Optimization and Complications of Parenteral Nutrition in Preterm Infants (T33)

Breakout

Date & Time:

March 25, 2025

12:00 PM – 1:30 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-066-L99-P

Course level:

Intermediate

Pediatric Content

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Describe initiation, advancement, and goals of parenteral nutrition for preterm infants with attention to addressing the challenges of neonatal refeeding syndrome. 
  • Optimize calcium and phosphorus provision in parenteral nutrition to prevent metabolic bone disease. 
  • Illustrate the challenges of maximizing calcium and phosphorus provision given the limitations of neonatal parenteral nutrition formulations. 
  • Discuss the advantages and disadvantages of the various lipid injectable emulsion formulations utilized in the preterm population. 

Topics & Presenters

Optimizing Early Parenteral Nutrition in Preterm Infants: Achieving Goals and Safeguarding Against Neonatal Refeeding Syndrome

Stephanie Merlino Barr
PhD, RDN, LD

Neonatal Dietitian

Neonatal Intensive Care Unit, MetroHealth

Cleveland, OH

Optimizing Bone Mineral Provision in Parenteral Nutrition Strategies for Preventing Metabolic Bone Disease in Preterm Infants

Andy Calabria
MD

Pediatric Endocrinologist and Clinical Director

Division of Endocrinology and Diabetes, Children’s Hospital of Philadelphia

Philadelphia, PA

Optimizing Parenteral Nutrition for Preterm Infants: Challenges of Calcium, Phosphorus, and Lipid Injectable Emulsion Provision

M. Petrea Cober
PharmD, BCNSP, BCPPS, FASPEN

Professor of Pharmacy Practice

Northeast Ohio Medical University, College of Pharmacy

Director of Professional Development

Office of Education, Northeast Ohio Medical University, College of Pharmacy

Rootstown, OH

Moderators:

Sabrina Bierman

MS, RD, CNSC

Pediatric Dietitian, Clinical Nutrition

Rady Children's Hospital

San Diego, CA

Parenteral Nutrition Delivery Across the Patient Care Spectrum (T32)

Breakout

Date & Time:

March 25, 2025

12:00 PM – 1:30 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-065-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Identify key considerations of prescribing parenteral nutrition (PN) in various practice settings, including critical care, general inpatient care, and home care. 
  • Demonstrate strategies to reduce PN errors during transitions of care between practice settings. 
  • Illustrate the importance of an interprofessional approach to prescribing and monitoring PN in various practice settings. 

Topics & Presenters

Nutrition on the Move: Considerations for Parenteral Nutrition During ICU Transitions

Rina Patel
PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist - Critical Care / Nutrition Support

The University of Texas MD Anderson Cancer Center

Sugar Land, TX

Transitioning Home With Parenteral Nutrition

Anne Ammons
RD, LDN, CNSC

Registered Dietitian

Option Care Health

Nashville, TN

Home Parenteral Nutrition: Monitoring, Complications and Multi-Team Collaboration

Lisa Kinder
RD, CNSC

Clinical Program Manager

Optum Infusion Pharmacy

Huntington Beach, CA

Moderators:

David Seres

MD, ScM, PNS, FASPEN

Professor of Medicine

Institute of Human Nutrition, Columbia University Irving Medical Center

Director of Medical Nutrition and Associate Clinical Ethicist

Columbia University Irving Medical Center

New York, NY

An Administrative Perspective on Malnutrition: Benefits on Outcomes, Reimbursement, and Quality Metrics (T31)

Breakout

Date & Time:

March 25, 2025

12:00 PM – 1:30 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-064-L04-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Recall the impact of malnutrition on patient care outcomes and the value of nutrition interventions in mitigating adverse events. 
  • Describe best practices for nutrition diagnosis and documentation and how they relate to the capture of improved hospital reimbursement and financial performance. 
  • Explain the Global Malnutrition Composite Score and discuss its implementation at an acute care facility. 

