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15303501270000896620956754500Patient Instruction PacketPlease read the information in this packet at least 5 DAYS prior to the time of your scheduled appointment.Please complete pages 4 through 10 and page 18 and bring this entire patient packet with you on the day of your appointment.GoldStep Ambulatory Surgery Center, LLC3007 Farragut RoadBrooklyn, NY 11210Tel: 347 915-1177Fax: 347 915-1077Please complete the forms on Pages 4 thru 6 and page 15 and bring the entire packet with you on the day of your appointment. PAGEWelcome Notice3*Patient Information/Demographics Sheet4* Uniform Assignment and Release of Information Statement5* Anesthesia History and Pre-Procedure Questionnaire 6 - 8* Obstructive Sleep Apnea Risk Questionnaire9* EBOLA Public Health Questionnaire 10Financial Policy 11-12Patient Self-Determination Act/Advance Directives 13Patient’s Rights 14Notice of Privacy Practices 15-16Escort & Personal Possessions Policy 17*Patient Acknowledgment of Advance Notices18Directions to the GoldStep ASC19 Welcome NoticeWelcome to GoldStep Ambulatory Surgery Center, LLC (GoldStep ASC). Our mission is to provide our patients and staff with individualized, quality care and services in a state of the art surgical facility in order to promote the health and optimal function required to lead active lives.Our goal is to create a safe, comfortable and effective environment for our patients with a team of professional personnel who are passionate about patient care and committed to continuously improving our services to our patients.? GoldStep ASC serves as a valuable health care resource, offering high-quality clinical care across several medical disciplines, including gastroenterology, pain management, ENT, ophthalmology, general surgery, podiatry, gynecology, urology, and orthopedics.Our community based physicians, surgeons and staff endeavor to achieve excellence in patient satisfaction. GoldStep ASC’s physicians and staff take pride in serving the healthcare needs of our diverse and widespread community. Our patient’s and their families have embraced the Center as an integral part of their community.The Center is licensed by New York State as an Article 28 free standing Ambulatory Surgery Center. UPDATED PATIENT INFORMATIONLAST NAME: __________________________________ FIRST NAME: ________________________________ M.I.: __________ADDRESS: _____________________________________________________________________ APT: ______________________CITY: _________________________________ STATE: __________________ ZIP CODE: ___________________________DATE OF BIRTH: _____________ AGE: _______ SEX: M_____ F______ SOCIAL SECURITY #:______________________ HOME PHONE #: ( ) _________________________________ CELL PHONE #: ( ) _________________________________ E-MAIL ADDRESS:___________________________ EMERGENCY CONTACT:_______________________________________RACE: BLACK/AFRICAN AMERICAN WHITE ASIAN AMERICAN INDIAN/ALASKA NATIVE OTHER:____________ETHINICITY: HISPANIC/LATINO NOT HISPANIC/LATINO OTHER: _______________________________LANGUAGE: ENGLISH RUSSIAN HAITIAN CREOLE SPANISH OTHER:____________________________MARITAL STATUS: MARRIED SINGLE DIVORCED WIDOWEDEMPLOYER NAME: ________________________________________ ADDRESS: ______________________________________CITY: __________________________________ STATE: __________________ ZIP CODE: ____________________________ DO YOU HAVE A HEALTH CARE PROXY? NO YES IF YES, TYPE:____________________________DO YOU HAVE A LIVING WILL? NO YES IF YES, TYPE: ____________________________IS THIS VISIT RELATED TO WORKER’S COMPENSATION CASE/INJURY? YES NOIS THIS VISIT RELATED TO NO-FAULT/CAR ACCIDENT CASE/INJURY? YES NONAME AND PHONE NUMBER OF PERSON WHO WILL ESCORT YOU HOME: _____________________________________ __________________________________________________________________________________________________________PRIVATE INSURANCE INFORMATIONINSURANCE COMPANY NAME: _____________________________________________________________________________INSURED NAME: ___________________________ RELATIONSHIP TO PATIENT: ___ SELF ___ SPOUSE ___ DEPENDENTYOUR SIGNATURE IS NECESSARY FOR US TO PROCESS ANY INSURANCE CLAIMS AND TO ENSURE PAYMENTS OF SERVICES RENDERED.PHARMACY INFORMATION: ________________________________________________________________________ ALL PRIVATE INSURANCEI AUTHORIZE THE RELEASE OF ALL MEDICAL INFORMATION NECESSARY TO