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padding-bottom: 15px;
color: #023446;
padding-top: 0px;
padding-bottom: 15px;
}
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font-size: 28px;
line-height: 36px;
padding-bottom: 15px;
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font-family: "Raleway",sans-serif;
font-weight: 700;
font-size: 1em;
line-height: 20px;
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text-transform: uppercase;
letter-spacing: .5px;
color: #006a8f;
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font-size: 28px;
line-height: 34px;
color: #006a8f;
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font-family: Tahoma,verdana,sans-serif;
line-height: 50px;
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margin-bottom: 20px;
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line-height: 36px;
font-family: "PT Serif",serif;
}
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height: 20px;
margin-right: 10px;
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.specialnotes h3, .specialnotes h2{
margin-bottom: 30px;
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font-size: 1.3em;
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padding-bottom:15px;
padding-top:20px;
color: #006a8f;
font-family: "PT Serif",serif!important;
font-size: 28px!important;
line-height: 36px!important;
text-transform: none;
margin:0px;
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font-family: "Raleway",sans-serif;
font-weight: 700;
font-size: 1em;
text-transform: uppercase;
letter-spacing: .5px;
color: #006a8f;
line-height: 20px;
padding-bottom: 5px;
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margin-top: 50px;
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.single-specialty .specialty-patient-education h2:not(:first-child){
margin-top: 50px;
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padding-bottom: 30px;
padding-right: 50px;
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font-family: Tahoma,verdana,sans-serif!important;
font-size: 28px!important;
line-height: 34px!important;
color: #023446;
padding-top: 0px;
padding-bottom: 15px;
margin-bottom: 0px;
}
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padding-bottom: 15px;
padding-top: 20px;
color: #006a8f;
font-family: "PT Serif",serif!important;
font-size: 28px!important;
line-height: 36px!important;
text-transform: none;
}
.single-specialty .main-description p{
padding-bottom: 30px;
}
.single-specialty .doc-pic h4 {
font-family: "Raleway",sans-serif;
font-weight: 700;
font-size: 1em;
text-transform: uppercase;
letter-spacing: .5px;
color: #006a8f;
}
.single-specialty .doc-pic h2 {
font-family: Tahoma,verdana,sans-serif!important;
font-size: 28px!important;
line-height: 34px!important;
color: #023446;
margin-bottom: 0px;
padding-bottom: 15px;
}
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color: #006a8f;
padding-bottom: 20px;
font-family: "PT Serif",serif;
font-size: 34px;
line-height: 36px;
margin-bottom: 0;
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color: #006a8f;
padding-bottom: 20px;
font-family: "PT Serif",serif;
font-size: 34px;
line-height: 36px;
margin-bottom: 0;
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/**hide PM lynbrook**/
.single-locations.postid-139 #painmanagement .special-notes:nth-child(3), .single-locations.postid-139 #painmanagement .special-notes:nth-child(4), .single-locations.postid-139 #painmanagement .special-notes:nth-child(5){
display: none;
}
/**hide PM lynbrook**/
.single-locations.postid-137 #painmanagement .special-notes:nth-child(3), .single-locations.postid-137 #painmanagement .special-notes:nth-child(4){
display: none;
}
/****/
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margin-bottom: 0!important;
padding: 0!important;
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h3{
font-size: 28px;
}
.page.page-id-767 .headline,
.page.page-id-5199 .headline,
.page.page-id-10737 .headline,
.page.page-id-5198 .headline{
text-align: left;
}
h2.styly2{
font-family: Tahoma,verdana,sans-serif!important;
font-size: 28px!important;
line-height: 34px!important;
color: #023446!important;
padding-top: 0px;
padding-bottom: 15px;
margin-bottom: 0px;
margin-top: 50px;
}
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content: "-";
position: absolute;
margin-left: -17px;
color: #023446;
}
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margin-right: 91px;
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.page.page-id-5199 .headline h2:nth-child(1){
margin-right: 60px;
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@media(min-width:380px) and (max-width:420px){
.page.page-id-5199 .headline h2:nth-child(1){
margin-right: 63px;
}
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@media(min-width:793px) and (max-width:907px){
.page.page-id-10737 .headline h2:nth-child(1){
margin-right: 71px;
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@media(min-width:640px) and (max-width:686px){
.page.page-id-10737 .headline h2:nth-child(1){
margin-right: 71px;
}
}
@media(min-width:544px) and (max-width:618px){
.page.page-id-10737 .headline h2:nth-child(1){
margin-right: 73px;
}
}
@media(min-width:411px) and (max-width:470px){
.page.page-id-10737 .headline h2:nth-child(1){
margin-right: 60px;
}
}
section.ask-a-specialist-header div.grid-container div div h2:first-child{
display: none;
}
@media screen and (max-width: 700px){
br.ask-spec-br{
display: none !important;
}
section.ask-a-specialist-header div.grid-container div div{
text-align: left;
}
}
.single-locations.postid-137 #painmanagement .special-notes:nth-child(3), .single-locations.postid-137 #painmanagement .special-notes:nth-child(4){
display: block !important;
}
@media screen and (max-width: 640px){
div.acf-map{
margin-top: 2em !important;
}
}
p.mobile-nbsp-appt-btn{
display: none;
}
@media screen and (max-width: 408px){
p.mobile-nbsp-appt-btn{
display: block;
}
}
.testimonial-slider-section h3 {
color: #fff;
width: 60%;
margin: 0 auto;
font-size: 1.75em;
line-height: 34px;
padding-bottom: 30px;
}
@media screen and (max-width: 74.99875em){
.testimonial-slider-section h3{
font-size: 1.5em;
line-height: 30px;
}
h2.grid-excerpt-heading{
font-size: 1.5em;
line-height: 30px;
}
}
.fullwidth-cta-section.global .cta-box-container .text span{
font-family: Raleway,sans-serif;
font-weight: 700;
font-size: 2.125rem;
padding: 0px;
margin-bottom: 10px;
height: auto;
vertical-align: middle;
display: inline-block;
color: #006a8f;
line-height: 40px;
}
@media screen and (max-width: 39.9375em){
.fullwidth-cta-section.global .cta-box-container .text span{
font-size: 1.25rem;
text-align: center;
line-height: 30px;
}
}
h2.grid-excerpt-heading{
font-family: "PT Serif",serif;
font-size: 1.75em;
line-height: 34px;
margin-bottom: 0;
padding-bottom: 30px;
color: #023446;
font-weight: 600;
}
h2.ptot-h2{
padding: 80px 0;
color: #023446;
}
#ticker-books img{
margin-right: 20px;
margin-bottom: 20px;
}
@media(max-width:375px){
div.animated-hero-copy h1{
font-size: 52px;
line-height: 52px;
}
}
#proceduralsuites div.grid-x:first-child{
display: none !important;
}
.yr-toggle-btn:before {
background: url(/wp-content/themes/AwOrlin/assets/images/svgs/chat.svg) no-repeat center;
}
#gform_12 .grecaptcha-badge { visibility: hidden }
@media screen and (min-width: 1200px){
img.bio-headshot{
max-width: 375px !important;
}
}
.all-specialties .specialty-card img{
aspect-ratio: 3 / 2;
object-fit: cover;
}
.all-specialties .specialty-card .specialty-link p{
display: block;
}
@media screen and (max-width: 1024px){
.tout{
width: calc(50% - 2.5rem) !important;
}
}
@media screen and (max-width: 800px){
.tout{
width: 100% !important;
}
}
div.resd-grid{
display: grid;
grid-template-columns: repeat(2 , 1fr);
}
@media screen and (max-width: 1024px){
div.resd-grid{
display: block;
}
}
@media screen and (min-width: 1024px){
#opt-ABPTRFE-badge{
position: absolute;
top: 40px;
right: -150px;
}
}
</style>
</head>
<body class="page-template-default page page-id-13820 site-is-mobile alertactive wp-schema-pro-2.7.22">
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<noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-WPFVG3"
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<div class="off-canvas position-right" id="off-canvas" data-off-canvas>
<ul id="offcanvas-nav" class="vertical menu accordion-menu" data-accordion-menu><li id="menu-item-492" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-492"><a href="#">off-Canvas</a></li>
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<header class="header" role="banner">
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<script>
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else
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jQuery('.close-alert').click(function(){
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sessionStorage.setItem('keep-closed', '1');
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<style>
.close-alert
{
fill: white;
width:30px;
height:30px;
position: absolute;
top: 10px;
right: 10px;
}
</style>
<div id="top-bar-menu" class="top-bar show-for-large">
<div class="top-bar-right">
<div class="menu-top-utility-nav-container"><ul id="ultility-nav" class="menu site-topbar" data-responsive-menu="accordion large-dropdown"><li id="menu-item-5964" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-5964"><a target="_blank" href="https://northwell.onlinepaymentcenter.net/OAC/Account/Search">Pay My Bill</a></li>
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<div class="mobile-top-bar top-bar cell small-12" data-responsive-toggle="menu-top-bar-menu"
data-hide-for="large">
<div class="grid-x cell small-12 mobile-custom align-middle white">
<div class="cell auto float-left">
<a href="/">
<img src="https://www.orlincohen.com/wp-content/themes/AwOrlin/assets/images/svgs/orlin_logo.svg"
alt="Orlin Logo" />
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</div>
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<a class="live-chat-phone" href="tel:+17186677500">718-667-7500</a>
<button class="menu-button" id="menuButton" type="button" data-toggle title="menu button">
<span class="burger-icon"></span>
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<div id="menu-top-bar-menu" class="grid-x mobile-css" data-animate="fade-in fade-out" style="display:none;">
<div class="cell small-12" data-animate="fade-in fade-out">
<div class="top-bar-right">
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<ul class="menu">
<li id="menu-item-4454" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-4454"><a href="https://www.orlincohen.com/orthopedic-doctors/">Orthopedic Specialists</a></li>
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<ul class="menu">
<li id="menu-item-7960" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-7960"><a href="https://www.orlincohen.com/orthopedic-specialties/acupuncture-long-island-new-york/">Acupuncture</a></li>
<li id="menu-item-5176" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-5176"><a href="https://www.orlincohen.com/orthopedic-specialties/durable-medical-equipment/">Durable Medical Equipment</a></li>
<li id="menu-item-5192" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-5192"><a href="https://www.orlincohen.com/orthopedic-specialties/electromyography-and-nerve-conduction-velocity-emg-ncv-testing/">EMG/NCV Testing</a></li>
<li id="menu-item-593" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-593"><a href="https://www.orlincohen.com/orthopedic-specialties/foot-and-ankle/">Foot and Ankle</a></li>
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<li id="menu-item-590" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-590"><a href="https://www.orlincohen.com/orthopedic-specialties/hip/">Hip</a></li>
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<li id="menu-item-1253" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-1253"><a href="https://www.orlincohen.com/orthopedic-specialties/diagnostic-testing/">MRI, CT, X-ray & Ultrasound</a></li>
<li id="menu-item-587" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-587"><a href="https://www.orlincohen.com/orthopedic-specialties/neurology/">Neurology</a></li>
<li id="menu-item-15684" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-15684"><a href="https://www.orlincohen.com/orthopedic-specialties/neuropsychology/">Neuropsychology</a></li>
<li id="menu-item-586" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-586"><a href="https://www.orlincohen.com/orthopedic-specialties/pain-management/">Pain Management</a></li>
<li id="menu-item-5147" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-5147"><a href="https://www.orlincohen.com/orthopedic-specialties/pediatrics/">Pediatrics</a></li>
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<li id="menu-item-15685" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-15685"><a href="https://www.orlincohen.com/orthopedic-specialties/platelet-rich-plasma/">Platelet Rich Plasma Therapy</a></li>
<li id="menu-item-598" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-598"><a href="https://www.orlincohen.com/orthopedic-specialties/shoulder-surgery/">Shoulder</a></li>
<li id="menu-item-583" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-583"><a href="https://www.orlincohen.com/orthopedic-specialties/spine-neck-and-back/">Spine, Neck, and Back</a></li>
<li id="menu-item-600" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-600"><a href="https://www.orlincohen.com/orthopedic-specialties/sports-medicine/">Sports Medicine</a></li>
<li id="menu-item-6016" class="menu-item menu-item-type-post_type menu-item-object-our_specialties menu-item-6016"><a href="https://www.orlincohen.com/orthopedic-specialties/walk-in-sports-medicine-clinic/">Walk-in Sports Medicine Clinic</a></li>
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<h1>Orthopedic Group in Staten Island</h1>
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<h2>Our Team of Staten Island Specialists</h2>
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<h2 style="color: #023446;">Formerly Healthcare Associates in Medicine (HCA)</h2>
<h3 style="margin: 25px 0px 0px 0px; padding: 0px;">Now known as Orlin & Cohen, we’ll continue to deliver specialized care for all neurological and orthopedic needs.</h3>
<p>New name. Same great team – with even more resources. Our offices across the Staten Island borough will continue to provide top-ranked care from experienced orthopedic specialists and neurologists with fellowship training in <a href="/orthopedic-specialties/pediatrics/">pediatrics</a>, <a href="/orthopedic-specialties/sports-medicine/">sports medicine</a>, <a href="/orthopedic-specialties/knee/">knee</a>, <a href="/orthopedic-specialties/shoulder-surgery/">shoulder</a>, <a href="/orthopedic-specialties/hip/">hip</a>, <a href="/orthopedic-specialties/joint-replacement/">joint replacement</a>, <a href="/orthopedic-specialties/foot-and-ankle/">foot and ankle</a>, <a href="/orthopedic-specialties/spine-neck-and-back/">spine, neck, and back, </a><a href="/orthopedic-specialties/hand-upper-extremities/">hand, elbow, and upper extremities</a>, <a href="/orthopedic-specialties/neurology/">neurology</a>, and <a href="/orthopedic-specialties/neuropsychology/">neuropsychology</a>.</p>
<p>Leveraging the resources of the only orthopedic network that spans from Staten Island to Southampton, Orlin & Cohen ensures patients receive high-quality, comprehensive care close to home.</p>
<h4 style="margin-top: 50px;">Trusted orthopedic care for the whole family</h4>
<p>Our specialists leverage comprehensive in-house resources, <a href="/orthopedic-specialties/diagnostic-testing/">including in-house diagnostic testing</a>, <a href="/orthopedic-specialties/physical-occupational-therapy/">physical and occupational therapy</a>, and <a href="/orthopedic-specialties/pain-management/">pain management services</a>, so getting the care you need is easy and convenient.</p>
<p>Orlin & Cohen maintains HCA’s commitment to staying at the forefront of healthcare innovations that improve patient care. Similar to how HCA introduced Staten Island’s first CAT scan, MRI, and electrodiagnostic testing services at every Staten Island hospital, Orlin & Cohen makes <a href="/news/inspace-balloon-implant/">breakthrough treatments</a> and <a href="/orthopedic-specialties/orthopedic-clinical-trials/">clinical trials</a> available to its patients for the best possible outcomes.</p>
<h2 style="color: #006a8f; font-size: 28px; line-height: 50px; margin: 50px 0px 30px 0px; padding: 0px 0px 30px 0px;">Locations</h2>
<p>HCA is Staten Island’s choice for top-ranked orthopedic and neurological care with offices across the borough.</p>
<div style="width: 80%; margin: auto auto 50px auto;">
<div style="width: 100%; display: table; text-align: left!important;">
<div class="location-left">
<h3 style="margin: 0px; padding: 0px;"><a href="https://www.orlincohen.com/location/staten-island-targee/"><strong>1099 Targee Street</strong></a></h3>
<p>Specialties and services include:</p>
<ul>
<li>Neurology</li>
<li>Pain management</li>
<li>Electrodiagnostic testing</li>
</ul>
<p style="padding-top: 0px;"><a href="https://goo.gl/maps/PwztdNRGqEB2">Get directions</a> or <a href="/location/staten-island-targee/">contact us</a> to request an appointment.</p>
</div>
<div class="location-right">
<h3 style="margin: 0px; padding: 0px;"><a href="https://www.orlincohen.com/location/staten-island-3311-hylan/"><strong>3311 Hylan Boulevard</strong></a></h3>
<p>Specialties and services include:</p>
<ul>
<li>Neurology</li>
<li>Procedural Suites</li>
<li>Pain management</li>
<li>Occupational therapy</li>
</ul>
<p style="padding-top: 0px;"><a href="https://goo.gl/maps/ctprEa52dR92">Get directions</a> or <a href="/location/staten-island-3311-hylan/">contact us</a> to request an appointment.</p>
</div>
</div>
<div style="width: 100%; display: table; text-align: left!important;">
<div class="location-left">
<h3 style="margin: 0px; padding: 0px;"><a href="https://www.orlincohen.com/location/staten-island-3333-hylan/"><strong>3333 Hylan Boulevard</strong></a></h3>
<p>Specialties and services include:</p>
<ul>
<li>Orthopedics</li>
<li>Orthopedic walk-in center</li>
</ul>
<p style="padding-top: 0px;"><a href="https://goo.gl/maps/tY3WmkbhpCv">Get directions</a> or <a href="/location/staten-island-3333-hylan/">contact us</a> to request an appointment.</p>
</div>
<div class="location-right">
<h3 style="margin: 0px; padding: 0px;"><a href="https://www.orlincohen.com/location/staten-island-columbus-ave/"><strong>65 Columbus Avenue</strong></a></h3>
<p>Specialties and services include:</p>
<ul>
<li>MRI diagnostic testing</li>
<li>Neuropsychology</li>
<li>Physical therapy</li>
</ul>
<p style="padding-top: 0px;"><a href="https://goo.gl/maps/k9y6wSXa5Po">Get directions</a> or <a href="/location/staten-island-columbus-ave/">contact us</a> to request an appointment.</p>
</div>
<div class="location-left">
