How Our Office Works

650 First Avenue , 7th floor  ( between 37 and 38 streets)


First Visit:
Your first visit will consist of a thorough diagnostic interview and examination, and your initial diagnosis will be discussed at its conclusion. Together we will design an individualized treatment program for you. Please bring to your appointment your insurance card, physician referral forms (if required), any recent X-rays  and MRI films and appropriate records.

Our office participates in many insurance plans (United, Oxford, Aetna, Cigna, BCBS, GHI, etc.) and will assist you in filing your claim.  Any charges not covered by insurance will be your responsibility. We request payment at the time of your appointment for services not covered by insurance.  For your convenience we accept: cash, MC, VISA. Your insurance company may also require you to pay a co-payment at the time of your appointment.  Any pre-authorization required by your insurance company is your responsibility, but we will try to assist you. If you require completion of any additional employment, insurance or legal forms you will be charged $25-100 per form.

Like other chronic conditions such as diabetes or arthritis, neurological conditions require on-going re-evaluation and treatment modification.  Our goal is to help you gain control of your neurological condition and your life.

Emergencies/After-Hour Calls:
During regular office hours (Monday through Friday, 9 to 5) call the office for an emergency issue.  For all emergencies outside of office hours, call 646-754-1642 and press 0 or go immediately to the nearest emergency room.  Please do not call outside of office hours for prescription refills and other routine matters.

Calling Your Provider:
While we want you to feel free to call with problems or questions, we interrupt our time with other patients for emergencies only.  All calls will be returned as soon as possible; this usually will be towards the end of the day, but may roll over to the following day.  When you call, please leave a number where you can be reached both during the day and later in the evening.  Our online form is an alternative, but please keep these messages brief and do not use them for urgent matters.

Prescription Refills:
Prescriptions written at the time of your office visit should cover you until your next appointment.  If you run out of medication please call the office for a pharmacy call-in.


  1. If you are seriously overdue for an appointment your prescription may not be called in.
  2. Routine prescriptions cannot be filled after hours or on an emergency basis.
  3. Narcotics and sleeping medications cannot be called in and are written only at the time of an office visit, so please do not allow these prescriptions to run out without an office visit scheduled.

We need the following information to call in prescriptions:

  1. Medication name (if you do not use generics, please so state).
  2. Dose in  milligrams.
  3. The number of pills you take each day and in a month.
  4. Pharmacy telephone number.

Missed Appointments:
We try to allow as much time as each patient needs to discuss current problems and therefore we do not overbook.  We typically have a waiting list for new patients.  Therefore, we ask you to confirm your appointment at least 24 hours in advance.

Book an Appointment