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Refer A Patient Form
Trusted Partner in Patient Care: Refer with Confidence
This form is for refer patients only!
(631) 837-2359
763 Larkfield Rd, Second Floor Commack, NY, 11725
400 Montauk Highway, Suite 102
West Islip, NY, 11795
565 Hempstead Turnpike
West Hempstead, NY, 11552
887 Old Country Road, Suite D
Riverhead, NY, 11901
Collaboration with Leading Spine Specialists. --
Seamless Referral Process for Comprehensive Care.
Focus on Patient-Centered Treatment and Communication.
Please note: We are participating in-network with United Healthcare & Oxford Health Plans, Blue Cross Blue Shield, Emblem Health (GHI and HIP), New York State Health Insurance Plan (NYSHIP), New York State Workers Comp (NYS WC), No-Fault Injury, and Aetna insurance plans. As of 10/1/2019 we will no longer accept Healthcare Partners HCP. Any patients having this insurance plan needs to touch base with their carriers to obtain information about alternative providers. We apologize for the inconvenience.
