For your convenience, you may download, print, and complete the following patient demographic and history forms before your first visit.

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Michael Dourmashkin, M.D.
Long Island Urological Associates
A Division of Integrated Medical Professionals, PLLC

4230 Hempstead Turnpike - Suite 200
Bethpage, New York 11714
Phone: 516.796.2222
Fax: 516.796.2303
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