Appointment Request Form

Vision Insurance/ Insurance (if any):
Insurance Number:
I would like an appointment with:

Please select up to 3 appointment dates / times.
If you can't find a convenient appointment time, please call our office

Enter Letters Shown

Please Note: The requested appointment time(s) may no longer be available. We will contact you to confirm your actual appointment date and time.

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  • Drs. Farkas, Kassalow, Resnick and Associates

    Susan Resnick,O.D.
    Jordan Kassalow,O.D.
    Kevin Rosin,O.D.
    Caryn Nearnberg,O.D.
    Priya Patel,O.D.
    Cary Hirschfield,Opt.

    30 EAST 60 STREET, #201
    NEW YORK, NY 10022

    212-355-5145