<h3 style="margin: 0px; padding: 0px;"><a href="https://www.orlincohen.com/location/staten-island-tyrellan-ave/"><strong>101 Tyrellan Avenue</strong></a></h3>
<p>Specialties and services include:</p>
<ul>
<li>Pain Management</li>
<li>Procedural Suites</li>
</ul>
<p style="padding-top: 0px;"><a href="https://goo.gl/maps/tY3WmkbhpCv">Get directions</a> or <a href="/location/staten-island-tyrellan-ave/">contact us</a> to request an appointment.</p>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
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<div class='gform-body gform_body'><fieldset class="gfieldset gform_fieldset_begin gform_fieldset "><legend class="gfieldset-legend">Request an Appointment</legend><ul class="gform_fields top_label form_sublabel_below description_below validation_below"><li id="field_2_1" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_1" ><label class='gfield_label gform-field-label' for='input_2_1'>First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='large' aria-required="true" aria-invalid="false" /></div></li><li id="field_2_3" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_3" ><label class='gfield_label gform-field-label' for='input_2_3'>Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='large' aria-required="true" aria-invalid="false" /></div></li><li id="field_2_8" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_8" ><label class='gfield_label gform-field-label' for='input_2_8'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_8' id='input_2_8' type='email' value='' class='large' aria-required="true" aria-invalid="false" />
</div></li><li id="field_2_5" class="gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_5" ><label class='gfield_label gform-field-label' for='input_2_5'>Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_2_5' type='tel' value='' class='large' placeholder='(xxx) xxx-xxxx' aria-required="true" aria-invalid="false" /></div></li><li id="field_2_11" class="gfield gfield--type-select appointment_type field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_11" ><label class='gfield_label gform-field-label' for='input_2_11'>Appointment Type</label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_2_11' class='large gfield_select' aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Select Appointment Type</option><option value='General Orthopedics' >Orthopedic</option><option value='MRI, CT, X-ray & Ultrasound' >MRI/CT</option><option value='Physical & Occupational Therapy' >Physical & Occupational Therapy</option><option value='Office Visit' >Office Visit</option><option value='Pain Management' >Pain Management</option></select></div></li><li id="field_2_15" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_15" ><label class='gfield_label gform-field-label' for='input_2_15'>Pain Management Physicians<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_2_15' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Select Physicians</option><option value='Dr. Marco Palmieri, D.O.' >Dr. Marco Palmieri, D.O.</option><option value='Daniel Yadegar, M.D.' >Daniel Yadegar, M.D.</option><option value='Brian Goldstein, D.O.' >Brian Goldstein, D.O.</option><option value='Cheryl E. Daves, M.D.' >Cheryl E. Daves, M.D.</option><option value='Joseph A. Cardinale, M.D.' >Joseph A. Cardinale, M.D.</option></select></div></li><li id="field_2_16" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_16" ><label class='gfield_label gform-field-label' for='input_2_16'>Pain Management Locations<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_2_16' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Select a Location</option><option value='Kew Gardens' >Kew Gardens</option><option value='Woodbury' >Woodbury</option><option value='Merrick' >Merrick</option><option value='Garden City' >Garden City</option></select></div></li><li id="field_2_2" class="gfield gfield--type-select populate_doctors field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_2" ><label class='gfield_label gform-field-label' for='input_2_2'>Preferred Doctor</label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_2_2' class='large gfield_select' aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Select a Doctor</option><option value=' ' >No Prefered Doctor</option><option value='Jiane Villarosa, PT, DPT' >Jiane Villarosa, PT, DPT</option><option value='Robert Abiuso, OTR/L' >Robert Abiuso, OTR/L</option><option value='Scott W. Alpert, M.D.' >Scott W. Alpert, M.D.</option><option value='Meylin Amador, PTA (Senior PTA)' >Meylin Amador, PTA (Senior PTA)</option><option value='Briana Ardolino, MOT, OTR/L, CHT' >Briana Ardolino, MOT, OTR/L, CHT</option><option value='Felross Arimas, PT, DPT' >Felross Arimas, PT, DPT</option><option value='Hamlet Aristy, BS/MS, OTR/L, CHT' >Hamlet Aristy, BS/MS, OTR/L, CHT</option><option value='Julie Ayala, PTA, GTS' >Julie Ayala, PTA, GTS</option><option value='Bryan Baracaldo, PT, DPT' >Bryan Baracaldo, PT, DPT</option><option value='Carol Barry, PT, DPT, MS' >Carol Barry, PT, DPT, MS</option><option value='De’Zhane Bennett, PTA' >De’Zhane Bennett, PTA</option><option value='Leslie Anne Bernstein, PT, DPT, LMT' >Leslie Anne Bernstein, PT, DPT, LMT</option><option value='Nate Biondi, PT, DPT, ATC' >Nate Biondi, PT, DPT, ATC</option><option value='Olivia Bolen, PT, DPT, OCS, CSCS' >Olivia Bolen, PT, DPT, OCS, CSCS</option><option value='Todd Bornfriend, PT' >Todd Bornfriend, PT</option><option value='Alex Bossert, PT, DPT, OCS, CSCS, USAW' >Alex Bossert, PT, DPT, OCS, CSCS, USAW</option><option value='Matthew R. Boylan, M.D., M.P.H.' >Matthew R. Boylan, M.D., M.P.H.</option><option value='Justin Brain, PTA' >Justin Brain, PTA</option><option value='Marie E. Briody, Ph.D.' >Marie E. Briody, Ph.D.</option><option value='Kathleen Brooks, MS, PT, ART' >Kathleen Brooks, MS, PT, ART</option><option value='Bennett H. Brown, M.D.' >Bennett H. Brown, M.D.</option><option value='Melina Bruzzone, ATC, DPT' >Melina Bruzzone, ATC, DPT</option><option value='Jarett S. Burak, M.D.' >Jarett S. Burak, M.D.</option><option value='Jill M. Byrnes, MSPT' >Jill M. Byrnes, MSPT</option><option value='Joseph Capobianco, PT' >Joseph Capobianco, PT</option><option value='Zoe B. Cheung, M.D., M.S.' >Zoe B. Cheung, M.D., M.S.</option><option value='Tara Congimi, OTD, OTR/L, CHT' >Tara Congimi, OTD, OTR/L, CHT</option><option value='Daniel Crowe, MSOT, OTR/L, CHT' >Daniel Crowe, MSOT, OTR/L, CHT</option><option value='Dana L. Cruz, M.D.' >Dana L. Cruz, M.D.