(Click on the Service for more information)
© Dr. Magdalena Swierczewski 2023. All Rights Reserved.
Three Medical Concierge Programs Available
12 month Concierge Program :
– 50% off Hormone Replacement Therapy
– 50% off peptide Therapy
– 50% off Solis Concierge Program
– home visit discount
6 month Concierge Program :
– 25% off Hormone Replacement Therapy
– 25% off peptide Therapy
– home visit discount
3 month Concierge Program :
– 10% off Hormone Replacement Therapy
– 10% off peptide Therapy
– home visit discount
Program includes:
* Only 50 patients in the medical concierge program (waiting list after 50 patients)
*Patients who would like to sign up for the concierge program may call or email:
telephone: 631-283-0015
email:office@drmagdalenas.com
Integrative Functional Medicine Consult
What is Integrative Medicine?
Integrative Functional medicine is healing-oriented medicine that takes the whole person into account (including mental, emotional, functional, spiritual, social, and community aspects—and treating the whole person rather than, for example, one organ system), as well as all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative. Integrative health care often brings conventional and complementary approaches together in a coordinated way, including well-coordinated care between different providers and institutions.
The Principles of Integrative Functional Medicine:
The Main Health Goals of the Integrative Functional Medicine program:
During Integrative Functional Medicine Visit the Patient Receives Head to Toe (All Systems) Evaluation.
This program is designed to correct the environmental, dietary and lifestyle stressors that are the cause of most chronic conditions and promote healthier personal habits to prevent disease, and allow healing. By using all the above modalities, lifestyle modifications, natural supplementation, and prescription medications when necessary, we support the body’s internal healing process to create health and vitality. The goal is to understand the root cause of disease and then treat the cause in order to remove the symptoms as opposed to alleviating symptoms without addressing the underlying problems.
*Patients who would like to schedule an appointment may call or email:
telephone: 631-283-0015
email: office@DrMagdalenas.com
Traditional Medicine Visit:
Visit includes:
– All acute and chronic medical problems/concerns addressed utilizing conventional Internal Medicine to achieve optimal health
– Face to face with doctor initial visit (60min)
– Physical exam with vitals
– Medication review and reconciliation
– Blood work analysis
– Prescriptions as needed
– Documentation
– Referral system of conventional medicine practitioners (Cardiology, Gastroenterology, Pulmonology, Hematology, Oncology, Endocrinology, Rheumatology, Dermatology, Ophthalmology, General Surgery, Vascular Surgery, Plastic and Reconstructive Surgery, Psychiatry, Gynecology, Neurology, Orthopedic and Sports Medicine)
*Patients who would like to schedule a visit may call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.co
Telehealth Consult:
When you cannot come to the office you can have a visit with the doctor by phone or video consultation.
-Dr. Swierczewski has multi-state active medical licenses and is able to consult with patients from the any where in the country (United States).
-For Urgent and Non-Urgent medical problems or health concerns
– Medical visit with experienced, Board-certified Internal Medicine Doctor
– HIPPA protected phone and video consultation
– Diagnosis
– Treatment
– Prescription for medication if needed
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: office@drmagdalenas.com
Anti-Aging Consult/Program:
Aging is the largest risk factor for many chronic diseases including cancer, cardiovascular disease, arthritis, osteoporosis, and type 2 diabetes. Therefore, quantifying the biological age is a fundamental step of understanding diseases and designing anti-aging intervention.
Consult/Program includes:
– History and Physical Exam, Medication review, blood work analysis (including hormones)
– Epigenetic evaluation
– Life extending Therapy: evidence based treatment/protocol (NAD+, phytochemicals, supplements, prescription medication) to increase sirtuin expression and extend cell life.
– Telomere testing: predicts biological age based on telomere length.
– Horvath Aging Clock Test: Dr. Steve Horvath’s epigenetic clock, the gold standard of aging clocks, predicts biological age by measuring DNA methylation at multiple sites. DNAge Epigenetic Clock Service is based on Dr. Steve Horvath’s epigenetic clock and utilizes SWARM® (Simplified Whole-panel Amplification Reaction Method) technology to analyze DNA methylation patterns of >500 loci and provides epigenetic age predictions. Click here to Watch Dr. Steve Horvath speak on aging.
– Anti-aging diet/exercise plan
– Inducing Heat Shock Proteins (HSP)
– Utilizing Extreme temperature Therapies
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.coA
Anti-aging, Peptide Therapy, and Hormone Optimization
Increased cholesterol, a sluggish metabolism, low libido, loss of lean muscle mass and weight gain, sagging skin, slowed mental acuity, fatigue, and chronic disease states, can all be caused by changes in the body associated with aging. Dr. Magdalena Swierczewski can assist you with alleviating some of these undesirable symptoms of aging through hormone optimization and peptide therapy.
Peptide Therapy
Peptide therapy is quickly becoming a “must-have therapy” for men and women of all ages and lifestyles. Peptides are naturally occurring amino acids that help to correct hormone imbalances, increase energy, improve cognition and mental focus, prevent/delay/reverse dementia, enhance sex drive, improve bone density, skin elasticity, muscle tone and stamina, lower body fat and cholesterol levels, decrease wrinkles, reduce inflammation, decrease joint and muscle pain, balance blood sugar and insulin, repair tissues, reverse aging, improve anxiety, insomnia, depression, and so much more!
Peptides Increase Natural Human Growth Hormone
Peptide therapy is also used to optimize the production and secretion of growth hormone levels, which rapidly decline as we age. After the age of 30, there is a progressive decline of growth hormone secretion of about 15% every decade of adult life. Growth hormone receptors have been identified on most tissues in the body including muscles, adipose tissue, the liver, the heart, the kidneys, the brain, and the pancreas. The widespread nature of these receptors points to the importance of growth hormone for protein building, promotion of lipolysis, and resistance to insulin induced glucose metabolism of the liver and peripheral tissues. Growth hormone promotes protein synthesis, improves metabolism, increases mitochondrial function, increases bone density, and many more anti-aging functions. Clearly, growth hormone is important; it maintains cellular survival, improves cellular efficiency, utilization of glucose, cellular repair, prevention of insulin resistance, and promotes healthy brain function . So why not simply give growth hormone to counteract the loss as we age? Historically exogenous human growth hormone (HGH) had been administered but had negative side effects such as shutting down natural human growth hormone production, negatively impacting pituitary function, risk of tachyphylaxis, and had been associated with a range of side effects including cancer. Exogenous human growth hormone (HGH) is clearly not the answer, but peptides are; specifically, a group of peptides that act on the release of growth hormone, hence their names: growth-hormone releasing hormone (GHRH) and growth-hormone releasing peptides (GHRPs). These peptides offer the same benefits as human growth hormone without the risks. These peptides promote natural release and production of human growth hormone, support pituitary function and health, and have no risk of tachyphylaxis, or any other side effects. As compared to HGH, these peptides (GHRH/GHRP) also continue natural growth hormone production for a period of time even after the therapy is stopped.
Why Peptides?
Peptides or molecules that are a combination of two or more amino acids joined together by a peptide bond. Peptides reside in every cell of the body: they are signaling molecules, hormones, enzymes, parts of receptors, and basically any messaging part of a cell. We have over 300,00 naturally occurring peptides in our bodies. Peptides have been utilized in medicine since the beginning of the 1920s. The first commercially available peptide in the United States was insulin. Presently 7000 peptides have been identified, over 140 peptides are involved in therapeutic treatments and are being explored in clinical trials, and more than 500 therapeutic peptides are being used in pre-clinical development. There are over 60 FDA approved peptide medicines on the market today and the number continues to grow. When naturally occurring peptides are re-created for medical therapeutics their specificity translates into excellent profiles for safety, tolerability, and efficacy in humans. Peptides are being shown to be successful in regulation of blood glucose, controlling insulin levels, treating inflammatory diseases, brain diseases, cardiac disease, metabolic syndrome, weight issues, immune deficiencies, cancers, bone and joint problems, sleep disorders, anxiety, depression and fatigue.
Most humans begin to seize making sufficient signaling peptides by around age 30. As we age, the cells of our brain and body slow down, they stop replicating, growing, proliferating—why? Because the peptides that signal this proliferation cycle begin to ebb. As a result, cells begin to either lose their efficiency or they begin making signaling mistakes, impacting all cell functioning and triggering the creation of senescence cells which, cause inflammation, immune dysfunction, DNA damage, stem cell dysfunction, and reactive oxidative species (ROS). This leads to aging, a disease of brain-body functioning marked by loss of cellular efficiency. This is when we develop disease states (diabetes, chronic inflammatory states, cancers, obesity, loss of lean muscle mass, loss of physical endurance, immune compromise, endocrine disorders, hormonal imbalance, loss of collagen, orthopedic disorders, neuromuscular disorders, cognitive impairment, dementia, Alzheimer’s, Parkinson’s, anxiety, depression, insomnia, etc.). The good news is, that peptides can intervene and make cells efficient again.
PEPTIDES HELP:
– Improve inflammatory response/balance and reduce systemic inflammation
– Improve immune function
– Improve cognitive function and memory
– Improve insulin sensitivity
– Increase GH, IGF-1
– Increase Lipolisis (fat burning)
– Increase catabolic state, increase lean muscle mass
– Increase BMR (basal metabolic rate)
– Improve/balance hormones (adrenal function/cortisol, thyroid function, increase sex drive, improve erectile dysfunction, improve sexual function/orgasm)
– Assist in cellular atophogy, mytophagy, and apoptosis
– Optimize mitochondrial function
– Reestablish and protect cellular efficiency
– Reestablish and maintain cell metabolic flexibility
– Maintain nucleotide cofactor ratios of NAD+/NADH, NADP+/NADPH, acetyl CoA/,CoA and ADP/ATP to maintain ultimate cellular redox
– Optimize P53, SIRT, and FOXO genes
– Monitor/influence Timing of cellular senescence
– Reverse inhibit epigenetic influences of the genome
– Prevent DNA mutations
– Increase mesenchymal stem cell function
– Increase amount of circulating stem cells
Who Can Benefit From Peptide Therapy and How Do I Get Started?
Everyone is a candidate for Peptide Therapy and can benefit in multiple ways. Peptides come from US-based, FDA-regulated compounding pharmacies, so a prescription from a medical provider is required. There are several different types of peptide therapy benefits. In our practice there are different categories of peptides to choose from based on their benefits (Anti-aging, Weight Management/Metabolic Enhancement, Immunity, Improved Cognition / Neuroplastisity /Brain Function, Cellular Repair, Gut Repair, Sleep/Circadian Repair). During your consultation, Dr. Swierczewski will discuss the different peptide options and make a recommendation based on your medical history/symptoms and goals. Your prescription peptide will ship to your home address from the compounding pharmacy that works directly with Dr. Swierczewski.
How Long Will I Use Peptide Therapy?
Peptide therapies usually have a “loading” period of 3-6 months before full effects and maximum benefit are noticed. In fact, unlike synthetic growth hormone that has negative side effects of long term use, peptides are natural and can be used indefinitely for maximum health benefits with little to no side-effects.
How Are Peptides Administered?
Most peptides come in an injectable, oral, or cream form. The pharmacy will ship all supplies you will need with instructions and each protocol will have specified dosing and duration. Dr. Swierczewski will discuss options during your consultation and help you select the best peptide for your needs.
These are Some of the Peptides Available (list not all inclusive) with Dr. Swierczewski:
• BPC 157
• Epithalon
• Mod GRF[1-29]
• Ipamorelin
• GHK-Cu
• TAI
• TB4
• AOD 9604
• DSIP
• Dihexa
• Cerebrolysin
MOTS-c
*To schedule an appointment, please call or email:
telepho.ne: 631-283-0015
email: office@drmagdalenas.com
Bioidentical Hormone Therapy Program
As we age, hormone levels (estrogen, progesterone, testosterone, DHEA, pregnenolone, melatonin) fall and lead to symptoms of perimenopause/menopause in women, and symptoms of Andropause in men. Utilizing bioidentical hormones improves low hormone levels and puts our bodies back into balance optimizing our health. Unlike their synthetic counterparts, bioidentical hormones are compounded hormones derived from naturally-occurring sources, such as soy or yams. Bioidentical hormones are designed to be structurally indistinguishable from the natural hormone made by the human body. This exact-match replication reduces side effects and risks, as well as enhances effectiveness of the treatment.
Bioidentical hormones are compounded at a compounding pharmacy. Compounding pharmacies operate under guidelines established by the FDA. Compounded hormones are specifically made by a compounding pharmacist in the exact strength and dosage as prescribed by the attending practitioner. Bioidentical hormones, in most cases, cannot be patented and made into mass prescription forms by large pharmaceutical companies. Instead, doses are carefully determined after an experienced and highly-trained hormone therapy practitioner meets with the patient to review and discuss their medical history, symptoms, lifestyle and lab results. This information ensures that patients get a treatment plan and prescriptions that meet the specific needs of their body.
Hormonal balance is not achieved by meeting some ubiquitous standard of normal—balance is reached when optimal function is restored for the individual person. Bio-identical hormones are available in the form of a pill, cream, patch, gel, and injectable.
The following are typical symptoms of hormone imbalance in women (perimenopause/menopause):
The following are typical symptoms of hormone imbalance in men (andropause):
Program includes:
*Patients who would like to sign up for the program may call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.co
IV Infusion Therapy
Anti-Aging: NAD+ (250mg dose, 500mg dose)
Brain health: NAD+ plus amino acids
Detoxification: high dose Glutathione treatment
Super Antioxidant treatment: high dose glutathione plus high dose vitamin C
High dose Vitamin C: mega dose Vit C
Super Immunity: mega dose Vit C plus vit D, zinc, vit B complex
Boosters:
Vitamin D
Vitamin B12
Vitamin B complex
Zinc
Magnesium
*To schedule an appointment, please call or email:
telepho.ne: 631-283-0015
email: office@drmagdalenas.com
Medical Aesthetics:
Dr. Swierczewski has been practicing Advanced Facial Aesthetics for over a decade. She utilizes hyaluronic acid dermal fillers, botulinum T. (Botox, Xeomin), platelet-rich plasma (PRP), and exosomes to sculpt and transform the face with a goal of a natural, refreshed, and youthful appearance.
These advanced techniques that Dr. Swierczewski uses, gently make adjustments to the face/skin and correspond to the Anti-aging protocols, treatments, medications, and supplements for the body. The philosophy is Health and Beauty Inside Out. Treating the body inside and outside to achieve the best anti-aging goals.
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
Hair Restoration Program:
Dr. Swierczewski has created an advanced hair restoration protocol, which combines the power of platelet-rich plasma (PRP), high intensity laser light therapy, specifically formulated topical prescription medication, and advanced nutritional supplements to help repair and initiate new growth of hair follicles. Because PRP is a purified derivative of your own blood, the procedure is safe, clean and sterile. Side effects are rare and downtime is minimal.
Every patient has their own unique medical profile. So to ensure safety and efficacy prior to treatment, Dr. Swierczewski will conduct a thorough history & physical, as well as a detailed blood analysis and hormone profile during your initial consultation. Using these findings, a personalized treatment plan will be developed to help you achieve optimal results.
Dr. Swierczewski’s Hair Restoration Program is a great option for those who want the non-surgical route which is less invasive but still obtains significant hair growth results.
*To schedule an appointment, please call or email:
telepho.ne: 631-283-0015
email: office@drmagdalenas.com
Weight Management/Weight Loss Program:
Program includes:
– Comprehensive personal history, as well as family history
– Physical examination
– Nutrition evaluation (diet and supplements)
– Micronutrient evaluation (via blood work)
– Hormone evaluation – thyroid, adrenals, pituitary, sex hormones (via blood work)
– Organ evaluation (via blood work)
– Diet evaluation (fasting, intermittent fasting, lectin free diet, daily program)
– Prolon “fasting mimicking diet” introduction and discussion
– Physical fitness evaluation
– Sleep Assessment
– Lifestyle evaluation (stressors, triggers, home environment, etc.)
– Utilizing prescription medication for adjunct therapy (as needed patient to patient case)
– Accessibility to the doctor
– Initial consult visit will be 90-120min with Doctor
– Face to face visit with doctor every two weeks
– Directly working with wellness practitioners and referral system (nutritionist, Ayurveda medicine, acupuncturists, mediation, yoga, Pilates, behavioral therapists, reiki, tai chi and chi gong masters, trainers, PT, Biomagnetictherapy, craniosacral therapy, medical massage, vibroacoustic therapy, crystal healing, infrared sauna, wet/dry sauna, spa therapies)
– Directly working with conventional medicine practitioners and referral system (Cardiology, Gastroenterology, Pulmonology, Hematology, Oncology, Endocrinology, Rheumatology, Dermatology, Ophthalmology, General Surgery, Vascular Surgery, Plastic and Reconstructive Surgery, Psychiatry, Gynecology, Neurology, Orthopedic and Sports Medicine)
*Patients who would like to sign up for the program may call or email:
Telephone: 631-283-0015
Email: Medicine@DrMagdalenas.com
Specialized Testing:
Specialized comprehensive tests that evaluate gut permeability, food sensitivities, microbiome, lectin load, gluten sensitivity, SIBO, and many more pathologies (prices vary based on test – will be discussed with doctor at time of visit/evaluation).
(fees for specialized tests are separate from doctor’s visit fee)
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
Early Detection Multi-Cancer Test
Today, the majority of cancers are found too late, when the prognosis is often poor and treatment options are limited. The earlier that cancer is diagnosed, the greater the chance of successful treatment and survival. This is the only available test on the market today that can detect more than 50 types of cancer (many of which lack routine screening options)from a single blood draw. This is a qualitative, next-generation sequencing-based, in vitro diagnostic test intended for the detection of DNA methylation patterns using cell-free DNA (cfDNA) isolated from human peripheral whole blood. DNA methylation is a natural process used by cells to regulate gene expression. Certain DNA methylation patterns can serve as a signal of cancer and provide information about the origin of the cancer signal. When a cancer signal is detected, the test predicts the origin of the cancer signal with high accuracy. The test is used in addition to guideline-recommended cancer screenings and is recommended for patients at elevated risk for cancer such as those aged 50 or older.
*To schedule an appointment, please call or email:
telepho.ne: 631-283-0015
email: office@drmagdalenas.com
What is the Test?
The test is based on Dr. Steve Horvath’s Epigenetic Aging Clock. The test is able to precisely determine biological age, as opposed to chronological age, using only a small amount of blood or urine. Top-of-the-line, Next Generation Sequencing technology scans over 2,000 biomarkers in the human genome that are subject to epigenetic changes in order to accurately determine biological age.
What is biological age?
Biological age is the age of the cells in your body as determined by various properties and biomarkers that have been researched to correlate with aging and decline
What is Horvath’s Clock?
Horvath’s Clock is the epigenetic aging clock that was pioneered Dr. Steve Horvath. He used human samples to determine 353 biomarkers correlated with aging (CpG Sites). This study modernized biological age measurement and has remained the standard for biological age determination since. The testing company owns exclusive licensing for these original 353 CpG sites and have since added over 2,000 more CpG sites to make us the most accurate biological age test.
Why Test?
By being able to obtain the biological age (age of cells) and compare it to the chronological age (years on earth), Dr. Swierczewski will be able to intervene with medical anti-aging therapies, bio-hacking, nutrition, and lifestyle modification to reduce your biological age and improve your health, longevity, and quality of life, ultimately reversing the aging process. The goal is not only lifespan but healthspan.
*To schedule an appointment, please call or email:
telepho.ne: 631-283-0015
email: office@drmagdalenas.com
Genetic Testing:
Proactive genetic testing offering healthy adults without a strong personal or family history of disease an opportunity to learn about how their genes could potentially impact their health. Three testing options analyze up to 147 genes that are well-established indicators of a significantly increased risk of developing hereditary cancers, cardiovascular conditions, and other medically important disorders.
– Diagnostic Testing for thousands of different genes (cardiac, metabolic health, neurology, nephrology, dermatology, hereditary cancer, hematology, ophthalmology, immunology)
– The diagnostic-grade tests are performed in a CLIA- and CAP-certified laboratory and reviewed by a team of Ph.D. scientists, lab directors, and board-certified genetic counselors.
– Genetic Counseling
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.comTo
COVID Testing:
All tests at the practice are CLIA certified, FDA EU approved.
SAME DAY TESTS:
1. Real-Time PCR (Accula SARS COVID 2 Molecular rt-PCR Test) same day results (obtained in 30 min) – most accurate test on market to provide same day results. Only Test accepted by all countries/states for international and domestic travel.
The Accula SARS-CoV-2 Test is a Nucleic Acid Amplification Test (NAAT) for detection of SARS-CoV-2 viral RNA in approximately 30 minutes. This is a molecular in vitro diagnostic test utilizing polymerase chain reaction (PCR) and lateral flow technologies for the qualitative, visual detection of the coronavirus SARS-CoV-2 viral RNA. The Accula SARS-CoV-2 Test uses a nasal or nasal mid-turbinate swab specimen collected from patients. Patients have results same day. ONLY test accepted that meets requirements for international and domestic travel. This test is ONLY approved for and administered by CLIA certified medical practices.
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email:office@drmagdalenas.com
Telomere Testing:
A telomere test is a blood test that measures the length of telomeres, the protective structures located at the tips of chromosomes. Chromosomes are structures within cells that contain a person’s genes. Most chromosomes have telomeres that normally shorten as a person gets older. By analyzing telomere length, individuals may gain insights into their health, lifespan and susceptibility to diseases. This information enables the person to make lifestyle adjustments that can lead to better health and a longer life.
Telomeres are known to respond well to a healthy lifestyle. A person who maintains a good diet, exercises regularly and is free from constant heavy stress, is less likely to endure accelerated telomere shortening. This can result in a young biological age, regardless of the chronological age.
Epigenetic changes based on lifestyle modification: The primary benefit of a telomere test may be the information it provides about a person’s biological age. The test is intended to reveal a person’s biological age, which is the age a person shares with most people of similar physiology. Biological age measures changes in the physical structures of the body (such as organs and bones), sensory perception, and motor skills, whereas chronological age measures the number of years since birth. A person’s chronological age and biological age aren’t always the same. By having a younger biological age , a person may be able to live a longer healthier life.
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
Medical Clearance:
The goal of medical clearance is to optimize the patient’s health prior to surgical procedure in order to have the best surgical outcome and reduced risk of intraoperative and postoperative morbidity and mortality due to cardiovascular, infectious and/or bleeding/clotting events.
Visit will include:
– Evaluation of all imaging, diagnostic tests, blood work laboratory results
– Comprehensive personal history
– Medication reconciliation
– Physical exam
– Medical clearance documentation
– Referral to medical specialists (if required) prior to medical clearance
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
Macro/Micro-Nutritional Evaluation/Counseling with Customized Supplement Program
Program includes:
– Obtain personal medical history
– Nutrition evaluation (diet and supplements)
– Macro/Micronutrient evaluation (via blood work)
– Organ evaluation (via blood work)
– Blood work evaluation and documentation
– Create a Customized Supplement: based on your body chemistry, a personalized vitamin is created, which combines all required supplements into a single, convenient and easy to take daily capsule.
*Patients who would like to sign up for the program may call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
Reviewing Prior Medical Records:
Any prior medical document the patient would like the doctor to review may be scanned and emailed, faxed, mailed or brought in person to the office.
The amount of documentation to be reviewed along with the associated fee will be assessed and discussed with patient.
(The cost of service will be determined accordingly to duration spent reviewing documents)
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
Medication Review and Reconciliation:
– Review medication list
– Optimize medication list
– Educate the patient about their medications
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
Home Visits:
Visit will include:
– Physical Exam with vitals
– Documentation
– Prescriptions
– Same as in office face to face visit
*To schedule an appointment, please call or email:
telephone: 631-283-0015
email: medicine@drmagdalenas.com
