New Client Intake

Please take a brief moment to complete our online client intake form so that we may better assist you in pursuing your claim. All recorded information is handled with strict confidentiality and maintained within our world class secured servers.

Contact details

*Please note that all MDASR offices require an appointment to be made prior to visiting.

8 East Main Street, 2nd Fl
Bay Shore, NY 11706

P: 631-665-0609
F: 631-665-7409

Mon-Fri: 9AM – 5PM

Send us an email

Please feel free to send us an email requesting additional information as needed. All fields are required.

Additional Office Locations

120 W. 45th St, 16th Floor
New York, NY 10036
Fax (631) 665-7409

200 Garden City Plaza, Suite 201
Garden City, NY 11530
(866) 557-7500
Fax (631) 665-7409

White Plains
399 Knollwood Rd # 220
White Plains, NY 10603
(866) 557-7500
Fax (631) 665-7409

737 Roanoke Avenue
Riverhead, NY 11901
(866) 557-7500
Fax (631) 665-7409