For Patients
Patient Forms
Please complete the New Patient Forms below using the fields and email to the site you are scheduled for your visit.
OR
Print and fill out by hand and mail to the site you are scheduled for your visit.
Bronx
South Bronx:
975 Westchester Ave
Bronx, NY 10459
[email protected]
Tremont:
4215 Third Ave, 2nd Floor
Bronx, NY 10457
[email protected]
Brooklyn
Crown Heights:
1167 Nostrand Ave
Brooklyn, NY 11225
[email protected]
East New York – Dr. Betty Shabazz:
999 Blake Ave
Brooklyn, NY 11208
[email protected]
East New York HUB:
2581 Atlantic Ave
Brooklyn, NY 10459
[email protected]
Williamsburg:
94-98 Manhattan Ave
Brooklyn, NY 11206
[email protected]
Manhattan
Harlem:
81 West 115th St
New York, NY 10026
[email protected]
Lower East Side:
150 Essex St
New York, NY 10002
[email protected]
Washington Heights:
511 West 157th St
New York, NY 10032
[email protected]
Queens
Jamaica:
90-04 161st St, 5th Floor
Jamaica, NY 11432
[email protected]
Long Island City:
36-11 21st St
Long Island City, NY 11106
[email protected]
Sutphin Boulevard:
97-04 Sutphin Boulevard
Jamaica, NY 11435
[email protected]