19 Bradhurst Avenue, Suite 2850  |  Hawthorne, New York 10532
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914.345.1313

Patient Information

Office Hours

Our office is open Monday thru Friday 8:30am - 4:30pm.

Tel: 914-345-1313
Fax: 914-345-5004


Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Note: These files are in PDF format and require Adobe Reader to be viewed. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or click on the Get Adobe Reader icon.


Insurance Plans


  • Aetna
  • Beech Street
  • Cigna
  • Connecticare
  • Empire Blue Cross and Blue Shield
  • Empire Plan (NYS GOVT)
  • GHI Plans
  • HIP
  • Hudson Health Plan
  • Magna Care
  • Medicare
  • Multiplan
  • Oxford Plans
  • Pomco
  • Tricare
  • United Healthcare

Payment Options

We accept Cash, Check, Visa and Mastercard.


Cancellation Policy

We understand that your schedule may change and that emergencies arise. As a courtesy, we attempt to remind you of appointments, but please be advised that there will be a CHARGE/FEE for all missed appointments that are not cancelled at least 24 hours in advance. Your time slot is given with tremendous thought and we have an extensive waiting list of patients that need to be seen. Please call us at 914-345-1313 if you have any questions or concerns.

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