You may schedule an office visit either by phone or by using the online appointment request form below. To schedule an office visit by phone dial: (631) 206-6924.

You may also download our New Patient Intake form from this website. We recommend you do so and bring it with you completed to save time or you may complete it here in our office. If you wish to complete it here, please plan to arrive 15 minutes prior to your appointment time. We will begin our evaluation by discussing your health history, your goals, and reasons for seeking surgery.

Request an Office Visit

All web form appointment requests will be confirmed by return e-mail or phone the same day we receive your request.

I understand that the use of this form for communication with the medical practice or any individual member of the practice does not establish a doctor-patient relationship. Confidential medical or time-sensitive information should not be sent through this form.

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