supplement would pay all or part of the SNF costs. A SNF stay for over 20 days becomes very costly for many. Having a Medicare Supplement that best meets your needs may be an important decision. Many seniors find working with a No Fee, No Obligation, knowledgeable agent who is there to assist you navigate the Medicare landscape is extremely valuable. Randy Schwartz (917) 757-3224 is an independent insurance agent. There’s No Fee and No Obligation to work with Randy. Not endorsed by the US Government or the federal Medicare Program. 198807 C
Northwell Health Sponsors NY Lustgarten Walks
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he Northwell Health Cancer Institute announced today that it will serve as the presenting sponsor for the five Lustgarten Pancreatic Cancer Research Walks in the New York metropolitan area. Northwell will team with the Lustgarten Foundation in supporting community walks to increase awareness of the disease and promote innovative research. The shared goal is to cure pancreatic cancer, which has a five-year survival rate of only 9 percent. More than 56,000 people will be diagnosed this year nationally and almost 46,000 will people will die from it. The Lustgarten Walks offer patients, survivors and loved ones a day of hope, where everyone in the community can come together in the shared goal of raising awareness and funding for this incredibly challenging disease. The family-friendly walks, which include food, raffles and prizes from vendors, offer a sense of community to those who are battling this disease and a support system for survivors. “With such low survival rates, there’s a tremendous need to collaborate with experts in this oncology specialty,” said Richard Barakat, M.D., physician-in-chief and director of the Northwell Health Cancer Institute, and senior vice president of the health system’s Cancer Service Line. “We can only move toward a cure for pancreatic cancer with increased public awareness and collaboration on innovate research aimed at advancing more clinical trials for patients.” Northwell will sponsor the following
walks: March 31, New York City at Pier 62-63 at Hudson River Park; April 28, Westchester at Rye Playland Park; July 21, Brooklyn at Marine Park at Carmine Carro Community Center; Sept. 8, Staten Island at Franklin D. Roosevelt Boardwalk and Oct. 6, Long Island at Jones Beach State Park. “We are delighted to be partnering with Northwell Health for our walks in the New York metropolitan area,” said Kerri Kaplan, president and CEO of the Lustgarten Foundation. David Tuveson, M.D., P.h.D., Lustgarten’s chief scientist and the director of the Cancer Center and the Lustgarten Foundation Laboratory at Cold Spring Harbor Laboratory (CSHL), and his team are collaborating with Northwell physicians to create pancreatic cancer organoid models from patient tumors. Organoids, which were developed by the Lustgarten Foundation Laboratory at CSHL, are three-dimensional cell culture systems that reproduce a patient’s tumor and test it repeatedly. The Northwell Health Cancer Institute is in the early stages of developing a comprehensive pancreatic cancer center. The program’s major components will include surgical, radiation and medical oncology, interventional gastroenterology, pathology, radiology, endocrinology, palliative oncology, cancer genetics, nutritional counseling, social work and other services. To register for any of the walks, visit www.lustgarten.org/walk-for-research or call 866-789-1000. —Submitted by Northwell Health
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Participants Sought For Long Island Breast Cancer Walk Members of the Adelphi team of the Adelphi NY Statewide Breast Cancer Hotline & Support Program are out walking every weekend, training for the annual LI2Day Walk. The team goes to local parks, such as Eisenhower Park, and malls to get in shape for the fundraising walk that will be held on Saturday, June 8. This is the 15th year of the event, and Adelphi has been a participant and beneficiary every year, to date having received a total of $439,950 in grant funds. The monies are used to support the numerous free services that the Adelphi program offers such as the hotline, support groups, informational seminars and community education. The Adelphi NY Statewide Breast Cancer Hotline & Support Program recently received a grant for $24,200 from LI2Day, a Long Island based organization that
down menu. “We love doing this every year,” said Adelphi team captain Susan Shulman of Westbury. “We all share a common goal to raise money to help our fellow Long Islanders as they struggle with cancer. We’re always eager to welcome new people into our group.” LI2DAY was organized in 2004 to raise awareness and funds for breast cancer and other cancer research, to benefit cancer sufferers, survivors, and their families, and to support organizations that are participating in such efforts. The Adelphi NY Statewide Breast Cancer Hotline & Support Program provides Adelphi team at the beginning of last year’s fundraising walk. Team captain, Susan Shulman, is in information and emotional support to New Yorkers front row, fourth from left. coping with breast cancer. fundraises for local breast solicit sponsorships to help participate in the actual walk. The hotline number to call cancer organizations through raise funds and awareness To support the walk, register is 800-877-8077. You are not walks and other events. for the cause. There is no fee at www.li2daywalk.org/2019- alone. Team members pay a for virtual walkers who wish 13-1-mile-walk/ and join the registration fee of $75 and to raise money, but do not Adelphi team from the drop —Lyn Dobrin
Turning 65 and ready for Medicare, or eligible for Medicare and Medicaid? Call AgeWell New York