PROCESS THIS CLAIM AND THAT IS PERTINENT TO MY MEDICAL/SURGICAL CARE. I ASSIGN ALL MEDICAL AND / OR SURGICAL BENEFITS, INCLUDING MAJOR MEDICAL BENEFITS, TO WHICH I AM ENTITLED, TO GOLDSTEP AMBULATORY SURGERY CENTER, LLC, THE PROVIDER OF THE SERVICES.THESE ASSIGNMENTS WILL REMAIN IN EFFECT UNTIL REVOKED BY ME IN WRITING. A PHOTOCOPY IF THIS ASSIGNMENT IS TO BE CONSIDERED AS VALID AS THE ORIGINAL.PATIENT’S NAME (PRINTED) ______________________________________ ______________________________________ (Last)(First)PATIENT’S SIGNATURE X_________________________________________________ DATE: ________________________ (Parent if minor)1.I, ___________________________________________________________________________authorize PRINT NAMEGoldStep Ambulatory Surgery Center, LLC through its physicians and other allied healthcare professionals to provide such medical and surgical treatment and to administer such routine diagnostic tests including, but not limited to diagnostic x-ray, the administration and/or injection of pharmaceutical medications, and the drawing of blood, as is deemed medically necessary or appropriate, to ____________________________________________. PRINT PATIENTS NAME IF OTHER THAN SELF_____ (Check, if appropriate)including such photographing, videotaping, televising or other observation as may be appropriate for monitoring my/the patient’s condition and the advancement of the medical knowledge and/or education with the understanding that my/the patient’s identity will remain anonymous.2.I understand that surgical health care services received by me/the patient through GoldStep Ambulatory Surgery Center, LLC may be covered by one or more health insurance policies or other health plans. I authorize GoldStep Ambulatory Surgery Center, LLC to bill the insurance company directly, and to receive payment directly from the insurance company. I accept responsibility for all unpaid services, co-insurance and/or deductible amounts.3.I understand that in providing or arranging these surgical health care services, GoldStep Ambulatory Surgery Center, LLC will learn personal medical information about me/the patient. I agree that GoldStep Ambulatory Surgery Center, LLC may share my/the patient’s medical information with any provider to whom GoldStep Ambulatory Surgery Center, LLC refers me/the patient. I also agree that GoldStep Ambulatory Surgery Center, LLC may obtain copies of medical records generated by the provider to whom I/the patient was referred for the purpose of ensuring the continuity of care.4.I agree that GoldStep Ambulatory Surgery Center, LLC may share all my/the patient’s medical information with the insurance company, health plan(s) or other third party payor, and that the insurance company, health plan(s) or other third payor may share all my/the patient’s medical information with other persons, including any information concerning diagnosis or treatment of sexually transmitted diseases, HIV related conditions, mental disorders or alcohol or drug abuse. However, my/the patient’s agreement is limited to the extent that the sharing of medical information is reasonably necessary for the payment of the claim and the administration of health plan(s), including all procedures for quality and cost-efficiency.5.I understand and agree that this consent shall apply throughout the period of time that I am/the patient is a patient of GoldStep Ambulatory Surgery Center, LLC.Patient/Agent/Relative or Guardian: X ________________________________________ X______________ Signature Date ________________________________________ Relationship, if signed by person other than patient Also requires “Authorization for Release of Confidential HIV Related Information” From – DOH2557(If required) Interpreter: Signature: X _______________________________________Print Name: _______________________________________ Witness: Signature: X ________________________________________Print Name: _________________________________Anesthesia History and Pre- Procedure QuestionnaireDear _________________________________________ ,You have made an appointment for surgery with Dr. ______________________________ at GoldStep Ambulatory Surgery Center, LLC. Another physician, an anesthesiologist, will provide some of your care during surgery. It is important to have a complete medical history to help the anesthesiologist decide the best choices for your anesthetic. In addition to reviewing this completed form, the