Hudson Valley Internal Medicine & Geriatrics - Friendly, personalized care for your whole family
Office Staff
Noseline Metelus provides laser skin care. Noseline Metellus MA
Senior Laser Technologist

A certified medical technologist and phlebotomist, Noseline’s gentle manner and helpful spirit are an invaluable addition to the main office staff.
Originally from Haiti, Noseline speaks fluent English, French and Spanish. Multi-talented, Noseline additionally works as a model.
Always learning and growing, Noseline has focused on honing her clinical skills in patient care.

As the senior laser technologist for our Hudson Face program, Noseline has unparalleled expertise with both superficial and ablative lasers. In conjunction with Dr Pousada, Noseline develops an individualized plan for skin treatments of all kinds, from a broad range of laser technologies to the use of cosmetic Botox and pain-free Restylane dermal fillers.

Shirly Chang RN
Nurse Manager

Born in Argentina, Shirly moved with to the United States with her Korean parents as a young girl. She attended Las Vegas University, where she obtained her BS in Nursing. 

As a registered nurse, Shirly brings a special blend of talents to our staff, with her enthusiastic ability to back up virtually every other staff member while retaining her own unique niche. Fluent in Korean with excellent conversational Spanish, Shirly brings a broad range of skills to her position. 

The consummate multi-tasker, Shirly handles our computer programs with ease, triages and examines patients prior to their being seen by a physician, and provides a wide variety of hands-on services, from phlebotomy to immunizations and wound care.

GEDC1287Rosanna MacKenzie
Medical Receptionist  

Born in Peru, Rosanna MacKenzie has worked in health care and customer services in the United States for over 20 years. 

A long time resident of Putnam Valley, Rosanna worked at Phelps Memorial Hospital in Sleepy Hollow for over twelve years prior to joining HVIMG in 2011. Her extensive background in Human Resources as well as customer services allows Rosanna to be the calm, efficient and competent manager of our busy front desk and constantly ringing telephone lines. 

Completely bilingual, Rosanna blends the best qualities of her two cultures and is uniquely able to assist patients of all ages and ethnic backgrounds with questions of all sorts. A natural problem-solver, Rosanna is efficient, organized and reliable. Her personable and cheerful manner have made her a favorite among both the staff and patients of HVIMG.

Carrie McCauley
Senior Medical Biller

carrieCarrie McCauley began working at Hudson Valley Internal Medicine and Geriatrics as our senior medical biller in 2011. Originally trained as a medical biller, Carrie spent several years intensively learning and teaching other how to use eClinicalWorks, one of the country's leading electronic medical record programs. 

Carrie is the primary coordinator of all HVIMG billing as well as the interface person between our electronic health record system, eClinicalWorks, and our patients and staff.  Carrie is highly proficient in all levels of health care insurance billing and planning. She is an invaluable source of advice to patients and practitioners alike. 

A resident of Fishkill, Carrie attended , followed by the Sanford Brown Institute. Well-known and well-liked in our town, Carrie has been of assistance to many community members in search of better health care. 

Nieves Pousada Nieves M. Pousada MA
Office Manager
Maria Nieves Mejuto (Mary Mejuto)  initially began her career as a classical pianist attending the Eastman School of Music in Rochester. However, following her marriage to Manuel Pousada, Nieves turned to teaching music.
Born in the province of Galicia in Spain, Nieves used her fluency in Spanish to become a teacher's aide in the Peekskill school district of Westchester county, where she taught English as a Second Language (ESL)  to immigrants.
Gradually continuing her own education while raising three children and working full-time, Nieves attended the University of Vermont, attained her Masters in Education and completed their PhD program in ESL with all but dissertation.
Nieves worked for 36 years as an ESL teacher in the Peekskill public schools. She supplemented teaching of young immigrants of all cultural backgrounds with teaching Master's level classes to adult students as an adjunct professor of ESL at Mercy College. She retired in 2005.
Never one to sit still, in 2006 Nieves took on a new challenge by becoming a medical office manager. Competent at many tasks, Nieves has proven to be an outstanding organizer and manager.
Beloved by our patients, Nieves' warmth combined with her professionalism and calm efficiency have made her the essential hub of our practice. As one patient put it, "Nieves, as soon as I hear your voice on the phone, I know everything's going to be all right!"
Renowned for her ageless enthusiasm and extraordinary multitasking, Nieves ascribes her energy to her dedication to helping others and to fighting both locally and globally to truly make the world a better place for all.
A long-time resident of Montrose, Nieves has three daughters, eleven grandchildren, and four great-grandchildren, all of whom love their amazing Abuela.