Appointment Request Form CALL US (866) 599-8774 REQUEST APPOINTMENT Request an Appointment First Name(Required)Last Name(Required)Phone(Required)Email(Required) Preferred Day(Required)Preferred Day*MondayTuesdayWednesdayThursdayFridayPreferred Time(Required)Preferred Time*MorningNoonAfternoonLocation(Required)Preferred Location*South BronxJamaicaJackson HeightsWashington HeightsBedford-StuyvesantOut of TownPatient Type(Required)Patient Type*NewExistingDesired Doctor(Required)Desired Doctor*Dr. Qianwen DongDr. Jeremy DuDr. Lan HengDr. James KirszrotDr. Forum PatelDr. Nathan M. RadcliffeDr. Nikola RagusaDr. Gregory SteinDr. Kimberly UyDr. Elizabeth ViriyaDr. Samantha WongDr. Sarwar ZahidInsurance Plan(Required)How can we help you? LocationsNew York Ophthalmology - Bronx329 East 149th Street, 2nd FloorBronx NY 10451 BOOK NOWNew York Ophthalmology - Jamaica147-32 Jamaica Avenue,Jamaica NY 11435 BOOK NOWNew York Ophthalmology - Jackson Heights74-09 37th Avenue, Suite 303Jackson Heights NY 11372 BOOK NOWNew York Ophthalmology - Manhattan3556 Broadway, 2nd FloorManhattan NY 10031 BOOK NOWNew York Ophthalmology - Brooklyn774 Broadway, 2nd FloorBrooklyn NY 11206 BOOK NOW
