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Patient Forms & Insurance Plans

For the convenience of our new patients, we have provided a New Patient Form Packet and Diabetic Questionaire (only if applicable) in pdf format. Please download, print and complete forms and bring them to your appointment. If you are unable to complete, please arrive 15 minutes prior to your appointment to allow extra time. On the day of your 1st appointment, please make sure you bring your insurance card(s) and referral forms.

New Patient Form Packet

Diabetic Questionnaire

We Accept the Following Insurance Plans:

  • Medicare
  • The Empire Plan
  • Oxford Health Plan
  • United Health Care
  • 1199 Health Benefit Plan
  • Aetna
  • Beech Street
  • Blue Card Program
  • ChampVA
  • Cigna
  • ElderPlan
  • Empire HealthChoice
  • GEHA
  • GHI
  • Humana
  • MagnaCare
  • Meritain Health
  • Railroad Medicare
  • Tricare for Life
  • VSNY

Please don't hesitate to call our office at 516-676-1116 if you have any questions or need assistance completing these forms.

Contact Us Today

We look forward to hearing from you!

Locations

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Office Hours

Our Regular Schedule

Glen Cove Office

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

Call office for hours

Sunday:

Closed

Bayville Office - Dr. Kotkin

Monday:

Closed

Tuesday:

Closed

Wednesday:

9:00 am-6:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed