Please note that this form is for requesting appointments only. Availability will vary and someone from our office will call you to confirm your appointment request. Please do not submit any Protected Health Information.

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Full Name(*)
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Describe nature of appointment

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Main Office

2269 Ocean Ave.
1st Floor
Brooklyn, NY 11229
Phone : (631) 517-0722
Phone : (718) 339-8200
Tue
: 10:30am-5:00pm
Wed
: 10:30am-5:00pm
Thu
: 10:30am-5:00pm
Sun
: 10:30am-5:00pm

Satellite Office

202 Foster Ave.
Suite A
Brooklyn, NY 11230
Phone : (631) 517-0722
Phone : (718) 287-4200
Tue
: 10:30am-5:00pm
Wed
: 10:30am-5:00pm
Thu
: 10:30am-5:00pm
Sun
: 10:30am-5:00pm

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