Topics & Presenters

The Impact of Malnutrition and the Value of Nutrition Interventions

Peggi Guenter
PhD, RN, FASPEN, FAAN

Special Projects Consultant

American Society for Parenteral and Enteral Nutrition

Silver Spring, MD

The Impact of Malnutrition Diagnosis and Documentation

Maureen Janowski
RDN, CSG, LD, FAND

Corporate Director, Malnutrition

Morrison Healthcare

Palatine, IL

Implementation of the Global Malnutrition Composite Score

Ken Nepple
MD, FACS

Clinical Professor

Department of Urology, University of Iowa Hospitals and Clinics

Associate Chief Health Information Officer and Physician Value Officer

University of Iowa Hospitals and Clinics

Iowa City, IA

Moderators:

Michelle Brown

MS, RD, LDN, CNSC

Assistant Director of Clinical Nutrition

UF Health

Gainesville, FL

Are All Feeding Problems ARFID? (T30)

Breakout

Date & Time:

March 25, 2025

12:00 PM – 1:30 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-063-L99-P

Course level:

Intermediate

Pediatric Content

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Describe feeding difficulties and interventions in children with intestinal failure. 
  • Explain the risks and nutrition consequences associated with elimination diets for children with eosinophilic esophagitis. 
  • Identify the factors that contribute to feeding disorders in children. 

Topics & Presenters

Pediatric Intestinal Failure Associated Feeding Disorder

Dana Boctor
MSc, MD, FRCP©

Medical Director, Children’s Intestinal Rehabilitation Program

Alberta Children’s Hospital

Clinical Associate Professor

Cumming School of Medicine, University of Calgary

Calgary, AB Canada

Nutrition Therapies for Pediatric Eosinophilic Esophagitis

Rajitha Venkatesh
MD, MPH, FAAP

Co-Director of the Eosinophilic GI Disorders Program

Nationwide Children’s Hospital

Assistant Professor of Clinical Pediatrics

The Ohio State University College of Medicine

Columbus, OH

Diagnosing Feeding Challenges in Children

Rashelle Berry
MPH, MS, RDN, LD

Nutritionist 3, Children's Multidisciplinary Feeding Program

Children’s Healthcare of Atlanta

Atlanta, GA

Moderators:

Molly Dienhart

MD

Medical Director, Center for Intestinal Rehabilitation and Nutrition Support and Medical Director, Nutrition Support Service

Division of Gastroenterology, Hepatology and Nutrition, Nationwide Children’s Hospital

Assistant Professor of Clinical Pediatrics

The Ohio State University College of Medicine

Columbus, OH

Nutrition and Metabolism Research Paper Session: Parenteral Nutrition Therapy (SU30)

Paper Session

Date & Time:

March 23, 2025

2:00 PM – 3:30 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-032-L99-P

Course level:

Advanced

session objectives:

What You'll Learn

DESCRIPTION

Today’s medical environment demands evidence-based practice, replicable results, and improved patient outcomes. Our abstract authors conduct research to help meet these challenges and provide breakthroughs in our knowledge and in our patient care. These sessions are dedicated to presentations of high-ranking abstracts. The abstracts will be presented by topic, so you can explore cutting-edge research on issues that interest you. The abstracts will also be published in the Journal of Parenteral and Enteral Nutrition (JPEN), making them part of the body of evidence available to guide your clinical care.

 

Topics & Presenters

AI-Driven Precision Total Parenteral Nutrition

Nima Aghaeepour
PhD

Associate Professor

Stanford University

Stanford, CA

Glepaglutide Increases Intestinal Absorption and Reduces the Need for Parenteral Support in Short Bowel Syndrome Patients: Results From the EASE SBS-4 Phase 3b Trial

Palle Bekker Jeppesen
MD, PhD

Associate and Clinical Professor

Department of Intestinal Failure and Liver Diseases, Rigshospitalet

Copenhagen, Denmark Hovedstaden

Intestinal Microbiota Transplantation Mitigates Gut Atrophy and Hepatic Cholestasis During Parenteral Nutrition

Shaurya Mehta
BS

Research Assistant

Saint Louis University

St. Louis, MO

THRIVE-1: A Multi-center, Cross-sectional, Observational Study to Assess the Prevalence of Choline Deficiency in Patients Dependent on Parenteral Support

Dejan Micic
MD

Associate Professor of Medicine

Section of Gastroenterology, Hepatology, and Nutrition, University of Chicago Medicine

Chicago, IL

Guideline-Based Fixed-In-Ratio Dosing of Calcium:Phosphorus in TPN to Optimize Neonatal Bone Mineralization is Associated With an Increased Risk of Perinatal Hypophosphatemia in VLBW Infants

Nasiha Rahim
MS, DO

Fellow

University of Chicago

Chicago, IL

Intestinal Fungi Contribute to Development of Parenteral Nutrition Associated Liver Disease

Xinying Wang

Professor

Department of General Surgery, Jinling Hospital, Medical School of Nanjing University

Nanjing, Jiangsu China (People's Republic)

Moderators:

Mark Klang

MS, RPh, BCNSP, PhD , FASPEN

Program Manager, Research Pharmacy

Memorial Sloan Kettering Cancer Center

New York, NY

Andrew Ukleja

MD, AGAF, CNSP

Director, Center of Human Nutrition

Department Gastroenterology, Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Blvd

Weston , FL

Pediatric Skills Lab (SU36)

Skills Lab

Date & Time:

March 23, 2025

1:30 PM – 3:30 PM ET

Format:

In Person

CE Credits:

2 Hours

UAN: JA0002345-0000-25-031-L99-P

Course level:

Basic/Intermediate

Pediatric Content

session objectives:

What You'll Learn

DESCRIPTION

This hands-on and interactive session addresses knowledge gaps for individuals who wish to delve deeper into challenges associated with pediatric nutrition support. Building on foundational knowledge, speakers will present information that provides the scaffolding to expand expertise through the discussion of complex clinical situations. Participants can move among stations covering a variety of topics that will help them create individualized nutrition support plans in challenging circumstances.

LEARNING OBJECTIVES

  • Prescribe parenteral nutrition (PN) for neonates in the face of clinical challenges of complex patients in the NICU.
  • Discuss the indications for pediatric enteral formulas in complex clinical scenarios, the transition process, and strategies for shortage management.
  • Summarize the characteristics, features, preparation, and possibility for contamination for human milk fortification and commercial high-calorie pediatric enteral formulas.
  • Manage fluids, electrolytes, and nutritional needs in neonates.
  • Identify central venous access devices (CVADs) commonly used with PN in pediatric patients.
  • Identify enteral access devices (EADs) commonly used with enteral nutrition (EN) in pediatric patients.
  • Identify common gastrostomy site skin complications and develop management strategies based on clinical evaluation.
  • List the components of a nutrition focused physical exam (NFPE).
  • Discuss the safety of the clinical practice of nutrition support prescribing, particularly during transitions of care, and ensure nutrition support ordering practices meet all federal, state, and local standards.
  • Describe the interpretation of micronutrient monitoring with an emphasis on dosing for treatment and prevention of deficiencies.
  • Evaluate muscle status changes in response to nutritional therapy utilizing point of care ultrasound (POCUS) in NFPE.
  • Explain the advantages and challenges of the implementation of small-bore connectors to prevent enteral misconnections.
  • Summarize the concepts of intestinal rehabilitation and the various methods used to facilitate reaching intestinal autonomy.

 

Topics & Presenters

Pediatric Enteral Nutrition: Choosing and Managing Appropriate Devices

Ruba Abdelhadi
MD, CPNS, CNSC, NASPGHAN-F

Professor of Pediatrics

University of Missouri-Kansas City School of Medicine

Director of Nutrition Support

Children's Mercy Kansas City

Kansas City, MO

Pediatric Enteral Nutrition: Choosing and Managing Appropriate Devices

Richard J. Hendrickson
MD, FACS, FAAP

Professor of Surgery

University of Missouri-Kansas City School of Medicine

Surgical Director, Small Intestine Rehabilitation; Surgical Director, Prenatal Consultation

Department of General and Thoracic Surgery, Children's Mercy Kansas City

Kansas City, MO

Neonatal Nutrition Challenges and Parenteral Nutrition Order Writing in the Face of Clinical Challenges

Teresa Puthoff
PharmD, BCNSP

Advanced Patient Care Pharmacist

Neonatal Intensive Care Unit, Nationwide Children’s Hospital

Columbus, OH

Pediatric Enteral Formulas: Not All Formulas Are Created Equal – Choosing Wisely in the Face of Medical Complexity

Elizabeth Bobo
MS, RD, LDN, CNSC

Clinical Dietitian Lead

Nemours Children’s Health

Jacksonville, FL

Choices in the Face of Challenges: Human Milk, Formulas, and Higher Calorie Preparations

Irmalis Flores Gonzalez
RD, LD, MS

Registered Dietitian

Division of Nutrition Therapy, Cincinnati Children’s Hospital Medical Center

Cincinnati, OH

Choices in the Face of Challenges: Human Milk, Formulas, and Higher Calorie Preparations

Anna Busenburg
RD, LD, CSP, CLC

Nutrition Affairs Manager

American Dairy Association Mideast

Columbus, OH

Fluid, Electrolyte, and Nutrition Challenges in the First Week of Life and Neonatal Period: Integrating the Neonatal Malnutrition Guidelines Into Clinical Practice

Jacqueline Wessel
MEd, RDN, CNSC, CSP, CLE

Neonatal Surgical Nutritionist

Cincinnati Children’s Hospital Medical Center

Cincinnati, OH

Central Venous Access Devices and Troubleshooting Recurrent Line Infections

Patrice Czerkawski
RN, BSN

Clinical Nursing Coordinator

Intestinal Rehab Program, Children's Mercy Kansas City

Kansas City, MO

Gastrostomy Site Problems: Solving Clinical Challenges in Skin Management

Melissa Naugle
RN, BSN

Clinical Nurse Coordinator

Enteral Access Team, Children's Mercy Kansas City

Kansas City, MO

Nutrition Focused Physical Examination

Sirine Belaid
MBBS, MPH, Med

Pediatric Gastroenterologist

Division of Gastroenterology, Hepatology, and Nutrition, Children’s Hospital of Pittsburgh

Pittsburgh, PA

Nutrition Focused Physical Examination

Meera Al-Rajabi

High School Student Volunteer

The Barstow School

Kansas City, MO

The Transcription of the Infusion Pharmacy Label to an Inpatient Pediatric Parenteral Nutrition Ordering System

Brandi Weller
PharmD, BCNSP

Clinical Pharmacy Specialist

Children's Mercy Kansas City

Kansas City, MO

The Interpretation of Micronutrient Levels, Monitoring, Dosing, and Prevention of Deficiency

Michele Spurlock
RD

Clinical Dietitian

Pediatric Critical Care, Children's Hospital of the King's Daughters

Norfolk, VA

The Use of Point of Care Ultrasound (POCUS) in Nutrition Focused Physical Examination

Corey Hawes
DCN, RD, CNSC, CSO, LD

Pediatric Hematology/Oncology Dietitian

DanceBlue Pediatric Hematology/Oncology, Kentucky Children’s Hospital

Clinical Assistant Professor

The University of Texas Rio Grande Valley

Lexington, KY

Small-Bore Connectors: The Benefits, Indication, Design, Successful Transition, and Implementation

Ben Davis

Executive Director

Global Enteral Device Supplier Association (GEDSA)

