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Make an Appointment

Please use this form to request an appointment with one of our pain specialists.

We see patients Monday through Friday, between the hours of 9:00 AM and 5:30 PM Eastern time.

In the Comments section (below), please include:
Best times to reach you to confirm the appointment by telephone.
Your insurance provider (if applicable)--to assist us in selecting a specialist within your network.

  *Required
*Email Address:
First Name:
Last Name:
Phone:
Comments or questions:
 

Address:

Beth Israel Medical Center
10 Union Square East, Suite 4K
New York, NY 10003
Phone: (212) 844-8930
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