888.286.6600Manhattan

About
- ABOUT US
- What to Expect
- Facilities
- Medical Education & Research
Diagnostics
- Diagnostics
- At NYC Surgical Associates, our American College of Radiology accredited diagnostic labs offer a variety of noninvasive, cutting edge testing to diagnose the full spectrum of cardiovascular and neurologic disorders.
Treatments
- Varicose Veins
- Reticular & Spider Veins
- Soft Tissue / Lymphatic Disorders
- Deep Vein Disease (DVT)
- CALL FOR A CONSULTATION: 888-286-6600
Vein Disease
- Vein Disease
- How Veins Work
  We can fix these non-functioning veins now, with simple procedures that dont require any incisions, pain, or scars any more….unlike the old traditional surgery of the past. read more…
Reviews
- Reviews
- If you are seeking specialized vein treatment in the NYC or NJ netro area, NYC Surgical Associates has your answer. We have three board-certified vein specialists with over 20 years combined vein treatment experience.
Media
- Media
  - Media Center
  - In The Press
  - On TV
  - Practice Videos
  - Events
  - Press Kit
  - Blog
- If you are seeking specialized vein treatment in the NYC or NJ netro area, NYC Surgical Associates has your answer. We have three board-certified vein specialists with over 20 years combined vein treatment experience.
Contact
- Contact
- Almost 50 percent of our referrals come from other patients, and we are very proud of this fact.

973.227.0680

About
- ABOUT US
- What to Expect
- Facilities
- Medical Education & Research
Diagnostics
- Diagnostics
- At NYC Surgical Associates, our American College of Radiology accredited diagnostic labs offer a variety of noninvasive, cutting edge testing to diagnose the full spectrum of cardiovascular and neurologic disorders.
Treatments
- Varicose Veins
- Reticular & Spider Veins
- Soft Tissue / Lymphatic Disorders
- Deep Vein Disease (DVT)
- CALL FOR A CONSULTATION: 888-286-6600
Vein Disease
- Vein Disease
- How Veins Work
  We can fix these non-functioning veins now, with simple procedures that dont require any incisions, pain, or scars any more….unlike the old traditional surgery of the past. read more…
Reviews
- Reviews
- If you are seeking specialized vein treatment in the NYC or NJ netro area, NYC Surgical Associates has your answer. We have three board-certified vein specialists with over 20 years combined vein treatment experience.
Media
- Media
  - Media Center
  - In The Press
  - On TV
  - Practice Videos
  - Events
  - Press Kit
  - Blog
- If you are seeking specialized vein treatment in the NYC or NJ netro area, NYC Surgical Associates has your answer. We have three board-certified vein specialists with over 20 years combined vein treatment experience.
Contact
- Contact
- Almost 50 percent of our referrals come from other patients, and we are very proud of this fact.

Physician Referral

Patient Name*
Gender
DOB
Phone (Home)
(Mobile/Work)
Address
Primary Insurance
Subscriber ID
Secondary Insurance
Subscriber ID
SERVICES REQUESTED (This patient is being referred for)
Signs / Symptoms
- Evaluate and treat... Varicose Veins
- Evaluate and treat... Reticular Veins
- Evaluate and treat... Spider Veins
- Micophiebectomy
- Sclerotherapy
- Ultrasound Guided Sclerotherapy
- Endovenous Radiofrequency Ablation
- Venous duplex lower extremity
- Arterial Duplex lower extremity
- Ulcers
- Cramping
- Itching
- Heaviness
- Fatigue
- Discoloration
- Swelling
- Flushing
- Refractory sweating
- Hyperhidrosis
Additional Services Availaible
Medical History
- General Surgery Consultation and Management
- Thoracic Surgery Consultation and Management
- Hyperhidrosis Consultation and Management
- Thoracic axillary botox
- Thoracic sympathectomy
- Axillary Liposuction
REFERRING PHYSICIAN
REFERRING PHYSICIAN
Address
Phone
Fax
Report Preferences: Send report by
- Mail
- Fax
- Email
Email*

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Our Locations

Manhattan555 Passaic Ave, #10,
West Caldwell, NJ 07006

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