Woodstock, GA

Small-Bore Connectors: The Benefits, Indication, Design, Successful Transition, and Implementation

Beth Lyman
MSN, RN, CNSC, FASPEN, FAAN

Nutrition Support Nurse Consultant

Private Practice

Kansas City, MO

Small-Bore Connectors: The Benefits, Indication, Design, Successful Transition, and Implementation

Molly Yeselson

Patient Advocate; ENFit Clinical Advisory Board Member

Global Enteral Device Supplier Association (GEDSA)

Washington, DC

The Art of Intestinal Rehabilitation: Dotting the I’s and Crossing the T’s During the Journey to Enteral Autonomy

Vikram Raghu
MD, MS

Assistant Professor of Pediatrics

Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh School of Medicine

Pediatric Gastroenterologist and Transplant Hepatologist

UPMC Children's Hospital of Pittsburgh

Pittsburgh, PA

Moderators:

Ruba Abdelhadi

MD, CPNS, CNSC, NASPGHAN-F

Professor of Pediatrics

University of Missouri-Kansas City School of Medicine

Director of Nutrition Support

Children's Mercy Kansas City

Kansas City, MO

Nutrition Hurdles: Overcoming Challenging Scenarios in Oncology Patients (T24)

Breakout

Date & Time:

March 25, 2025

9:45 AM – 11:15 AM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-062-L01-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • List strategies to aid in the provision of nutrients in oncology patients with gastric outlet and bowel obstructions. 
  • Formulate a strategy for developing nutrition plans for patients with venting gastrostomies or high output stomas. 
  • Discuss the role of pharmacologic agents or appetite stimulants in cancer patients. 

Topics & Presenters

Feeding Through the Obstacles: Strategies for Nutrition Support in Patients With Gastrointestinal Obstructions

Pankaj Vashi
MD, AGAF, FASPEN

Vice Chief of Staff

City of Hope Chicago

Medical Director of Gastroenterology/Nutrition and Metabolic Support

City of Hope Chicago

Zion, IL

Output Optimized: Addressing Nutritional Challenges With Venting Gastrostomies and High Output Stomas

Federika Garcia Muchacho
MS, RDN, LDN, CNSC

Clinical Nutrition Manager

Sylvester Comprehensive Cancer Center

Miami, Florida

Reviving Hunger: The Role of Appetite Stimulants in Cancer Patients

Anne Tucker
PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist – Critical Care / Nutrition Support

The University of Texas MD Anderson Cancer Center

Houston, TX

Moderators:

Rina Patel

PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist - Critical Care / Nutrition Support

The University of Texas MD Anderson Cancer Center

Sugar Land, TX

Enteral Enigmas: Navigating Common Feeding Tube Challenges and Complications (SU25)

Breakout

Date & Time:

March 23, 2025

10:30 AM – 12:00 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-029-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES

  • Identify medications commonly responsible for feeding tube occlusion and describe possible solutions.
  • Describe complications associated with feeding tube replacement through the nose and abdominal wall and evaluate current practices.
  • Identify and explain the causes for feeding tube occlusions and compare current standards and commercially available resources for restoring tube patency.

 

Topics & Presenters

Tube Occlusions Due to Medications: A Pharmacist’s Perspective

Mark Klang
MS, RPh, BCNSP, PhD , FASPEN

Program Manager, Research Pharmacy

Memorial Sloan Kettering Cancer Center

New York, NY

Providing Safe Passage: Understanding and Mitigating the Risks of Feeding Tube Placement

Shirley Paski
MD, MSc, FRCPC, CNSC

Gastroenterologist

Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic

Cleveland, OH

Clearing the Way: Managing Feeding Tube Clogs to Restore Enteral Nutrition Delivery

Jesse James
MS, RDN, CNSC

Registered Dietitian

Williamson Medical Center

Franklin, TN

Moderators:

D. Dante Yeh

MD, MHPE, FACS, FCCM, FASPEN, CNSC

Chief of Emergency General Surgery

Denver Health

Professor of Surgery

Denver Health

Denver, CO

Improving Nutrition Interventions in the Critical Care Setting: A Team-Based Approach (SU24)

Breakout

Date & Time:

March 23, 2025

10:30 AM – 12:30 PM ET

Format:

In Person & Virtual

CE Credits:

2 Hours

UAN: JA0002345-0000-25-030-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES

  • Choose appropriate critically ill patients for enteral nutrition during hemodynamic instability.
  • List the indications for and provision of parenteral nutrition in critically ill patients.
  • Discuss medications commonly used in critically ill patients and their effects on glycemic control, lean body mass loss, and gastrointestinal perfusion.
  • Compare and contrast the effects of high versus lower protein delivery in the ICU and longer-term functional outcomes.
  • Differentiate the pathophysiology and neurologic consequences of hyperammonemia in liver failure and severe malnutrition.
  • Develop a concept of personalized nutrition support in critically ill patients as it relates to calories, protein, insulin, and concomitant medications.

 

Topics & Presenters

Case #1: Enteral Nutrition During Hemodynamic Instability

Anne Tucker
PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist – Critical Care / Nutrition Support

The University of Texas MD Anderson Cancer Center

Houston, TX

Case #2: Parenteral Nutrition Considerations and Use in a Critically Ill Patient

Lauren Probstfeld
MS, RD, CNSC

Clinical Dietitian, Medical Intensive Care Unit

Michael E. DeBakey VA Medical Center

Houston, TX

Case #3: High Versus Lower Protein Delivery in the ICU and Longer-Term Functional Outcomes

Todd Rice
MD, MSc, FASPEN

Professor of Medicine

Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center

Nashville, TN

Case #4: Hyperammonemia in the Critically Ill Adult Patient

Prem Kandiah
MD

Associate Professor of Neurology

Emory University Hospital

Atlanta, GA

Moderators:

Stephanie Dobak

MS, RD, LDN, CNSC

Clinical Dietitian III

Jefferson Weinberg ALS Center

Philadelphia, PA

GLP-2 Use: From Data to Real Life Management of Patients With Intestinal Failure (SU23)

Breakout

Date & Time:

March 23, 2025

10:30 AM – 12:00 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-028-L01-P

Course level:

Intermediate/Advanced

Pediatric Content

session objectives:

What You'll Learn

LEARNING OBJECTIVES

  • Identify the indications for glucagon-like peptide-2 (GLP-2) use in intestinal failure.
  • Evaluate data on GLP-2 to guide evidence-based decision making in clinical practice.
  • Develop strategies for weaning parenteral nutrition (PN) and advancing oral and enteral nutrition.
  • Enhance understanding of the real-world impact of GLP-2 therapy.

 

Topics & Presenters

GLP-2 Therapies: Effectiveness and Safety

David Mercer
MD, PhD, FRCS(C), FACS

Director of the Intestinal Rehabilitation Program

University of Nebraska Medical Center

Professor of Surgery

Division of Transplant Surgery, University of Nebraska Medical Center

Omaha, NE

From Clinical Trials to Clinical Practice: Real-World Impact of GLP-2 Therapy

Sivan Kinberg
MD

Director, Pediatric Intestinal Rehabilitation Center

Columbia University Irving Medical Center

Assistant Professor of Pediatrics

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Columbia University Irving Medical Center

New York, NY

Practical Strategies for Weaning Parenteral Nutrition and Advancing Oral and Enteral Nutrition

Christine Hoyer
MS, RD, CSP, CDN, CNSC

Pediatric Nutrition Support Dietitian

NewYork-Presbyterian Morgan Stanley Children’s Hospital

New York, NY

Moderators:

Sivan Kinberg

MD

Director, Pediatric Intestinal Rehabilitation Center

Columbia University Irving Medical Center

Assistant Professor of Pediatrics

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Columbia University Irving Medical Center

New York, NY