Request An Appointment

For your convenience, Dr. Albert Graziosa now takes appointment requests online by completing the form below. You can also make an appointment by calling Monday through Friday from 8:30 a.m. to 6:00 p.m., Eastern Time at (718) 931-0050.

If you were told to complete the no-fault insurance forms, please download, print and fill out the No-Fault Insurance Forms
If you were told to complete the commercial insurance forms, please download, print and fill out the Commercial Insurance Forms
If you were told to complete the Workers Comp forms, please download, print and fill out the Worker's Compensation Insurance Forms

Please Note: If you are experiencing symptoms that are urgent in nature please contact your primary care physician or your nearest urgent care facility.

All fields with an * are required.

Patient Information

*First Name
*Last Name
Date Of Birth


Zip Code
*Phone Number
*Email Address
*Insurance Provider

Appointment Information

Reason for this appointment
You can select up to 3 different choices for your appointment day and time and we will try to accomodate you as much as possible. If you are experiencing a medical emergency, call 911 and/or go to the nearest emergency room.
First choice
Second choice
Third choice

Referral Information

Referring Doctor
Referring Doctor Number
How did you find us?
How did you hear about us?

Service Agreement

Information collected from this website or provided on any form you have submitted through the website is used only in conjunction with an expressed interest by the user in obtaining additional information about Dr. Albert Graziosa's practice or services. It does not create any type of relationship between the individual providing the information and Dr. Albert Graziosa or any of Dr. Graziosa's affiliates, . This information is not considered Protected Health Information (PHI) and will be used to contact you because you have requested that you be contacted. In addition, information provided on the website or in any response to you is not and cannot be considered medical advice or treatment. Dr. Albert Graziosa will not be liable for and you will release and hold them harmless from any claims and/or any direct, indirect, consequential, special, exemplary, or other damages arising therefrom. Please consult with your doctor for medical advice or treatment for any condition you may have. If you are experiencing a medical emergency, call 911 and/or go to the nearest emergency room.

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