• About
    • Our Providers
      • Mahmood Mehdi Kazmi, MD
      • Farhad K. Elyaderani, MD
      • Sandeep Gulati, DO
      • Randall Berliner, MD
      • Suelane Do Ouro, MD
      • Avi Thomas, PA
      • Nabila Al-barghouthy, PA
    • Our Team
  • Conditions
    • Headaches
    • Stroke
    • Neuropathy
    • Neck and Back Pain
    • Multiple Sclerosis
    • Parkinson Disease
    • Dizziness
    • Dementia
    • Epilepsy
    • Psychiatry and Neurobehavioral
  • Procedures
    • Botox
    • Electromyography (EMG)
    • Videonystagmography, VNG testing
    • Transcranial Doppler Ultrasound
  • TMS
  • For Patients
    • Patient Forms
    • Request an Appointment
    • Accepted Insurance
    • Patient Portal
    • Patient Testimonials
    • Blog
    • Events
  • Locations
  • Contact Us
    • Refer Your Patients
Regional Neurological Associates
PHONE: 718.515.4347
Patient Portal Make Appointment Pay Bill Pain Care
Patient Portal Request an Appointment Pay Your Bill Pain Care
PHONE: 718.515.4347
FAX: 718.653.8641
  • About
    • Our Providers
      • Mahmood Mehdi Kazmi, MD
      • Farhad K. Elyaderani, MD
      • Sandeep Gulati, DO
      • Randall Berliner, MD
      • Suelane Do Ouro, MD
      • Avi Thomas, PA
      • Nabila Al-barghouthy, PA
    • Our Team
  • Conditions
    • Headaches
    • Stroke
    • Neuropathy
    • Neck and Back Pain
    • Multiple Sclerosis
    • Parkinson Disease
    • Dizziness
    • Dementia
    • Epilepsy
    • Psychiatry and Neurobehavioral
  • Procedures
    • Botox
    • Electromyography (EMG)
    • Videonystagmography, VNG testing
    • Transcranial Doppler Ultrasound
  • TMS
  • For Patients
    • Patient Forms
    • Request an Appointment
    • Accepted Insurance
    • Patient Portal
    • Patient Testimonials
    • Blog
    • Events
  • Locations
  • Contact Us
    • Refer Your Patients

Patient Forms

Prior to your appointment, please fill out the applicable forms below. You may fill these out and submit all online.

  • New Patient Forms – Bronx
  • New Patient Forms – Yonkers
  • No Show/Late Cancellation Policy
  • HIPAA Form
  • Patient Questionnaire
  • Telemedicine Consent

Refer Your Patients to a Specialist You Trust

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    Testimonials

    I am so thankful for the help and care that I received at this location. All of the therapists were patient, caring professionals. They took great care in showing me how to do what is necessary to help with my pain and to avoid future back pain & injury. - Sharron J. S.

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    PLEASE TAKE A MOMENT TO REVIEW OUR PRACTICE.

    The care you deserve in the Bronx and Surrounding Areas

    4256 Bronx Blvd. | Suite 5 | Bronx, NY 10466
    970 North Broadway | Suite 201 | Yonkers, NY 10701
    145 Dreiser Loop | Bronx, NY 10475
    140 Lockwood Ave. | Room 324 | New Rochelle, NY 10801
    635 Madison Ave | Suite 1400 | New York, NY 10022
    36x9
    Home
    Our Providers
    Conditions
    Treatment
    For Patient
    Patient Portal
    Request An Appointment
    Refer Your Patients
    Regional Neurological Associates
    Phone: 718.515.4347
    Fax: 718-653-8641
    Monday-Friday:
    9:00AM - 5:00PM
    4256 Bronx Blvd.
    Suite 5
    Bronx, NY 10466

    970 North Broadway
    Suite 201
    Yonkers, NY 10701
    145 Dreiser Loop
    Bronx, NY 10475
    140 Lockwood Ave.
    Room 324
    New Rochelle, NY 10801

    635 Madison Ave
    Suite 1400
    New York, NY 10022

    We have privileges
    at the following:

    TargetMarket Healthcare