(212) 366-4450
Physical Therapy Associates of New York
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    • Michael Zazzali, DScPT, OCS, Co-Owner
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Please complete these forms and return to us prior to your first visit. Use Firefox, Chrome, Safari as Explorer has difficulty rendering the page.

  • Insurance Verification Form
  • Patient Demographic Form

Oxford Members must sign the following forms

  • Oxford Release Form- Stuart
  • Oxford Release Forms- Mike

PDF Versions

  • Insurance Verification Form (PDF)
  • Patient Demographic Form (can be filled out with PDF viewer)

Links

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Physical Therapy Associates of New York

19 West 21st Street, Suite 404
New York, NY 10010

212 366-4450
info@ptany.com

Our Office Hours

M,W 11:00AM-7PM
T,Th,F 8:00AM-4PM

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