Steven A. Fisher, MD Board Certified in Internal Medicine Dr. Fisher is board certified in Internal Medicine. He has been in practice since 1988. Dr. Fisher received his M.D. from Mount Sinai School of Medicine in New York. His Residency/Fellowship was at Albert Einstein College of Medicine in New York.
Frank Spano, MD Board Certified in Internal Medicine Dr. Spano is board certified in Internal Medicine. He has been in practice since 1987. Dr. Spano received his M.D. from Albert Einstein College of Medicine in New York. His Residency/Fellowship was at Albert Einstein/Jacobi Hospital in the Bronx, NY.
Glenn M. Rich, M.D. Board Certified in Endocrinology & Board Certified in Internal Medicine
Dr. Rich is board certified in Internal Medicine and Endocrinology. He has been in practice since 1990. Dr. Rich received his M.D. from Cornell University Medical College in New York. His Residency/Fellowship was at St. Luke's Hospital in New York and Brigham & Women's Hospital in Massachusetts. Dr. Rich has been recognized by the American Diabetes Association/National Committee for Quality Assurance Provider Recognition Program for the provision of quality diabetes care.
Renee Alfano-Kostenko, M.D. Board Certified in Internal Medicine Dr. Alfano-Kostenko is board certified in Internal Medicine. She received her M.D. from St. George's University School of Medicine in Grenada, West Indies. Dr. Alfano-Kostenko's residency was with the Primary Care Internal Medicine Residency Program at the University of Connecticut Health Center in Farmington, CT and she has a special interest in diabetes mellitus with experience at the Joslin Diabetes Center at New Britain General Hospital.
Shyla D. Muriel, M.D. Board Certified in Internal Medicine Dr. Muriel is board certified in Internal Medicine. She began practice in 2001. Dr. Muriel received her M.D. from Bangalore Medical College. Her Residency was at Norwalk Hospital. Dr. Muriel ranked in the top 10% when she took the exam for Board Certification in Internal Medicine and she received the Outstanding Resident Award from Norwalk Community Health Center Staff.
Michael A. Cassetta, D.O. Board Certified in Rheumatology & Board Certified in Internal Medicine
Dr. Cassetta is Board Certified in Internal Medicine and Board Certified in Rheumatology. He joined our practice in July of 2004. Dr Cassetta received his Bachelor of Arts degree from the University of Notre Dame and received his D.O. (Doctor of Osteopathic Medicine) from Kansas City University of Medicine and Biosciences formerly know as the University of Health Sciences College of Osteopathic Medicine. His Residency in Internal Medicine was at St. Barnabas Hospital, which is affiliated with the College of Osteopathic Medicine/New York Institute of Technology/New York Hospital/Cornell Medical Center in the Bronx, NY. Dr. Cassetta's Fellowship in Rheumatology was at The Mount Sinai Medical Center in New York, NY.
Rheumatology is a subspecialty of medicine that focuses on the diagnosis and treatment of Musculoskeletal and Connective Tissue Diseases. The rheumatic diseases encompass a wide range of disorders that share the involvement of joints and periarticular tissues. Musculoskeletal disorders can range from local trauma such as tendonitis and infections to chronic destructive processes such as osteoarthritis and gout to chronic inflammatory diseases like the spondyloarthropathies and rheumatoid arthritis. Rheumatologists are also trained to treat chronic pain syndromes such as fibromyalgia and bone diseases such as osteoporosis. Connective tissue diseases encompass the broad spectrum of systemic auto-immune diseases that includes lupus and its related disorders, scleroderma, the inflammatory myosities and the systemic vasculitidies.
Rheumatologists are adept at distinguishing localized processes from systemic processes, executing logical diagnostic procedures and counseling patients on appropriate treatment courses that range from physical therapy and local injections to the use of anti-inflammatory and immune modulating agents.
Stephanie F. Merck, APRN Internal Medicine & Diabetes Management Mrs. Merck received a Diploma in Nursing from York Hospital School of Nursing and her Bachelors of Science in Nursing from the University of Southern Maine in 1988. She received a Masters of Science in Nursing from the University of Maryland in 1990. Mrs. Merck is certified by the University of Connecticut as an Acute Care Nurse Practitioner. She is nationally certified as a Critical Care Nurse, a Clinical Specialist in Medical / Surgical Nursing and as an Acute Care Nurse Practitioner. Mrs. Merck is also a Certified Diabetic Educator and is certified in Advanced Diabetes Management.