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Hours are 7 days a week from 8:00 am to 8:00 pm. Note: From April 1 to September 30, we may use alternate technologies on Weekends and Federal holidays. AgeWell New York, LLC is a HMO plan with a Medicare and Medicaid contract. Enrollment in AgeWell New York, LLC depends on contract renewal. ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-866-586-8044 (TTY: 1-800-662-1220). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-586-8044 (TTY: 1-800-662-1220). 注意：如果您使用繁體中文您可以免費獲得語言 援助服務。請致電 1-866-586-8044 (TTY: 1-800-662-1220)) Assistance services for other languages are also available free of charge at the number above. AgeWell New York complies with applicable Federal civil rights laws and does not discriminate on the basis of races, color, national origin, age, disability, or sex. AgeWell New York cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. AgeWell New York 遵 守適用的聯邦民 權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。H4922_YesMM4002_M Accpeted 02162019
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minimally-invasive breast surgery aligns with our goal to move women’s health forward though technology and uncompromising excellence. We are thrilled to welcome her to the ProHEALTH network.” Chen is a board-certified surgeon with the American Board of Surgery and has more than 17 years of clinical experience in breast care and surgery. As a pioneer in the field, she is the first in New York to initiate a clinical trial using laser and other thermoablation technologies to treat breast tumors without surgery. Chen has greatly contributed to research and academia having been the principal investigator of numerous studies. She has published in multiple peer-reviewed journals, such as Annals of Surgical Oncology, The Breast
pathology, cancer service line, genetics, nursing and patient navigators to ensure the highest standards of patient care are met. An advocate for minority health, Chen has founded the New York Presbyterian Asian Health Program, and works closely with the Association of Chinese American Physicians, Chinese Medical Association and American Cancer Society Asian Initiative, greatly expanding and providing access to serve the health needs of Asian Americans. Journals and ASCO. Chen has received many In her leadership role honors, including America’s as the Chair of National Top Surgeons from the Accreditation Program for Consumers’ Research Council Breast Centers at Columbia of America and was awarded through the American College scholarships from Canada of Surgeons, Chen has led and Scholar and the University worked closely with multiple of Toronto for outstanding stakeholders in medical and academic achievement. She radiation oncology, radiology, earned her medical degree
from the University of Toronto in Toronto, Canada and completed her residency in General Surgery with a focus on Breast Oncology at McGill University in Montreal, Canada. Chen is formerly an Assistant Professor of Clinical Surgery at Columbia University College of Physicians & Surgeons, and most recently was Acting Chief, Breast Surgery for New York Presbyterian Columbia University Medical Center before joining ProHEALTH Care. Dr. Margaret Chen will be practicing at ProHEALTH Breast Care & Surgery, located at 2800 Marcus Ave., Suite 204 in Lake Success, NY. To schedule an appointment, call 516-487-8888.
—Submitted by ProHEALTH Care
A Special Program for Mothers and Daughters
Getting Your Daughter Ready for College
The transition from high school to college can be exciting, yet challenging. Please join Jane Swedler, MD, Chief of Adolescent Medicine and Elana Kastner, MD, Faculty Physician, Department of Obstetrics & Gynecology, for a unique program that addresses health and social issues faced by college-bound young women. Special Topics include: Adapting to College Life, Campus Safety, Making the Right Choices and more. Thursday, March 28, 2019 6:45 pm registration 7 pm - 9:30 pm program NYU Winthrop Research & Academic Center 101 Mineola Blvd, (corner of Second Street in Mineola) Treiber Family Conference Room Pre-Registration and Reservation required: $25 per person Light buffet included Register online: www.nyuwinthrop.org/college by Wednesday, March 27, 2019 For more information please call (516) 663-2609 201223 D
roHEALTH Care, the largest independent physician-run healthcare organization in the Northeast, is pleased to welcome Margaret Chen, M.D., F.A.C.S. as the new Chief of Breast Surgery. Chen is a highly experienced breast surgeon whose focus is minimally invasive breast surgery. At ProHEALTH, Chen will spearhead the development of a comprehensive, topquality breast care program for women in Long Island and the New York metro region. “Dr. Chen has distinguished herself in the field through her individualized care and innovative surgical techniques to treat breast cancer for her patients,” said Dr. Zeyad Baker M.D., president and Chief Executive Officer of ProHEALTH Care. “Her experience using
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ProHealth Care Welcomes New Chief Of Breast Surgery
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The Healthy Calories
Lo-Cal Kitchen makes calorie consciousness cool by jordan hopkins
editorial@antonmediagroup.com
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arch is National Nutrition Month and after the havoc that the holiday season can wreak on your diet, there’s no better time in the year to get your body back on track than early spring. One of the best places to treat your body right is at Lo-Cal Kitchen in Greenvale. Owner Jeffrey Feinstein says that he wants to change the way we interact with our health by helping his customers pay more attention to what they put in their bodies, through a philosophy called “calorie consciousness.”