anesthesiologist will interview you the day of surgery, will carry out a physical examination, and will answer any questions you have about your anesthetic. Please fill out this form completely before you arrive at GoldStep Ambulatory Surgery Center for your operation. Filling out the form before you arrive at the operating room suite will allow us to start your surgery more quickly.Anesthesia History and Pre-Procedure QuestionnaireName:__________________________________________Age: ____________Height: ________________Weight:__________________Surgery planned: _______________________________________List All Allergies to Medication or Food: ______________________________________________________List All Medications, Herbal Supplements and Over the Counter Medications you currently take or have taken in the last 6 months: List all Surgical Procedures you have undergone at any time in the past: Have you had any reactions, allergic or otherwise, to the medications you received in the past during surgical procedures? Is there a family history of allergic reactions or fevers during anesthesia? Y N Do you Smoke? Y N If so, how much? Do you drink Alcoholic Beverages? Y N If so, how many drinks a week? Have you had any lab work or ECG within the last six months? Y NAre you or could you be pregnant? Y N Date of Last Menstrual Period: Have you had a fever, infection, or taken antibiotics within the last two weeks? Y N Please Circle any Health Conditions That You HaveAsthmaEmphysemaChronic Lung DiseaseHigh Blood PressureHeart AttackAngina Artificial heart valvesMitral Valve Prolapse Congestive Heart Failure Irregular Heart BeatSwelling of your Lower Leg Poor Exercise Ability Difficulty Opening MouthStomach Ulcer DiseaseChronic Acid RefluxDifficulty SwallowingIntestinal Disorders Kidney Disease Liver Disease GlaucomaEasy Bruising/BleedingHepatitisChronic PainNerve InjurySeizure DisorderCancerDiabetesAnemiaMuscle diseases/disorders Thyroid DiseaseSleep ApneaStrokeOther Signature: __________________________________________________________________________Date: Obstructive Sleep Apnea (OSA) Risk QuestionnaireSnoringDo you snore loudly (louder than talking or loud enough to be heard through closed doors)?Yes NoTirednessDo you often feel tired, fatigued, or sleepy during the daytime?Yes NoObserved apneaHas anyone observed you stop breathing during your sleep?Yes NoPressureDo you have or are you being treated for high blood pressure?Yes NoBMIBMI>35 kg/m2Yes NoAge>50 yearsYes NoNeck circumference>40 cmYes NoGenderFemale MaleFewer than 3 Yes = low risk of OSA; 3 or more Yes = high risk of OSA; 5-8 Yes = high probability of moderate-to-severe OSACOVID-19 Pandemic – Patient DisclosuresThis patient disclosure form seeks information from you that we must consider before making treatment decision in the circumstance of the COVID-19 virus.A weak or compromised immune system (including, but not limited to, conditions like diabetes, asthma, COPD, cancer treatment, radiation, chemotherapy, and any prior or current disease or medical condition), can put you at greater risk for contracting COVID-19. Please disclose to us any condition that compromises your immune system and understand that we may ask you to consider rescheduling treatment after discussing any such conditions with us.It is also important that you disclose to this office any indication of having been exposed to COVID-19, or whether you have experienced any signs or symptoms associated with COVID-19 virus.Do you have fever or above normal temperature?YesNoHave you experienced shortness of breath or had trouble breathing?YesNoDo you have dry cough?YesNoDo you have runny nose?YesNoDo you have sore throat?YesNoHave you recently lost or had reduction in your sense of smell?YesNoHave you been in contact with someone who tested (+) for COVID 19?YesNoHave you recently tested positive for COVID-19?YesNoHave you tested to COVID-19 and are awaiting results?YesNoHave you travelled within the United States by air, bus, or train within the pastYesNo14 days? FINANCIAL POLICYGoldStep Ambulatory Surgery Center, LLC is a freestanding Ambulatory Surgery Center (ASC) subject to New York State Regulations and has separate financial and billing policies and procedures. All patients presenting for care at GoldStep Ambulatory Surgery Center, LLC who do not have third party health coverage will have an option to receive free screening to determine their eligibility for entitlement