Referral Requests
Once you make an appointment with the specialist please contact our office at 516-248-8334 and press option 4. You must provide us with 48 hours notice to do the referral unless deemed and emergency.
Please leave the following information:
- Patients Name
- Patient DOB
- A phone number you can be reached at
- Patients Insurance
- Doctor you are going to
- Doctors Address
- Doctors Phone Number
- Doctors Fax Number
- Doctors Insurance Identification Number
- Date of your appointment
- Reason for appointment
You will be notified at the number provided upon completion of your referral.