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TIMOTHY GROTH MD PC

Pain Management & Spine Specialists

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    • Dr. Timothy Groth
    • Dr. Gulle Awan
    • Dr. Jamal Khan
    • Dr. Lisanne Cruz
    • Dr. David BenEliyahu
    • Dr. Nate Schilling
    • Dr. Ron Spinelle
    • Tom Yarrobino, FNP-C, DPT
    • Melinda Clarke, NP
    • Sabrina Shebes, NP
    • Vincent Alestra, NP
    • Christina Decosta, NP
    • Jessica Petchonka, PA

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    (631) 543-1440

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    TIMOTHY GROTH MD PC
    CONSULTATION FORM

    PATIENT FORMS

    Dr. Groth's Consultation Packet
    Dr. Groth's Consultation Packet
    Dr. Awan's Consultation Packet
    Dr. Awan's Consultation Packet
    Back Brace Confirmation.pdf
    Back Brace Confirmation.pdf
    Medical Records Auth.pdf
    Medical Records Auth.pdf

    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

    ​

    Wyandanch Office:

    32 Station Dr, Wyandanch, NY 11798

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