Contact Us - Brooklyn Cardiology - Cardiothoracic Surgical Associates of New York

Please contact our office or complete the form below to schedule an appointment. We are happy to answer any questions you may have via telephone or e-mail. If you have a preference, please indicate this on the form below. This information will be promptly handled by the appropriate individual within our office.

Please Note - E-Mail is not an emergency means of contacting our office.

Cardiothoracic Surgical Associates of New York, PC
4802 10th Avenue
4th Floor
Brooklyn, NY 11219

Tel: (718) 283-8302
fax: (718) 283-7392

E-Mail - info@brooklynheart.com

*Require Field

Your Name*

Street Address

Address 2 (Suite or PO Box)

City

State Zip Code

Country

Phone

Ext. or Direct #

Fax

E-Mail Address*

Are you currently a patient: Yes No

If not, how did you hear about our practice:

Would you like to schedule an appointment?Yes No

Please provide us with information about when you would like an appointment. We will e-mail you with an appointment confirmation.

Month of	Preferred Time	Preferred Day
	Morning Afternoon Evening

Use the space below for your questions & comments:

Please enter in the characters shown below. Having a hard time reading? Move your mouse over the speaker...

Cant read the numbers? Move the mouse over the speaker and listen...

Cardiothoracic Surgical Associates of New York, PC
4802 10th Avenue
4th Floor
Brooklyn, NY 11219

Tel: (718) 283-8302
fax: (718) 283-7392

E-Mail - info@brooklynheart.com

Copyright © 2001- 2003 Cardiothoracic Surgical Associates of New York, PC, and MedNet Technologies, Inc. All Rights Reserved.
This site is optimized for a display setting of 800 by 600 pixels, or greater.