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Ensure you include a valid phone number for our office to contact you. Please do not enter any sensitive information into this form. Dr. Anthony Buglino will personally contact you to discuss the reason for and details of your consultation.

If you have a question regarding a treatment or procedure already performed, please fill out this form or call our office directly at 516-864-0700. 

Surgeries will not be scheduled until there is an in-person consultation. If, during the consultation, you decide you would like to have a procedure done, you can put down a deposit to hold a date. You will then pay in full at a pre-operative appointment.