(917) 900-1177
myquietplacepc@gmail.com

2381 Hylan Blvd, LL, Suite #2
Staten Island, NY 10306
NPAP Building
40 West 13th Street
New York, NY 10011

You Can Find me On Yelp

My Quiet Place

Appointment Request

to schedule your first In Office consultation at my Staten Island office or an Online session, please fill out the form below or give me a call.

Please allow up to 24 hours of my response time but rest assured that I will get back to you at my earliest convenience!

This is YOUR therapy and I will work around your comfort zone and your needs.

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.