EFTA Document EFTA02047144

To: From: Sent: Tue 7/19/2016 1:46:14 PM Subject: Re: Office of Dr. Ash Tewari excellent! Will do! thanks so very much for your help On Jul 19, 2016 at 9:35 AM, Antonucci, Amanda wrote: Hello Lesley, Mr. Epstein is scheduled for Monday, July 25th at 2:15pm. Our address is 625 Madison Avenue, 2' floor between 58th and 59th street. Please kindly have the attached forms completed and returned to me via email or fax in advance of the appointment. Please let me know if you have any questions. Best, Amanda Amanda Antonucci, RN Office of Ash Tewari, MBBS, MCh Chairman, Department of Urology Professor of Urology Icahn School of Medicine at Mount Sinai Clinical Office 625 Madison Avenue, 2n0 Floor New York, Telephone: I F: CONFIDENTIALITY NOTICE: This e-mall fox and Its attachments may contain PRIVILEGED and CONFIDENTIAL INFORMATION and/or PROTECTED PATIENT HEALTH INFORMATION intended solely for the use of Mount Sinai Medical Center and the recipient(s) named above. If you are not the intended recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this e-mail message and/or any attachments is strictly prohibited. If you have received this transmission In error, please notify the sender immediately and permanently delete this e-mail (shred the document) and any attachments. <Registration Forms 2016.pdf> EFTA_R1_00582490 EFTA02047144