programs (e.g. Medicaid, Medicare, HealthExchange, etc.) and will be referred to the appropriate governmental agency.GoldStep ACS will charge ONLY for its facility fee, unless anesthesiologist performing anesthesia is an employee of GoldStep ACS, then anesthesiology fee will be charged by GoldStep ACS as well. Physicians, anesthesiologists and laboratories will bill for their services separately as these charges are independent of GoldStep ACS charge. Patients are responsible for paying their bills in connection with the treatment. Prior to the date of the procedure, it is the responsibility of GoldStep ACS as well as the patient to verify details of the insurance coverage with the insurance carrier.If GoldStep ACS participates with the insurance plan (Medicaid, managed care Medicaid, commercial, etc.), we will bill that plan directly. However, the patient may still be responsible for the payment of in-network deductible, co-payment and/or co-insurance amounts. These fees are mandated by the insurance carrier and cannot be waived. If GoldStep ACS does not participate with the insurance plan and out-of-network benefits are available, we will bill that plan directly. However, the patient may still be responsible for the payment of the out-of-network deductible, co-payment and/or co-insurance amounts.If patient has Medicare coverage ONLY, (s)/he is responsible for the payment of the unmet deductible and the remaining 20% of the approved charge. All Medicare patients upon registration will be informed of their Medicare benefits and of their financial obligation. Medicare beneficiaries who appear to qualify for Medicaid coverage will be informed of this opportunity.Some insurance plans will send facility payment directly to the patient. It is the responsibility of the patient to forward the check directly to GoldStep ACS. Patient will be advised that not remitting the payment to GoldStep ACS constitutes a breach of contract and GoldStep ACS will pursue all legal remedies available to it to obtain such payments. Self-Pay patients will pay according to our fee schedule.We will accept checks, cash, Visa, MasterCard or DEBIT cards with a Visa or MasterCard logo. Each patient, who makes any form of payment, will be given a machine-generated or manually prepared receipt that must contain patient name, date of service, medical record number and description of payment purpose.If a payment made with the check is returned by the bank for any reason, patients will incur an additional fee of $35.00For all unpaid balances, after all reasonable efforts to collect delinquent accounts are made, the delinquent bills will be sent to the center’s collection agency.Charity CareGoldStep Ambulatory Surgery Center, LLC is committed to serving all persons in need of care without regard to ability to pay, source of payment or other personal characteristics. As evidence of that commitment, the operating budget is projecting 2% for provision of charity care.It is the policy of GoldStep Ambulatory Surgery Center, LLC to provide emergency care to all patients regardless of ability to pay. The ASC shall allocate resources to identify charity cases and provide uncompensated care based upon the information submitted at the time of application for charity care by the patient or their representative or through the use of other criteria-based methods to determine charity eligibility.Determination of eligibility of a patient for charity care shall be applied regardless of the source of referral and without discrimination as to race, color, creed, national origin, age, handicap status, or marital status.Patient care that is cosmetic, experimental or deemed to be non-reimbursable by traditional insurance carriers and governmental payers shall not be considered eligible for charity care under the Charity Care Program.The calculation of the discount for uninsured patients qualified for a charity care adjustment will be based on our Medicare reimbursement rate. This discount will be updated annually when new Medicare rates are received.PATIENT SELF-DETERMINATION ACT/ADVANCE DIRECTIVESGoldStep ASC supports each patient's right to develop an advance directive; the Center will not condition the provision of care or discriminate against an individual based on whether or not an advance directive has been executed; and will provide education for its staff, patients and the community, as applicable, related to the patient self-determination