</option><option value='James Curley, PT, DPT, ATC' >James Curley, PT, DPT, ATC</option><option value='Lianna D'Ambrosio, MS, OTR/L, CHT' >Lianna D'Ambrosio, MS, OTR/L, CHT</option><option value='Leonardo D’Onofrio, MS, PT' >Leonardo D’Onofrio, MS, PT</option><option value='Cheryl E. Daves, M.D.' >Cheryl E. Daves, M.D.</option><option value='Anthony DeRosa, MA, PT' >Anthony DeRosa, MA, PT</option><option value='Eric Deutsch, PT, DPT' >Eric Deutsch, PT, DPT</option><option value='Pierre Dieudonne, PTA' >Pierre Dieudonne, PTA</option><option value='Samantha DiMaio, OTR/L, CHT' >Samantha DiMaio, OTR/L, CHT</option><option value='Matthew Dobkowski, DPT, ATC, CSCS' >Matthew Dobkowski, DPT, ATC, CSCS</option><option value='Trevor Duncan, PT, DPT' >Trevor Duncan, PT, DPT</option><option value='Eileen Duswalt-Agostino PT, MPT' >Eileen Duswalt-Agostino PT, MPT</option><option value='Stephanie Edwards, PT, DPT, CSCS' >Stephanie Edwards, PT, DPT, CSCS</option><option value='Alfred F. Faust, M.D.' >Alfred F. Faust, M.D.</option><option value='John Feder, M.D.' >John Feder, M.D.</option><option value='Barbara Feehan, PT' >Barbara Feehan, PT</option><option value='Christopher Figueroa, PTA' >Christopher Figueroa, PTA</option><option value='Michael J. Fracchia, M.D., A.B.O.S., F.A.A.O.S' >Michael J. Fracchia, M.D., A.B.O.S., F.A.A.O.S</option><option value='Nicholas Friedell, PTA' >Nicholas Friedell, PTA</option><option value='Robert Gadsden, PTA' >Robert Gadsden, PTA</option><option value='Daniel Gagnon, PT, DPT' >Daniel Gagnon, PT, DPT</option><option value='Katherine Gallagher, OTR/L' >Katherine Gallagher, OTR/L</option><option value='Garret Garofolo, M.D.' >Garret Garofolo, M.D.</option><option value='Bradley Gerber, M.D.' >Bradley Gerber, M.D.</option><option value='Christopher Geremia, PTA' >Christopher Geremia, PTA</option><option value='James A. Germano, M.D.' >James A. Germano, M.D.</option><option value='Joseph J. Giovinazzo, M.D., F.A.C.S.' >Joseph J. Giovinazzo, M.D., F.A.C.S.</option><option value='Brian Goldstein, D.O.' >Brian Goldstein, D.O.</option><option value='Jeffrey A. Goldstein, M.D.' >Jeffrey A. Goldstein, M.D.</option><option value='Christian Grant, PTA' >Christian Grant, PTA</option><option value='Trinity Grasso, PT, DPT, OCS, CSCS' >Trinity Grasso, PT, DPT, OCS, CSCS</option><option value='Jonathan M. Gross, M.D., M.P.H.' >Jonathan M. Gross, M.D., M.P.H.</option><option value='Lauren Grossman, M.D.' >Lauren Grossman, M.D.</option><option value='June C. Halsey, M.D.' >June C. Halsey, M.D.</option><option value='Alyas Hamid, PT, DPT, OCS' >Alyas Hamid, PT, DPT, OCS</option><option value='Chelsea Harms, PTA' >Chelsea Harms, PTA</option><option value='Alicia Hershkowitz-Epstein, MS, OTR/L, CHT' >Alicia Hershkowitz-Epstein, MS, OTR/L, CHT</option><option value='Khalid Hesham, M.D., F.A.C.S.' >Khalid Hesham, M.D., F.A.C.S.</option><option value='J. David Hip-Flores, M.D.' >J. David Hip-Flores, M.D.</option><option value='Joshua Hitlall, PT, DPT' >Joshua Hitlall, PT, DPT</option><option value='John D. Hubbell, M.D.' >John D. Hubbell, M.D.</option><option value='Shayla Huff, PTA' >Shayla Huff, PTA</option><option value='Alexander Kapoutsos PT, DPT' >Alexander Kapoutsos PT, DPT</option><option value='Howard V. Katz, M.D., F.A.C.S., F.A.A.O.S.' >Howard V. Katz, M.D., F.A.C.S., F.A.A.O.S.</option><option value='Eric P. Keefer, M.D.' >Eric P. Keefer, M.D.</option><option value='Nicole Kerr, PT, DPT' >Nicole Kerr, PT, DPT</option><option value='Henryk Kielsznia, PT, MPT, Cert. MDT' >Henryk Kielsznia, PT, MPT, Cert. MDT</option><option value='Jared Kipnis PT, DPT, COMT, ART' >Jared Kipnis PT, DPT, COMT, ART</option><option value='Arthur Kitt, M.D., M.P.H.' >Arthur Kitt, M.D., M.P.H.</option><option value='Scott Koenig, M.D.' >Scott Koenig, M.D.</option><option value='Ryan Krochak, M.D.' >Ryan Krochak, M.D.</option><option value='Paul Kropas, PT, MSPT, OCS, CSCS' >Paul Kropas, PT, MSPT, OCS, CSCS</option><option value='Stephen A. Kulick, M.D., FAAN, FACP' >Stephen A. Kulick, M.D., FAAN, FACP</option><option value='Eric Lawler PT, DPT, OCS' >Eric Lawler PT, DPT, OCS</option><option value='Roxana Lazo, PTA' >Roxana Lazo, PTA</option><option value='Brett A. Lenart, M.D.' >Brett A. Lenart, M.D.</option><option value='Kim Leogrande, PTA' >Kim Leogrande, PTA</option><option value='Patrick Leung, M.D.' >Patrick Leung, M.D.</option><option value='Craig Levitz, M.D.' >Craig Levitz, M.D.</option><option value='Sonam Lhakey, PTA' >Sonam Lhakey, PTA</option><option value='Catherine Liang PT, DPT' >Catherine Liang PT, DPT</option><option value='Gregory Lieberman, M.D.' >Gregory Lieberman, M.D.</option><option value='Steven H. Lin, D.O.' >Steven H. Lin, D.O.</option><option value='Yiyu Lin, PT, DPT, OCS' >Yiyu Lin, PT, DPT, OCS</option><option value='Robert J. Lippe, M.D.' >Robert J. Lippe, M.D.</option><option value='Amira Lisle, DPT' >Amira Lisle, DPT</option><option value='Lewis Lupowitz PT, DPT, SCS, CSCS, MRCmS' >Lewis Lupowitz PT, DPT, SCS, CSCS, MRCmS</option><option value='Danielle Magrini, D.O., F.A.A.P., CAQ-SM' >Danielle Magrini, D.O., F.A.A.P., CAQ-SM</option><option value='Jeffrey E. Mait, M.D.' >Jeffrey E. Mait, M.D.</option><option value='Tatiana Malkina, PT, DPT, OCS, COMT, FAAOMPT' >Tatiana Malkina, PT, DPT, OCS, COMT, FAAOMPT</option><option value='Gregory C. Mallo, M.D., F.A.A.O.S.' >Gregory C. Mallo, M.D., F.A.A.O.S.</option><option value='Moiz Manaqib, M.D.' >Moiz Manaqib, M.D.</option><option value='Henry Marano, M.D.' >Henry Marano, M.D.</option><option value='Sunita Mathew PT, DPT' >Sunita Mathew PT, DPT</option><option value='Christopher McCormack PTA, CES, FRCms, FMS' >Christopher McCormack PTA, CES, FRCms, FMS</option><option value='Danielle McCormick, PT, DPT' >Danielle McCormick, PT, DPT</option><option value='Brian J. McGinley, M.D.' >Brian J. McGinley, M.D.</option><option value='Shelby McKinney, PTA' >Shelby McKinney, PTA</option><option value='Brian Mercer, M.D., M.S.' >Brian Mercer, M.D., M.S.</option><option value='Charles Milchteim, M.D.' >Charles Milchteim, M.D.</option><option value='Jamie Misegades, PT, DPT' >Jamie Misegades, PT, DPT</option><option value='Joshua T. Mitgang, M.D.' >Joshua T. Mitgang, M.D.