Vardy Orthodontics

130 West 78th Street — Museum Block — New York, NY 10024 — (212) 579-6881
1630 Stewart Lane — Laurel Hollow — Syosset, NY 11791 — (516) 730-6170

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Refer a Friend

A successful practice doesn't just happen. It is the result of a strong commitment to excellence in our treatment and in our relationships with patients and doctors. We'd like to take a moment to thank you for showing your confidence in our practice by recommending us to your friends, family, and colleagues. We're gratified to find how many new patients regularly call on us based on your words of advice.

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Doctor Referral Form

If you are a doctor who is referring a patient to us, please fill out and submit the following form.

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Your Practice Name:

Full Practice Name
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Orthodontist, Dr. Iris Vardy 130 West 78th Street — Museum Block — New York, NY 10024 — (212) 579-6881
1630 Stewart Lane — Laurel Hollow — Syosset, NY 11791 — (516) 730-6170

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Vardy Orthodontics

Refer a Friend

Choose a form:

Your Name:

Your Practice Name:

Email Address

Name of Person You're Referring:

Were Radiographs Sent?

Additional Information:

For Security Purposes, Please Enter the Code Below:

Orthodontist, Dr. Iris Vardy 130 West 78th Street — Museum Block — New York, NY 10024 — (212) 579-6881 1630 Stewart Lane — Laurel Hollow — Syosset, NY 11791 — (516) 730-6170

Orthodontist, Dr. Iris Vardy 130 West 78th Street — Museum Block — New York, NY 10024 — (212) 579-6881
1630 Stewart Lane — Laurel Hollow — Syosset, NY 11791 — (516) 730-6170