act/advance directives.NOTICE OF LIMITATION - GoldStep ASC does not honor DNR orders and will always attempt to resuscitate a patient and transfer that patient to a hospital in the event of deterioration.If you are interested you may request resource information regarding self-determination. The information includes:? The description of state law prepared by the Department of Health entitled, "Planning In Advance For Your Medical Treatment".? The pamphlet prepared by the department of health entitled, "Appointing Your Health Care Agent New York State's Proxy Law".? A model "New York Living Will".? The fact sheet entitled, "Deciding About CPR Do Not Resuscitate Orders (DNR)".? A handout entitled, "Ten Basic Questions And Answers For Consumers On The Patient Self- Determination Act".? A handout entitled, "Definitions For A Health Care Proxy".Our staff will inquire and document your present status concerning advance directives during the pre-procedure assessment in the medical record.If you have executed an advance directive and have brought a copy, this copy will be filed in your medical record.If copies are not immediately available, the types of advance directives and the name and address of the healthcare agent are obtained and documented in your medical record.If you request additional information or wish to make an advance directive, the Center will supply you with appropriate information and direction.The Center will comply with the health care decisions made in good faith by a health care agent to the same extent as decisions made by a competent adult.PATIENT HAS A RIGHT TO:- RECEIVE SERVICE(S) WITHOUT REGARD TO AGE, RACE, COLOR, SEXUAL ORIENTATION, RELIGION, MARITAL STATUS, SEX, NATIONAL ORIGIN OR SPONSOR- BE TREATED WITH CONSIDERATION, RESPECT AND DIGNITY INCLUDING PRIVACY IN TREATMENT;- BE INFORMED OF THE SERVICES AVAILABLE AT THE CENTER;- BE INFORMED OF THE PROVISIONS FOR OFF-HOUR EMERGENCY COVERAGE;- BE INFORMED OF THE CHARGES FOR SERVICES, ELIGIBILITY FOR THIRD-PARTY REIMBURSEMENTS AND, WHEN APPLICABLE, THE AVAILABILITY OF FREE OR REDUCED COST CARE;- RECEIVE AN ITEMIZED COPY OF HIS/HER ACCOUNT STATEMENT, UPON REQUEST;- OBTAIN FROM HIS/HER HEALTH CARE PRACTITIONER, OR THE HEALTH CARE PRACTITIONER'S DELEGATE, COMPLETE AND CURRENT INFORMATION CONCERNING HIS/HER DIAGNOSIS, TREATMENT AND PROGNOSIS IN TERMS THE PATIENT CAN BE REASONABLY EXPECTED TO UNDERSTAND;- RECEIVE FROM HIS/HER PHYSICIAN INFORMATION NECESSARY TO GIVE INFORMED CONSENT PRIOR TO THE START OF ANY NONEMERGENCY PROCEDURE OR TREATMENT OR BOTH. AN INFORMED CONSENT SHALL INCLUDE, AS A MINIMUM, THE PROVISION OF INFORMATION CONCERNING THE SPECIFIC PROCEDURE OR TREATMENT OR BOTH, THE REASONABLY FORESEEABLE RISKS INVOLVED, AND ALTERNATIVES FOR CARE OR TREATMENT, IF ANY, AS A REASONABLE MEDICAL PRACTITIONER UNDER SIMILAR CIRCUMSTANCES WOULD DISCLOSE IN A MANNER PERMITTING THE PATIENT TO MAKE A KNOWLEDGEABLE DECISION;- REFUSE TREATMENT TO THE EXTENT PERMITTED BY LAW AND TO BE FULLY INFORMED OF THE MEDICAL CONSEQUENCES OF HIS/HER ACTION;- REFUSE TO PARTICIPATE IN EXPERIMENTAL RESEARCH;- VOICE GRIEVANCES AND RECOMMEND CHANGES IN POLICIES AND SERVICES TO THE CENTER'S STAFF, THE OPERATOR AND THE NEW YORKSTATE DEPARTMENT OF HEALTH WITHOUT FEAR OF REPRISAL;- EXPRESS COMPLAINTS ABOUT THE CARE AND SERVICES PROVIDED AND TO HAVE THE CENTER INVESTIGATE SUCH COMPLAINTS. THE CENTER IS RESPONSIBLE FOR PROVIDING THE PATIENT OR HIS/HER DESIGNEE WITH A WRITTEN RESPONSE WITHIN 30 DAYS IF REQUESTED BY THE PATIENT INDICATING THE FINDINGS OF THE INVESTIGATION. THE CENTER IS ALSO RESPONSIBLE FOR NOTIFYING THE PATIENT OR HIS/HER DESIGNEE THAT IF THE PATIENT IS NOT SATISFIED BY THE CENTER RESPONSE, THE PATIENT MAY COMPLAIN TO THE NEW YORK STATE DEPARTMENT OF HEALTH'S OFFICE OF HEALTH SYSTEMS MANAGEMENT;- PRIVACY AND CONFIDENTIALITY OF ALL INFORMATION AND RECORDS PERTAINING TO THE PATIENT'S TREATMENT;- APPROVE OR REFUSE THE RELEASE OR DISCLOSURE OF THE CONTENTS OF HIS/HER MEDICAL RECORD TO ANY HEALTH-CARE PRACTITIONER AND/OR HEALTH-CARE FACILITY EXCEPT AS REQUIRED BY LAW OR THIRD-PARTY PAYMENT CONTRACT;- ACCESS HIS/HER MEDICAL RECORD PURSUANT TO THE PROVISIONS OF SECTION 18 OF THE PUBLIC HEALTH LAW, AND SUBPART 50-3 OF THIS TITLE;- AUTHORIZE THOSE FAMILY MEMBERS AND OTHER ADULTS WHO WILL BE GIVEN PRIORITY TO VISIT CONSISTENT WITH YOUR ABILITY TO RECEIVE VISITORS; AND- MAKE KNOWN YOUR WISHES IN REGARD TO ANATOMICAL GIFTS. YOU MAY DOCUMENT