</option><option value='Angela Monaco, PT, DPT' >Angela Monaco, PT, DPT</option><option value='Brian N. Morelli, M.D' >Brian N. Morelli, M.D</option><option value='Anthony Morelli, PTA' >Anthony Morelli, PTA</option><option value='Joseph D. Munn, M.D.' >Joseph D. Munn, M.D.</option><option value='Bobby Nabeyama, PT, DPT, MS' >Bobby Nabeyama, PT, DPT, MS</option><option value='Kenneth Nissen, M.S., A.N.P. – B.C., F.N.P., R.N.F.A., C.N.O.R' >Kenneth Nissen, M.S., A.N.P. – B.C., F.N.P., R.N.F.A., C.N.O.R</option><option value='Ali Obeidat, PT, DPT' >Ali Obeidat, PT, DPT</option><option value='Justin Oommen PT, DPT, SCS' >Justin Oommen PT, DPT, SCS</option><option value='Stacy Oster, MS, OTR/L, CHT' >Stacy Oster, MS, OTR/L, CHT</option><option value='James Paci, M.D.' >James Paci, M.D.</option><option value='Arthur Pallotta, M.D.' >Arthur Pallotta, M.D.</option><option value='Dr. Marco Palmieri, D.O.' >Dr. Marco Palmieri, D.O.</option><option value='Darlene Pappalardo, OTR/L' >Darlene Pappalardo, OTR/L</option><option value='Jaclyn Pappas, FNP-C, CDCES' >Jaclyn Pappas, FNP-C, CDCES</option><option value='Jerry Mathai Parackel, PT, DPT' >Jerry Mathai Parackel, PT, DPT</option><option value='Steven L. Parry, D.O.' >Steven L. Parry, D.O.</option><option value='Bryan Paul, DPT, SCS, CSCS' >Bryan Paul, DPT, SCS, CSCS</option><option value='Ronny Paulino, PTA' >Ronny Paulino, PTA</option><option value='Andrew Pereira, PT, DPT' >Andrew Pereira, PT, DPT</option><option value='Michael Perrone, PT, DPT, FRCms' >Michael Perrone, PT, DPT, FRCms</option><option value='Jordan Placella PT, DPT, GTS' >Jordan Placella PT, DPT, GTS</option><option value='Kathleen Polak, PT, DPT' >Kathleen Polak, PT, DPT</option><option value='Francesco Policaro, PT, DPT, MBA, ART' >Francesco Policaro, PT, DPT, MBA, ART</option><option value='Ryan Power, PT, DPT' >Ryan Power, PT, DPT</option><option value='Eric Price, M.D.' >Eric Price, M.D.</option><option value='Michael Procaccini, MS, PT' >Michael Procaccini, MS, PT</option><option value='Eric A. Putterman, M.D.' >Eric A. Putterman, M.D.</option><option value='George Ganesh Ramotar II, PTA' >George Ganesh Ramotar II, PTA</option><option value='Rasel M. Rana' >Rasel M. Rana</option><option value='John P. Reilly, M.D.' >John P. Reilly, M.D.</option><option value='Wayne Reizner, M.D., M.B.A.' >Wayne Reizner, M.D., M.B.A.</option><option value='Walter Rho, M.D.' >Walter Rho, M.D.</option><option value='Nina Ribeiro, PTA' >Nina Ribeiro, PTA</option><option value='Rosario Riccabene, PTA' >Rosario Riccabene, PTA</option><option value='Stephanie Ringbauer PT, DPT' >Stephanie Ringbauer PT, DPT</option><option value='Filippo F. Romanelli, D.O.' >Filippo F. Romanelli, D.O.</option><option value='April Rosenberg, PTA' >April Rosenberg, PTA</option><option value='Alex A. Rothfeld, M.D.' >Alex A. Rothfeld, M.D.</option><option value='Germaine N. Rowe, M.D.' >Germaine N. Rowe, M.D.</option><option value='Barry Rubin, M.D., F.A.A.P.M.R.' >Barry Rubin, M.D., F.A.A.P.M.R.</option><option value='Barbara Rudloff, PT, DPT, OCS' >Barbara Rudloff, PT, DPT, OCS</option><option value='Vincent Ruggiero, M.D.' >Vincent Ruggiero, M.D.</option><option value='Anthony Sansotta, PT, DPT' >Anthony Sansotta, PT, DPT</option><option value='Taylor Santiago, PT, DPT' >Taylor Santiago, PT, DPT</option><option value='Dorothy Scarpinato, M.D.' >Dorothy Scarpinato, M.D.</option><option value='Kimberly Scheid, PT, DPT' >Kimberly Scheid, PT, DPT</option><option value='Michael R. Schirripa, D.O.' >Michael R. Schirripa, D.O.</option><option value='Frank V. Schirripa, D.O.' >Frank V. Schirripa, D.O.</option><option value='Steven B. Schwartzberg, M.D.' >Steven B. Schwartzberg, M.D.</option><option value='Kang Seo, PT, DPT' >Kang Seo, PT, DPT</option><option value='Alpesh Shah, M.D.' >Alpesh Shah, M.D.</option><option value='Marc Sheinblum, PT, DPT' >Marc Sheinblum, PT, DPT</option><option value='Dana Silbert PT, DPT' >Dana Silbert PT, DPT</option><option value='Taylor Simeone, PTA' >Taylor Simeone, PTA</option><option value='Alexandra Smaguin, PT, DPT, ATC, CSCS, CIDN' >Alexandra Smaguin, PT, DPT, ATC, CSCS, CIDN</option><option value='Neal Smith, M.D.' >Neal Smith, M.D.</option><option value='Julian J. Sonnenfeld, M.D.' >Julian J. Sonnenfeld, M.D.</option><option value='Vincent Sperandeo, D.N.P.' >Vincent Sperandeo, D.N.P.</option><option value='Samantha Speziale, PT, DPT' >Samantha Speziale, PT, DPT</option><option value='John M. Stamatos, M.D.' >John M. Stamatos, M.D.</option><option value='Mark Stephen, M.D.' >Mark Stephen, M.D.</option><option value='Jaime Sternberg, PT, DPT' >Jaime Sternberg, PT, DPT</option><option value='Tony Tang, PT, DPT' >Tony Tang, PT, DPT</option><option value='Andrew A. Tarleton, M.D.' >Andrew A. Tarleton, M.D.</option><option value='Alexander H. Tejani, M.D.' >Alexander H. Tejani, M.D.</option><option value='Jonathan B. Ticker, M.D.' >Jonathan B. Ticker, M.D.</option><option value='Jaspreet S. Toor, D.O.' >Jaspreet S. Toor, D.O.</option><option value='Elena Triboy, PTA' >Elena Triboy, PTA</option><option value='Donna Trimarco, M.S., ANP-C' >Donna Trimarco, M.S., ANP-C</option><option value='Justin Tsai, M.D.' >Justin Tsai, M.D.</option><option value='Landon Twine, DPT' >Landon Twine, DPT</option><option value='Liffy Varghese, PTA, CES, PES' >Liffy Varghese, PTA, CES, PES</option><option value='Jessica Velez, PT, DPT' >Jessica Velez, PT, DPT</option><option value='Lia Velys, PT, DPT, OCS' >Lia Velys, PT, DPT, OCS</option><option value='Benjamin Villari, OTR/L' >Benjamin Villari, OTR/L</option><option value='Richard Viskewich, PTA' >Richard Viskewich, PTA</option><option value='Skylar Vitiello, PT, DPT' >Skylar Vitiello, PT, DPT</option><option value='Imran Wahedna, M.D., F.A.C.P.' >Imran Wahedna, M.D., F.A.C.P.</option><option value='Christopher Wild, DPT, SCS, CSCS' >Christopher Wild, DPT, SCS, CSCS</option><option value='Paul Willms, MSN, ARNP, FNP' >Paul Willms, MSN, ARNP, FNP</option><option value='Tiffany Wu, M.D.' >Tiffany Wu, M.D.</option><option value='Daniel Yadegar, M.D.' >Daniel Yadegar, M.D.</option><option value='John J. Yu, M.D.' >John J. Yu, M.D.</option><option value='David I. Zaret, M.D., M.B.A.' >David I. Zaret, M.D., M.B.A.</option><option value='Samuel Zonshayn, M.D.' >Samuel Zonshayn, M.D.