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What do you mean by calorie consciousness? How do you find it helps your customers make the best decisions and stay on track? To us, calorie consciousness is both about the number of calories as well as the quality of calories. The “calorie” and the focus on it as a means of maintaining a healthy weight has been demonized of late, but we feel it’s important to have an awareness of how many calories things contain. It’s been my experience that people grossly underestimate calorie counts. The number of calories alone is not sufficient, however, as people can eat less calories and still not be healthy. That’s where the quality of the calorie comes into play. We utilize low calorie cooking techniques, using lean meats, lots of vegetables and whole grains, together with a focus on reduction of added sugars and refined carbohydrates to achieve our “calorie conscious” food. In doing so we make it easy for our customers to
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choose healthy meals that suit their tastes.
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What do you think are the biggest barriers to eating well? Taste, lack of results and availability. I think when people think healthy food they think bland and tasteless. It doesn’t have to be that way. Depending on your current diet, you might have to make some minimal sacrifices, but we’ve created a menu that makes them very easy to swallow. There is so much information out there on what to eat or not eat and so many different fad diets it’s hard to count them all. People tend to grab onto an idea they read about and run with it. Often it doesn’t work for them, or it works for a time and then they find themselves back where they started or worse. There are no magic pills to achieve lasting results; you need to decide that you are going to make a life long change to eat better. It’s difficult to find quality healthy food that tastes good. People are often faced with a plethora of less
The Cheatza, a pizza that substitutes a traditional wheat dough crust with ground chicken. (Photos courtesy of Lo-Cal Kitchen)
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healthy choices or unhealthy foods masquerading as healthy foods—being prepared for these situations and having the knowledge of what the better choices are can greatly help in this area.
We’ve taken all the thought out of it—not knowing what the healthiest choices on a menu are can make it difficult to make a good choice. At Lo-Cal Kitchen, there are no bad choices.
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How do you try to make healthy eating easier?
What’s the one dish you recommend people try at Lo-Cal Kitchen? We do so many great dishes, but I think some of our most creative dishes are the ones I like to highlight. They would include the Cheatza. It’s like a pizza, but we use ground chicken as the crust instead of a wheat dough. We also do some great burgers, which are cooked to order and feature 90 percent lean ground beef, 90 percent lean ground bison and 99 percent lean ground turkey. One of the favorites is the Fiery Pickle, which is a ground turkey burger topped with mozzarella cheese, pickled onions and light chipotle mayo.
The Fiery Pickle, which is a ground turkey burger topped with mozzarella cheese, pickled onions and a chipotle mayo.
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SUFFOLK Atria Bay Shore & Atria East Northport, NY Alzheimer’s Disease Resource Center, Bay Shore, NY Alzheimer’s Disease Resource Center, Southampton, NY Bellhaven Nursing & Rehab, Brookhaven, NY Dominican Village- Helen Butler Hall, Amityville, NY Hampton Center for Nursing & Rehab, Southampton, NY Home Instead Melville, Melville, NY Family First Home Companions, Islandia, NY Holy Cross Lutheran Church, Lake Ronkonkoma, NY Futterman, Lanza & Pasculli, LLP, Smithtown, NY Senior Health Plan Specialists, Inc., Port Jefferson Station, NY SILO, Holtsville, NY The Bristal at Holtsville, NY & The Bristal at Sayville, NY Whisper Woods, Smithtown, NY Woodhaven Center, Port Jefferson Station, NY
ADRC – Alzheimer’s Disease Resource Center 45 Park Avenue, Bay Shore, NY 11706
SATELLITE OFFICES (By Appointment Only) 33 Flying Point Road, Suites 121/122, Southampton, NY 11968 100 Quentin Roosevelt Blvd #102, Garden City, NY 11530 870 East Sunrise Highway, Ste. 500, Valley Stream, NY 11581 3 Dakota Drive, Suite 300, Lake Success, NY
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For more information about our events and the programs and services we provide please contact us at: 1-855-732-4500 or Visit us at: www.adrcinc.org • Email us at: info@adrcinc.org
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12B Healthy Living • MARCH 13 - 19, 2019
FULL RUN
DISCOVER THE FINEST IN ASSISTED LIVING
Photos: Lobby, The Bristal at North Hills | Exterior, The Bristal at Garden City | Country Kitchen, The Bristal at Westbury
NEARBY LOCATIONS: EAST MEADOW (516) 597.8940 | GARDEN CITY (516) 274.0255 | JERICHO (516) 231.6677 LAKE SUCCESS* (516) 218.6585 | NORTH HILLS (516) 219.8440 | WESTBURY (516) 274.0065 * A Memory Care Only Community
thebristal.com
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FOR A LIST OF ALL LOCATIONS IN THE TRI-STATE AREA, VISIT: