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TIMOTHY GROTH MD PC

Pain Management & Spine Specialists

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    • Dr. Timothy Groth
    • Dr. Gulle Awan
    • Dr. Lisanne Cruz
    • Dr. Eugene Wang
    • Dr. David BenEliyahu
    • Dr. Nate Schilling
    • Dr. Ron Spinelle
    • Melinda Clarke, NP
    • Sabrina Shebes, NP
    • Vincent Alestra, NP
    • Ashley Narain, NP
    • Austin Replogle, PA
    • Marissa Romano, PA
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    (631) 543-1440

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    TIMOTHY GROTH MD PC
    PATIENT FORMS

    Dr. Groth's Consultation Packet
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    Dr. Awan's Consultation Packet
    Dr. Awan's Consultation Packet
    Medical Records Authorization
    Medical Records Authorization
    Chiropractic Consultation Packet
    Chiropractic Consultation Packet
    Back Brace Form
    Back Brace Form

    Timothy Groth MD PC

    Phone: (631) 543-1440

    Smithtown Office:

    994 W Jericho Turnpike # 104, Smithtown, NY 11787

    Fax #: 631-543-1930

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    Selden Office:

    636 Middle Country Rd, Selden, NY 11784

    Fax #: 631-736-7490

    Shirley Office:

    1500 William Floyd Pkwy #201, Shirley, NY 11967

    Fax #: 631-775-9880

    ​

    Hicksville Office:

    ​81 N Broadway, Hicksville, NY 11801

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