To schedule an appointment, please feel free to contact us. Your Name: Appointment Date: Time (Preferred): Sex: —Please choose an option—MaleFemale Date of Birth: Reason for Visit: Select Location: —Please choose an option—Staten Island Main OfficeRalph Place - Staten IslandClove Rd, Staten Island Select Provider: —Please choose an option—Dr. Kiranpreet S. ParmerSelda Velija FNPDr. Elias Purow Your Phone: Your Email: City: State: Zip Code: Medical Insurance Company: Message: Δ Appointment