YOUR WISHES IN YOUR HEALTH CARE PROXY OR ON A DONOR CARD, AVAILABLE FROM THE CENTER.Office of the Medicare Beneficiary OmbudsmanVisit or call 1.800.MEDICARE (1.800.633.4227) or use cms.center/ombudsmanNew York State Department of Health’s Metropolitan Area Regional Office (MARO) at 800 804-5447Grievances or safety concerns about our outpatient facility should be referred to ourMedical Director or Administrator, 718.253.1582lefttop0lefttop0PATIENT ESCORT POLICYAs a matter of patient safety, the GoldStep ASC the New York State Ambulatory Surgical Center requirement that all patients having a procedure in our facility have an escort, that is, a companion, family member or friend, to accompany you home following your procedure.If you do not have someone to escort you after the procedure, please contact the Visiting Nurse Services of New York (888 943-8435) to arrange for a care partner to accompany you home from your procedure.278955534163000511238534163000For additional information and to make arrangements for a care partner, you can visit the following website: . Or e-mail: par_intake@.Please Note That Your Procedure Cannot BePerformed Unless Your Escort Is Verified.31369063373000Thank you for your cooperation.PERSONAL POSSESSIONS POLICYGoldStep ASC will provide you with a bag to store your possessions and this bag will remain with you through your stay at the Center. Surgery Patients will be assigned a private locker to safely store their personal belongings during the surgery.Please DO NOT wear jewelry, DO NOT bring laptops, DO NOT bring iPods or any other valuables when you come to the Center.Please note that GoldStep Ambulatory Surgery Center assumes no responsibility for lost, stolen, or misplaced items.Thank you for your cooperation.Patient Acknowledgement Of Advance NoticesPatient’s Name:______________________________________________I hereby acknowledge that I have received a copy of the following policies/notices prior to the start of my procedure:___________ Patient Bill of Rights___________ Information on Advance Directives ___________ Financial Policy___________ Notice of Privacy Practices___________ I understand that I am required to bring an escort to take me home on the day of the procedure._____________________________________________________Signature Patient/Family MemberDate_____________________________________________________Signature: WitnessDate DirectionsGoldStep Ambulatory Surgery Center, LLC3007 Farragut Road, 5th FloorBrooklyn, NY 11210TEL: 347.915.1177By Subway:# 2 and/or # 5 train to Flatbush Avenue (last stop), walk two blocks back via Nostrand AvenueBy Bus:B44 stops in front of the office, B6 to Nostrand Avenue, B11 to Flatbush Avenue, B41 to the JunctionBy Car:From ManhattanVia Brooklyn Bridge: Take the exit towards Bklyn-Qns Expy. [BQE] Merge onto Camden Plaza W/Old Fulton St. Turn left onto Vine St. Take the Interstate 278 W/BQE ramp. Merge onto I-278 W to exit 24 on the left for NY-27 E/Prospect Expy. Merge onto Prospect Expy. Continue onto Ocean Pkwy. Turn left on Foster Avenue. Turn right onto Nostrand Avenue. GoldStep ASC will be on your left on the corner of Nostrand Avenue and Farragut Road.Via Manhattan Bridge: Manhattan Bridge South becomes Flatbush Avenue. Keep going on Flatbush Avenue. Turn left to Farragut Road. GoldStep ASC will be on your left on the corner of Nostrand Avenue and Farragut Road.From Queens & Long IslandTake the Belt Parkway West towards Brooklyn to Exit 11N, Flatbush Avenue North. Take Flatbush Avenue to the Nostrand Avenue. Make slight right turn onto Nostrand Avenue and then right turn onto Farragut Road. GoldStep ASC will be on your left on the corner of Nostrand Avenue and Farragut Road. From Westchester & the BronxTake I-278 W toward Brooklyn/Staten Island to exit 24 on the left for NY-27 E/Prospect Expy. Merge onto Prospect Expy. Continue onto Ocean Pkwy. Turn left on Foster Avenue. Turn right onto Nostrand Avenue. GoldStep ASC will be on your left on the corner of Nostrand Avenue and Farragut Road.From Staten IslandTake I-278 E to the exit toward Belt Parkway E/Kennedy Airport. Merge onto Belt Pkwy to exit 11N, Flatbush Avenue North. Take Flatbush Avenue to the Nostrand Avenue. Make slight right turn onto Nostrand Avenue and then right turn onto Farragut Road. GoldStep ASC will be on your left on the corner of Nostrand Avenue and Farragut Road. ................
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