</option></select></div></li><li id="field_2_14" class="gfield gfield--type-select populate_ptot field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_14" ><label class='gfield_label gform-field-label' for='input_2_14'>Preferred Physical or Occupational Therapist</label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_2_14' class='large gfield_select' aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Select a Therapist</option><option value=' ' >No Prefered Therapist</option><option value='Jiane Villarosa, PT, DPT' >Jiane Villarosa, PT, DPT</option><option value='Robert Abiuso, OTR/L' >Robert Abiuso, OTR/L</option><option value='Meylin Amador, PTA (Senior PTA)' >Meylin Amador, PTA (Senior PTA)</option><option value='Briana Ardolino, MOT, OTR/L, CHT' >Briana Ardolino, MOT, OTR/L, CHT</option><option value='Felross Arimas, PT, DPT' >Felross Arimas, PT, DPT</option><option value='Hamlet Aristy, BS/MS, OTR/L, CHT' >Hamlet Aristy, BS/MS, OTR/L, CHT</option><option value='Julie Ayala, PTA, GTS' >Julie Ayala, PTA, GTS</option><option value='Bryan Baracaldo, PT, DPT' >Bryan Baracaldo, PT, DPT</option><option value='Carol Barry, PT, DPT, MS' >Carol Barry, PT, DPT, MS</option><option value='De’Zhane Bennett, PTA' >De’Zhane Bennett, PTA</option><option value='Leslie Anne Bernstein, PT, DPT, LMT' >Leslie Anne Bernstein, PT, DPT, LMT</option><option value='Nate Biondi, PT, DPT, ATC' >Nate Biondi, PT, DPT, ATC</option><option value='Olivia Bolen, PT, DPT, OCS, CSCS' >Olivia Bolen, PT, DPT, OCS, CSCS</option><option value='Todd Bornfriend, PT' >Todd Bornfriend, PT</option><option value='Alex Bossert, PT, DPT, OCS, CSCS, USAW' >Alex Bossert, PT, DPT, OCS, CSCS, USAW</option><option value='Justin Brain, PTA' >Justin Brain, PTA</option><option value='Kathleen Brooks, MS, PT, ART' >Kathleen Brooks, MS, PT, ART</option><option value='Melina Bruzzone, ATC, DPT' >Melina Bruzzone, ATC, DPT</option><option value='Jill M. Byrnes, MSPT' >Jill M. Byrnes, MSPT</option><option value='Joseph Capobianco, PT' >Joseph Capobianco, PT</option><option value='Tara Congimi, OTD, OTR/L, CHT' >Tara Congimi, OTD, OTR/L, CHT</option><option value='Daniel Crowe, MSOT, OTR/L, CHT' >Daniel Crowe, MSOT, OTR/L, CHT</option><option value='James Curley, PT, DPT, ATC' >James Curley, PT, DPT, ATC</option><option value='Lianna D'Ambrosio, MS, OTR/L, CHT' >Lianna D'Ambrosio, MS, OTR/L, CHT</option><option value='Leonardo D’Onofrio, MS, PT' >Leonardo D’Onofrio, MS, PT</option><option value='Anthony DeRosa, MA, PT' >Anthony DeRosa, MA, PT</option><option value='Eric Deutsch, PT, DPT' >Eric Deutsch, PT, DPT</option><option value='Pierre Dieudonne, PTA' >Pierre Dieudonne, PTA</option><option value='Samantha DiMaio, OTR/L, CHT' >Samantha DiMaio, OTR/L, CHT</option><option value='Matthew Dobkowski, DPT, ATC, CSCS' >Matthew Dobkowski, DPT, ATC, CSCS</option><option value='Trevor Duncan, PT, DPT' >Trevor Duncan, PT, DPT</option><option value='Eileen Duswalt-Agostino PT, MPT' >Eileen Duswalt-Agostino PT, MPT</option><option value='Stephanie Edwards, PT, DPT, CSCS' >Stephanie Edwards, PT, DPT, CSCS</option><option value='Barbara Feehan, PT' >Barbara Feehan, PT</option><option value='Christopher Figueroa, PTA' >Christopher Figueroa, PTA</option><option value='Nicholas Friedell, PTA' >Nicholas Friedell, PTA</option><option value='Robert Gadsden, PTA' >Robert Gadsden, PTA</option><option value='Daniel Gagnon, PT, DPT' >Daniel Gagnon, PT, DPT</option><option value='Katherine Gallagher, OTR/L' >Katherine Gallagher, OTR/L</option><option value='Christopher Geremia, PTA' >Christopher Geremia, PTA</option><option value='Christian Grant, PTA' >Christian Grant, PTA</option><option value='Trinity Grasso, PT, DPT, OCS, CSCS' >Trinity Grasso, PT, DPT, OCS, CSCS</option><option value='Alyas Hamid, PT, DPT, OCS' >Alyas Hamid, PT, DPT, OCS</option><option value='Chelsea Harms, PTA' >Chelsea Harms, PTA</option><option value='Alicia Hershkowitz-Epstein, MS, OTR/L, CHT' >Alicia Hershkowitz-Epstein, MS, OTR/L, CHT</option><option value='Joshua Hitlall, PT, DPT' >Joshua Hitlall, PT, DPT</option><option value='Shayla Huff, PTA' >Shayla Huff, PTA</option><option value='Alexander Kapoutsos PT, DPT' >Alexander Kapoutsos PT, DPT</option><option value='Nicole Kerr, PT, DPT' >Nicole Kerr, PT, DPT</option><option value='Henryk Kielsznia, PT, MPT, Cert. MDT' >Henryk Kielsznia, PT, MPT, Cert. MDT</option><option value='Jared Kipnis PT, DPT, COMT, ART' >Jared Kipnis PT, DPT, COMT, ART</option><option value='Paul Kropas, PT, MSPT, OCS, CSCS' >Paul Kropas, PT, MSPT, OCS, CSCS</option><option value='Eric Lawler PT, DPT, OCS' >Eric Lawler PT, DPT, OCS</option><option value='Roxana Lazo, PTA' >Roxana Lazo, PTA</option><option value='Kim Leogrande, PTA' >Kim Leogrande, PTA</option><option value='Sonam Lhakey, PTA' >Sonam Lhakey, PTA</option><option value='Catherine Liang PT, DPT' >Catherine Liang PT, DPT</option><option value='Yiyu Lin, PT, DPT, OCS' >Yiyu Lin, PT, DPT, OCS</option><option value='Amira Lisle, DPT' >Amira Lisle, DPT</option><option value='Lewis Lupowitz PT, DPT, SCS, CSCS, MRCmS' >Lewis Lupowitz PT, DPT, SCS, CSCS, MRCmS</option><option value='Tatiana Malkina, PT, DPT, OCS, COMT, FAAOMPT' >Tatiana Malkina, PT, DPT, OCS, COMT, FAAOMPT</option><option value='Sunita Mathew PT, DPT' >Sunita Mathew PT, DPT</option><option value='Christopher McCormack PTA, CES, FRCms, FMS' >Christopher McCormack PTA, CES, FRCms, FMS</option><option value='Danielle McCormick, PT, DPT' >Danielle McCormick, PT, DPT</option><option value='Shelby McKinney, PTA' >Shelby McKinney, PTA</option><option value='Jamie Misegades, PT, DPT' >Jamie Misegades, PT, DPT</option><option value='Angela Monaco, PT, DPT' >Angela Monaco, PT, DPT</option><option value='Anthony Morelli, PTA' >Anthony Morelli, PTA</option><option value='Bobby Nabeyama, PT, DPT, MS' >Bobby Nabeyama, PT, DPT, MS</option><option value='Ali Obeidat, PT, DPT' >Ali Obeidat, PT, DPT</option><option value='Justin Oommen PT, DPT, SCS' >Justin Oommen PT, DPT, SCS</option><option value='Stacy Oster, MS, OTR/L, CHT' >Stacy Oster, MS, OTR/L, CHT</option><option value='Darlene Pappalardo, OTR/L' >Darlene Pappalardo, OTR/L</option><option value='Jerry Mathai Parackel, PT, DPT' >Jerry Mathai Parackel, PT, DPT</option><option value='Bryan Paul, DPT, SCS, CSCS' >Bryan Paul, DPT, SCS, CSCS</option><option value='Ronny Paulino, PTA' >Ronny