COVID-19: GET VACCINATED TODAY! Accepting Walk-Ins and Appointments  -  CLICK HERE FOR DETAILS   

Please contact us at our main line at 718-294-6200 or email for assistance. Alternatively, you may contact your local Medical Office or Urgent Care Center.

    Patient Information

    *Mandatory Fields


    Patient Contact Information

    *Mandatory Fields

    Health Insurance Plan

    Service Information

    *Mandatory Fields


    Help speed up the Registration Process.

    Download and fill out your forms before you come in for your appointment.
    It'll help speed things along.