EFTA00033804

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: RN Unit: H01 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stats " My R hand still has pins and needles sometimes' No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: Qata Time Rate Per Minute j•ocation Rhythm Provider 07/28/2019 20:28 Respirations: Rate Time 07/28/2019 20:28 NYM Blood Pressure: Data lima Value 07/28/2019 20:28 NYM 81 RN Rate Per Minute, provider 14 RN iscation position Cuff Size Provider 157/91 RN SaO2: Dale lime Valuef%), ALE 07/28/2019 20:28 NYM 98 Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Generated 07/2812019 20:30 by RN Provider RN Bureau of Prisons - NYM Page 1 of 2 CONFIDENTIAL SDNY_00009398 EFTA00033804 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: RN Unit: H01 Follow-up in 12-24 Hours Patient Education Topics: Pate Initiated format Handout/Took 07/28/2019 Counseling Plan of Care Copay Required: No TelephoneNerbal Order: No Completed by RN on 07/28/2019 20:30 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Cosign Required: Yes Generated 07/28/2019 20:30 by RN Bureau of Prisons - NYM Provider Outcome Verbalizes Understanding Page 2 of 2 CONFIDENTIAL SDNY_00009399 EFTA00033805 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Dale: 07/28/2019 20:25 Provider: RN Facility: NYM Cosigned by MD on 07/28/2019 20:50. Bureau of Prisons • NYM CONFIDENTIAL SDNY_00009400 EFTA00033806 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: RN Unit: H01 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: I woke up and I had no control over my Right arm for a few minutes it was just doing what it wanted to do' Pain: No OBJECTIVE: Pulse: QM& Time Rate Per Minute j.ocatioo Rhythm provider 07/28/2019 06:57 82 RN Respirations: Qat lima Rate Per Minute Provider 07/28/2019 06:57 NYM 14 RN Blood Pressure: git~ Time Value Location Position Cuff Size Provider 07/28/2019 06:57 NYM 138/80 RN SaO2: Dais Time vaiueem Am 07/28/2019 06:57 NYM 98 Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Head General Yes: Symmetry of Motor Function, Atraumatic/Normocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes General Yes: PERRLA, Extraocular Movements Intact Provider Face General Yes: Symmetric Generaled 07/2/M2019 07:22 by RN Bureau of Prisons - NYM RN Page tol3 CONFIDENTIAL SDNY_00009401 EFTA00033807 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: RN Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R ROS Comments. Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently C/O Right arm numbness after waking up from "sleeping on my side" that has since subsided. inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Pate Initiated Format Handout/Tonic 07/28/2019 Counseling Plan of Care Generated 07728/2019 07:22 by RN Bureau of Prisons - NYM Outcome Verbalizes Understanding Page 2 of 3 CONFIDENTIAL SDNY_00009402 EFTA00033808 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: ilm lif i NHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: RN Unit: H01 pate Initiated Format Handout/Topic Provider Outcome Copay Required: No TelephoneNerbal Order: No Completed by RN on 07/28/2019 07:22 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Cosign Required: Yes Generated 07/28/2019 07:22 by Columbo Joseph RN Bureau of Prisons - NYM Page 3 of 3 CONFIDENTIAL SDNY_00009403 EFTA00033809 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: RN Facility: NYM Cosigned by MD on 07/28/2019 20:51. Bureau of Prisons • NYM CONFIDENTIAL SDNY_00009404 EFTA00033810 Copay Required: No TelephoneNerbal Order No Completed by Generated 0726/2019 08.58 by Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: 07/26/2019 08:57 1.101. Provider: MD Reg #: Facility: Unit: 76318-054 NYM H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: MD THE NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NI AGO. New Medication Orders: RisE Medication Docusate Sodium Capsule Indication: Constipation, unspecified Cosign Required: No MD on 07/26/2019 08:58 Order Date 07/26/2019 08:57 MD Bureau of Prisons - NYM Prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Page 1 of 1 CONFIDENTIAL SDNY_00009405 EFTA00033811 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: Facility: NYM Note Date: 07/24/2019 16:10 Provider: MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: MD THE NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No v Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin. Robe 24/2019 16:12 Generated 0712412019 16'12 by MD Bureau of Prisons NMI Pogo 1 of I CONFIDENTIAL SDNY_00009406 EFTA00033812 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Note Date: 07/24/2019 16:10 Provider: N .M. MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: MD THE IM NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Robe Generated 07/242019 16.12 by Cosign Required: No 61 24/2019 16:12 MD Bureau of Prisons • NYM Pagel°, 1 CONFIDENTIAL SONY 00009407 EFTA00033813 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 08:57 Facility: NYM Amendment made to this note by MD on 07/26/2019 08:58. SUMO or Prisons - NYM CONFIDENTIAL SDNY_00009408 EFTA00033814 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Provider: 1 m M. fro Facility: NYM Note Date: 07/24/2019 15:10 H01 Unit: Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: MD PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED. Copay Required: No TelephoneNerbal Order: No Completed by Generated 07/24201915:17 by Cosign Required: No MD on 07/24/2019 15:17 MD Bureau of Prisons • NYM Page 1 of 1 CONFIDENTIAL SDNY_00009409 EFTA00033815 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider: Unit: H01 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Other Problem Subjective: I still do not want to talk about. But, between you and me. I think my room mate had to do with what happened to me. Do not ask me. I am not going to say anything. Pain: No OBJECTIVE: Temperature: Data Time Fahrenheit Celsius Location Provider 07/24/2019 13:12 NYM 97.8 36.6 Oral Pulse: Daft Lima Rate Per Minute Location Rhythm Provider 07/24/2019 13:12 83 Via Machine Regular Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular SaO2: Date Time Valuer%1 Air Provider 07/24/2019 13:12 NYM 96 Room Air Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Exam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient does not complaint of any respiratory problem or distress. He still does not want to explain how the skin injury on his neck happed. he insinuates that injuries on his neck have to do with his room mate. But does not want to talk about it. ASSESSMENT: Injury, unspecified, T1490 - Current PLAN: Disposition: Generated 07/24/2019 13:24 by Bureau of Prisons - NYM Page 1 of 2 CONFIDENTIAL SDNY_00009410 EFTA00033816 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/24/2019 13:08 Provider: Reg #: 76318-054 Facility: NYM Unit: H01 Follow-up at Sick Call as Needed Patient Education Topics: Pate Initiated format 07/24/2019 Counseling 07/24/2019 Counseling Copay Required:No TelephoneNerbal Order: No Completed by on 07/24/2019 13:24 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Handout/Topic Access to Care Preventive Health Cosign Required: Yes Generated 07/24/2019 13:24 by Bureau of Prisons • NYM Provider Outcome Verbalizes Understanding Verbalizes Understanding Page 2 of 2 CONFIDENTIAL SDNY_0000941 EFTA00033817 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/24/2019 13:08 Provider: • Reg #: 76318-054 Race: WHITE Facility: NYM Cosigned with New Encounter Note by MD on 07/24/2019 16:10. Bureau of Prisons - NYM CONFIDENTIAL SDNY_00009412 EFTA00033818 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): 'I do not know. Just went to drink a little water and wake up snorting'. Symptoms (as reported by inmate): None OBJECTIVE: Temperature: D.BIt Time Fahrenheit Celsius Location provider 07/23/2019 06:30 NYM 97.5 36.4 Oral Pulse: Pitt Time Rate Per Minutq Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular Respirations: Data Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 Blood Pressure: Data Time Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular SaO2: Drift it Valuer/01 Air Provider 07/23/2019 06:30 NYM 96 Room Air Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09.05 by • • • bureau of Prisons • NYM Page 1 of 2 CONFIDENTIAL SDNY_00009413 EFTA00033819 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: MDa: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhombi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Tooic 07/23/2019 Counseling Access to Care 07/23/2019 Counseling Plan of Care Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by . on 07/23/2019 09:05 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by IMM. Outcome Verbalizes Understanding Verbalizes Understanding Bureau of Prisons - NYM Page 2 of 2 CONFIDENTIAL SDNY_00009414 EFTA00033820 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/23/2019 06:20 Provider. Facility: NYM Cosigned by MD on 07/23/2019 15:44. Bumau of Prisons - NYM CONFIDENTIAL SDNY_00009415 EFTA00033821 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/14/2019 17:36 Provider: M Race: WHITE Reg #: 76318-054 Facility: NYM MD Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , NOW 431. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Generals 07/14/201918:11 by MD Bureau of Prisons - NYM Page 1 of 3 CONFIDENTIAL SDNY_00009416 EFTA00033822 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/14/2019 17:36 Provider: M Race: WHITE Reg #: 76318-054 Facility: NYM MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: mt Medication Omega 3 ( Vascepa) 1 GM Capsule Order Date 07/14/2019 17:36 Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: Generated 07/14/2019 18:11 by MD Bureau of Prisons - NYM Prescriber Order TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) — TAKE WITH FOOD. rilictPata Priority 10/10/2019 00:00 Routine Page 2 of 3 CONFIDENTIAL SDNY_00009417 EFTA00033823 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/14/2019 17:36 Provider: M Race: WHITE Reg #: 76318-054 Facility: NYM MD Unit: Z05 Chronic Care Visit 6 MONTH F/U. Chronic Care Visit Other: PENDING EKG AND FOBT. CXR WAS REFUSED. FASTING. Lab Tests-H-Hep B surface Ab One Time Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: Activity Date Scheduled Clinical Encounter 07/24/2019 00:00 66 YR OLD MALE FOR ROUTINE SCREENING. 01/07/2020 00:00 07/01/2020 00:00 Patient Education Topics: Pate Initiated Format Handout/Tonic 07/14/2019 Counseling Diagnosis Copay Required:No TelephoneNerbal Order: No Completed by Generated 07114/2019 18:11 by Cosign Required: No MD on 07/14/2019 18:11 MD Bureau of Prisons NYM 08/08/2019 00:00 Routine Scheduled Provider Optometrist Mid-Level Provider Physician 01 Outcome Verbalizes Understanding Page 3 of 3 CONFIDENTIAL SDNY_00009418 EFTA00033824