Paulino, PTA</option><option value='Andrew Pereira, PT, DPT' >Andrew Pereira, PT, DPT</option><option value='Michael Perrone, PT, DPT, FRCms' >Michael Perrone, PT, DPT, FRCms</option><option value='Jordan Placella PT, DPT, GTS' >Jordan Placella PT, DPT, GTS</option><option value='Kathleen Polak, PT, DPT' >Kathleen Polak, PT, DPT</option><option value='Francesco Policaro, PT, DPT, MBA, ART' >Francesco Policaro, PT, DPT, MBA, ART</option><option value='Ryan Power, PT, DPT' >Ryan Power, PT, DPT</option><option value='Michael Procaccini, MS, PT' >Michael Procaccini, MS, PT</option><option value='George Ganesh Ramotar II, PTA' >George Ganesh Ramotar II, PTA</option><option value='Nina Ribeiro, PTA' >Nina Ribeiro, PTA</option><option value='Rosario Riccabene, PTA' >Rosario Riccabene, PTA</option><option value='Stephanie Ringbauer PT, DPT' >Stephanie Ringbauer PT, DPT</option><option value='April Rosenberg, PTA' >April Rosenberg, PTA</option><option value='Barbara Rudloff, PT, DPT, OCS' >Barbara Rudloff, PT, DPT, OCS</option><option value='Anthony Sansotta, PT, DPT' >Anthony Sansotta, PT, DPT</option><option value='Taylor Santiago, PT, DPT' >Taylor Santiago, PT, DPT</option><option value='Kimberly Scheid, PT, DPT' >Kimberly Scheid, PT, DPT</option><option value='Kang Seo, PT, DPT' >Kang Seo, PT, DPT</option><option value='Marc Sheinblum, PT, DPT' >Marc Sheinblum, PT, DPT</option><option value='Dana Silbert PT, DPT' >Dana Silbert PT, DPT</option><option value='Taylor Simeone, PTA' >Taylor Simeone, PTA</option><option value='Alexandra Smaguin, PT, DPT, ATC, CSCS, CIDN' >Alexandra Smaguin, PT, DPT, ATC, CSCS, CIDN</option><option value='Samantha Speziale, PT, DPT' >Samantha Speziale, PT, DPT</option><option value='Jaime Sternberg, PT, DPT' >Jaime Sternberg, PT, DPT</option><option value='Tony Tang, PT, DPT' >Tony Tang, PT, DPT</option><option value='Elena Triboy, PTA' >Elena Triboy, PTA</option><option value='Landon Twine, DPT' >Landon Twine, DPT</option><option value='Liffy Varghese, PTA, CES, PES' >Liffy Varghese, PTA, CES, PES</option><option value='Jessica Velez, PT, DPT' >Jessica Velez, PT, DPT</option><option value='Lia Velys, PT, DPT, OCS' >Lia Velys, PT, DPT, OCS</option><option value='Benjamin Villari, OTR/L' >Benjamin Villari, OTR/L</option><option value='Richard Viskewich, PTA' >Richard Viskewich, PTA</option><option value='Skylar Vitiello, PT, DPT' >Skylar Vitiello, PT, DPT</option><option value='Christopher Wild, DPT, SCS, CSCS' >Christopher Wild, DPT, SCS, CSCS</option></select></div></li><li id="field_2_6" class="gfield gfield--type-select populate_locations gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_6" ><label class='gfield_label gform-field-label' for='input_2_6'>Preferred Location<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_2_6' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Select a Location</option><option value='Bellmore' >Bellmore</option><option value='Bohemia' >Bohemia</option><option value='Fresh Meadows' >Fresh Meadows</option><option value='Garden City' >Garden City</option><option value='Huntington' >Huntington</option><option value='Kew Gardens' >Kew Gardens</option><option value='Lynbrook' >Lynbrook</option><option value='Manhattan' >Manhattan</option><option value='Massapequa' >Massapequa</option><option value='Massapequa MRI' >Massapequa MRI</option><option value='Melville' >Melville</option><option value='Merrick' >Merrick</option><option value='Port Jefferson' >Port Jefferson</option><option value='Port Jefferson Orthopedic' >Port Jefferson Orthopedic</option><option value='Port Jefferson Station' >Port Jefferson Station</option><option value='Riverhead' >Riverhead</option><option value='Rockville Centre' >Rockville Centre</option><option value='Smithtown' >Smithtown</option><option value='Southampton' >Southampton</option><option value='Staten Island: 101 Tyrellan Ave.' >Staten Island: 101 Tyrellan Ave.</option><option value='Staten Island: 1099 Targee St.' >Staten Island: 1099 Targee St.</option><option value='Staten Island: 2535 Arthur Kill Rd.' >Staten Island: 2535 Arthur Kill Rd.</option><option value='Staten Island: 3311 Hylan Blvd.' >Staten Island: 3311 Hylan Blvd.</option><option value='Staten Island: 3333 Hylan Blvd.' >Staten Island: 3333 Hylan Blvd.</option><option value='Staten Island: 65 Columbus Ave.' >Staten Island: 65 Columbus Ave.</option><option value='Syosset' >Syosset</option><option value='Woodbury' >Woodbury</option></select></div></li><li id="field_2_7" class="gfield gfield--type-textarea large-field gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_7" ><label class='gfield_label gform-field-label' for='input_2_7'>Reason for Visit<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_2_7' class='textarea large' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_2_10" class="gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_2_10" ><label class='gfield_label gform-field-label' for='input_2_10'>Captcha</label><div id='input_2_10' class='ginput_container ginput_recaptcha' data-sitekey='6Lfq7AMoAAAAAEGnpGgGqNvnMxlyiG3koHhPvnvI' data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'></div></li></ul></fieldset><ul class="gform_fields top_label form_sublabel_below description_below validation_below"><li id="field_2_17" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_17" ><label class='gfield_label gform-field-label' for='input_2_17'>Phone</label><div class='ginput_container'><input name='input_17' id='input_2_17' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_2_17'>This field is for validation purposes and should be left unchanged.</div></li></ul></div>
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<input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='legacy' />
<input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='' />
<input type='hidden' class='gform_hidden' name='is_submit_2' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='2' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsImFlYzQxNDI0ZTRhMzI2ZDdkZjRiMWJhODliN2E3MzJkIl0=' />
<input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' />
<input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' />
<input type='hidden' name='gform_field_values' value='' />
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</form>
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