Primary Office
All fields are required
Type of Visit
EXISTING Patient (please call the office)
NEW Patient - Chest pain or Discomfort
NEW Patient - High Blood Pressure
NEW Patient - High Cholesterol
NEW Patient - Fast Heart Beat
NEW Patient - Shortness of breath
NEW Patient - Leg Swelling or Pain
NEW Patient - Dizziness or Passing Out
NEW Patient - Atrial fibrillation
NEW Patient - Heart Failure
NEW Patient - Sleep Apnea
NEW Patient - Abnormal ECG
NEW Patient - Preoperative Cardiac Evaluation
NEW Patient - Family History of Heart Disease
NEW Patient - Other (please enter reason below)
Office
Primary Office
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
2736 Ocean Ave Suite 1A Brooklyn NY 11229
2736 Ocean Ave Suite 1A Brooklyn NY 11229
New and Existing patients can make appointments online.
Office Phone:
+1 718-635-4677
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
60 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment