Cardiel Precision Brain Health
Private, Highly Personalized Neurology for Migraine, Memory & Cognitive Concerns
Comprehensive, evidence-based care from Dr. Myrna Cardiel, grounded in academic neurology and tailored to the individual.
Extended visits, individualized diagnostic planning, direct physician-led care, and close coordination with referring clinicians.
- Board-Certified in Neurology
- Board-Certified in Lifestyle Medicine
- Diplomate, American Board of Obesity Medicine
- Menopause Society Certified Practitioner
Neurology informed by a broader medical perspective. When clinically relevant, care may incorporate metabolic health, sleep, nutrition, physical activity, hormonal transitions, and neurological considerations for patients using or considering hormone therapy or GLP-1 medications.
Direct-pay private practice • Out-of-network superbills available
Highly Personalized Care | 20 +years of experience | Two decades academic experience @ NYU as Clinical Professor of Neurology | Board-Certified Neurologist | Headache & Brain Health | Clinical Neurophysiology | Lifestyle Medicine | Obesity Medicine | Menopause Certified |
Highly Personalized Care | 20 +years of experience | Two decades academic experience @ NYU as Clinical Professor of Neurology | Board-Certified Neurologist | Headache & Brain Health | Clinical Neurophysiology | Lifestyle Medicine | Obesity Medicine | Menopause Certified |
Private, highly personalized neurology
Why Choose Dr. Cardiel?
Neurological care with the time, expertise, and perspective your concerns deserve.
Dr. Myrna Cardiel is a board-certified neurologist with more than 20 years of clinical experience, including nearly two decades on the faculty at NYU Langone Health. Her clinical focus includes migraine and headache disorders, memory and cognitive concerns, and long-term brain health.
The result is comprehensive, evidence-based neurological care that considers not only the symptoms you are experiencing, but also the broader factors that may be influencing how your brain is functioning.
More time. Broader perspective. One physician who knows your story.
Care Designed for Complex Questions
Dr. Cardiel founded Cardiel Precision Brain Health because complex neurological concerns are not always well served by brief, fragmented appointments.
Migraine, brain fog, cognitive changes, sleep disruption, hormonal transitions, medication effects, metabolic health, and stress physiology frequently overlap. Understanding these connections requires time, thoughtful clinical judgment, and a willingness to look beyond a single symptom or test result.
- Your evaluation and treatment are led personally by Dr. Cardiel.
- Appointments allow time for a detailed discussion of your concerns.
- Diagnostic testing is selected purposefully rather than reflexively.
- Recommendations are explained so you understand what is being considered and why.
- Follow-up is tailored to the complexity of your condition and your individual goals.
- Care can be coordinated with your primary care physician and other specialists, with your permission.
A Broader View of Neurological Care
The scope of care is individualized. These elements are incorporated when they are clinically relevant and likely to clarify diagnosis, guide treatment, or support meaningful follow-up.
An Integrated View of Brain Health
When relevant, Dr. Cardiel considers how sleep, hormones, metabolism, cardiovascular risk, physical fitness, medications, stress, and lifestyle may be contributing to migraine, cognitive symptoms, or neurological function.
A Cross-Specialty Clinical Perspective
Neurological symptoms do not always fit neatly within one specialty category. Dr. Cardiel considers relevant metabolic, hormonal, sleep, medication, and lifestyle factors while coordinating with other clinicians when their expertise is needed.
Thoughtful Use of Advanced Testing
Cognitive assessment, laboratory studies, advanced imaging, Alzheimer's disease biomarkers, genetic testing, wearable data, or metabolic monitoring may be considered when clinically appropriate. Testing is recommended when it is likely to clarify the diagnosis or meaningfully influence care.
Continuity Over Time
When ongoing care is needed, changes in symptoms, function, treatment response, cognitive performance, and relevant health data can be followed longitudinally rather than evaluated as isolated snapshots.
Collaboration With Your Existing Care Team
With your authorization, Dr. Cardiel can communicate with referring physicians, primary care clinicians, and other members of your care team to support a more coordinated approach.
Time, expertise, and compassion
A Broader Medical Perspective in Neurological Care
Dr. Cardiel is a neurologist whose clinical focus includes headache medicine, cognitive evaluation, and brain health. She is board-certified in Lifestyle Medicine, is a Diplomate of the American Board of Obesity Medicine, and is a Menopause Society Certified Practitioner (MSCP).
This combination can be especially valuable when neurological symptoms intersect with metabolic health, hormonal transitions, sleep, medications, physical activity, or lifestyle.
Appointments take place in a modern, thoughtfully designed Midtown Manhattan office at 6 East 45th Street, between Fifth and Madison Avenues and convenient to Grand Central, Bryant Park, and Fifth Avenue.
The practice experience is designed to feel calm and straightforward, with time to speak without rushing, clear next steps, responsive scheduling, and direct physician involvement when appropriate.
A different model of neurological care
Why Patients Choose Cardiel Precision Brain Health
A private, highly personalized neurology experience designed to offer more time, more direct access, and a broader view of the factors influencing brain health.
*New-patient scheduling is subject to clinical fit and availability. This comparison describes the Cardiel Precision Brain Health model and common features of insurance-based and hospital-academic neurology settings; individual practices may vary.
Areas of Specialized Care
Thoughtful care for complex neurological concerns
Comprehensive, physician-led evaluation with the time to understand your symptoms, identify meaningful contributors, and develop an individualized path forward.
Migraine & Headache Care
Specialized care for episodic and chronic migraine, worsening headache patterns, hormonally influenced migraine, headache associated with neck pain, facial pain, and migraine that has not responded adequately to previous treatment.
Treatment may include
- Medication management
- Botox for chronic migraine
- Nerve blocks
- Trigger-point injections
- Sphenopalatine ganglion blocks
Memory, Brain Fog & Cognitive Evaluation
Comprehensive neurological evaluation for memory changes, brain fog, word-finding difficulty, changes in attention or concentration, cognitive decline, and concern about Alzheimer’s disease or another neurological condition.
Evaluation may include
- Cognitive assessment
- Laboratory testing
- Advanced imaging
- Alzheimer’s disease biomarkers
- Genetic evaluation
- Specialist coordination
Cardiel Precision Brain Health is a fee-for-service private practice and is not affiliated with NYU Langone Health. All evaluations, testing, and treatments are individualized and recommended only when clinically appropriate.
Comprehensive Cognitive Neurology
Memory, Brain Fog & Cognitive Evaluation
Thoughtful diagnostic evaluation in a highly personalized private-practice setting
Changes in memory, language, concentration, or the ability to manage familiar activities deserve more than a brief visit or a one-size-fits-all battery of tests.
Dr. Cardiel provides comprehensive neurological evaluation designed to clarify the nature of cognitive symptoms, identify potentially reversible contributors, determine when specialized testing is appropriate, and develop an individualized diagnostic and care plan.
When Evaluation May Help
Reasons for evaluation may include
Cognitive symptoms can arise for many reasons. A careful neurological evaluation helps define the concern and determine which questions should be addressed first.
- Progressive memory loss
- Brain fog or cognitive fatigue
- Word-finding or language changes
- Changes in attention, concentration, or executive function
- Difficulty managing previously familiar activities
- Concern about Alzheimer’s disease or another neurodegenerative condition
- Uncertainty about whether symptoms may reflect menopause, sleep disruption, ADHD, medication effects, metabolic factors, normal aging, or neurological disease
A Purposeful Diagnostic Process
Your evaluation may include
Testing is selected according to the clinical presentation—not simply because a test is available.
- A detailed history from the patient and, when appropriate, a family member or care partner
- Neurological examination and cognitive assessment
- Review of medications and potentially reversible contributors
- Laboratory testing when clinically appropriate
- MRI with volumetric analysis or other advanced imaging
- Alzheimer’s disease blood, cerebrospinal fluid, or PET biomarkers when indicated
- Genetic counseling or testing in selected cases
- Coordination with neuropsychology and other specialists when needed
How Care Is Structured
The scope reflects what you need
Some patients need focused diagnostic clarification, while others benefit from a broader, longitudinal evaluation of the factors that may affect cognitive performance and long-term brain health.
- Cognitive testing
- Biomarker review
- Sleep
- Hormonal factors
- Metabolic factors
- Vascular risk
- Lifestyle considerations
- Advanced imaging
- Ongoing physician guidance
When clinically relevant, care may incorporate these elements selectively. The scope of evaluation is individualized according to each patient’s symptoms, clinical complexity, goals, and need for longitudinal care.
Personalized by Design
No two patients require the same evaluation or follow-up
Learn how clinical needs, diagnostic questions, personal goals, previous treatment, life circumstances, and capacity for implementation shape the recommended level of care.
Specialized, Physician-Led Neurology
Migraine & Headache Care Pathways
More time, greater diagnostic precision, and an approach shaped around your migraine—not a one-size-fits-all pathway.
Dr. Cardiel provides specialized, highly personalized care for episodic and chronic migraine, hormonally influenced migraine, worsening headache patterns, facial pain, and headache associated with neck pain.
Care is designed for patients seeking more time, diagnostic precision, and individualized treatment planning than is typically possible in a conventional, high-volume setting. The scope of care is guided by your clinical needs, goals, and the complexity of your condition.
- Medication management
- Clinically appropriate procedures
- Identification of migraine contributors
- Longitudinal physician guidance
Two pathways. One individualized standard of care.
Some patients need a focused consultation and treatment plan. Others benefit from a broader, longitudinal approach. Your care should match what is clinically meaningful and practical for you.
Focused Neurological Care
Precision Migraine
A focused neurological pathway designed to define the migraine pattern, review previous treatment response, identify the most important contributors to current headache burden, and establish an individualized acute and preventive treatment strategy.
This pathway may be appropriate for patients who want a targeted consultation and practical treatment plan without extensive monitoring or longitudinal data collection.
How Care Is Structured
Recommendations are individualized according to your headache pattern, previous treatment experience, medical history, goals, and clinical complexity. Procedures may be incorporated when clinically appropriate.
Comprehensive Longitudinal Care
Migraine Systems Pathways
A more comprehensive, longitudinal approach for patients seeking to understand why migraine remains difficult to control.
In addition to evidence-based headache treatment, this pathway may examine factors that influence migraine threshold, including sleep, hormonal transitions, stress physiology, metabolism, physical activity, recovery, and other relevant biological or lifestyle contributors.
Depending on your goals and clinical needs, care may incorporate symptom tracking, wearable or metabolic data, and ongoing physician interpretation and guidance.
- Sleep
- Hormonal transitions
- Stress physiology
- Metabolism
- Physical activity
- Recovery
How Care Is Structured
Not every contributor needs to be addressed at once. The scope is tailored to your clinical needs, priorities, life circumstances, and capacity for implementation. Some patients address a small number of high-impact factors; others choose more comprehensive longitudinal support.
How Care Is Personalized
The right scope of care for your needs
No two patients require the same level of evaluation, monitoring, or follow-up.
Some individuals need a focused neurological consultation, diagnostic opinion, or treatment plan. Others benefit from a more comprehensive approach involving longitudinal follow-up, symptom or wearable information, lifestyle interventions, metabolic data, or ongoing physician guidance.
Recommendations reflect factors such as:
- Clinical needs and diagnostic questions
- Symptom complexity and duration
- Personal priorities and health goals
- Previous testing and treatment
- Medical conditions and medications
- Life circumstances and available time
The goal is not to perform every available test. It is to identify the care strategy most likely to be meaningful, practical, and beneficial for you.
Care May Address
Cardiel Precision Brain Health provides neurology-led care for migraine, cognitive concerns, and related neurological symptoms.
Depending on each patient’s needs, care may address:
- Migraine and headache disorders, including facial pain and neck-related headache
- Brain fog, memory concerns, and changes in attention, concentration, or focus
- Midlife brain health and healthy brain aging
- Menopause-related neurological symptoms, including changes in migraine pattern, sleep, mood, cognition, or brain performance
- Sleep, stress physiology, and autonomic nervous system factors that may influence neurological symptoms
- Metabolic health factors, including insulin resistance, weight-related risk, glucose regulation, and their relationship to brain health
- Neurological considerations for patients using or considering hormone therapy, obesity-medicine treatments, or GLP-1 medications
A Neurology-Led, Whole-Person Approach
Neurological symptoms are often influenced by multiple factors, including hormones, sleep, metabolism, stress physiology, lifestyle, medications, and vascular risk.
For selected patients, care may include review of advanced imaging, laboratory results, biomarkers, cognitive testing, wearable data, hormonal fluctuations, physical fitness, recovery data, or metabolic health when relevant to the neurological concern.
Founder & Neurologist
Myrna Cardiel, MD
Academic depth, clinical experience, and a highly personalized approach to neurological care.
Dr. Cardiel is a board-certified neurologist with more than 20 years of clinical experience, including nearly two decades on the faculty at NYU Langone Health.
She founded Cardiel Precision Brain Health to offer a more private, thoughtful model of care for adults with migraine and headache disorders, memory and cognitive concerns, and neurological symptoms influenced by hormonal transitions and other interconnected health factors.
- 20+ Years of Clinical Experience
- Nearly Two Decades at NYU
- U.S. Army Veteran
- Walter Reed Neurology Training
Clinical Perspective
A More Integrated Approach to Neurological Care
The brain does not function in isolation from the rest of the body.
Dr. Cardiel’s approach is grounded in traditional neurology while recognizing that sleep, hormonal transitions, metabolism, cardiovascular risk, medications, stress, physical fitness, and lifestyle may influence neurological symptoms and brain function.
These factors are considered selectively—when clinically relevant—so that care remains evidence-based, purposeful, and realistic for each patient.
- Neurology-Led
- Science-Driven
- Individually Tailored
Experience That Shapes the Care
Academic rigor. Military discipline. Human perspective.
Two formative chapters of Dr. Cardiel’s career continue to influence how she listens, evaluates complexity, and supports patients over time.
Academic Neurology & Brain Health
Nearly two decades on the faculty at NYU Langone Health
Dr. Cardiel spent the majority of her career at NYU Langone Health, where she served as Clinical Professor of Neurology and contributed to initiatives focused on preserving memory and cognitive function and preventing or delaying cognitive decline.
That work strengthened her commitment to careful diagnostic reasoning and to viewing brain health across time rather than as a series of isolated snapshots.
Military Service & Personal Philosophy
Nearly a decade of service in the United States Army
Dr. Cardiel completed her neurology residency at Walter Reed Army Medical Center. In that environment, discipline, resilience, teamwork, and physical readiness were central to both medical training and daily life.
That experience continues to inform an approach that values movement, metabolic health, resilience, and long-term neurological well-being—always adapted to each person’s abilities, circumstances, and goals.
- Discipline
- Resilience
- Teamwork
- Readiness
Credentials & Clinical Expertise
Expertise across traditionally separate areas
Dr. Cardiel’s credentials and additional training support a broader understanding of the relationships among neurological health, hormonal transitions, metabolism, sleep, physical fitness, nutrition, and cognitive performance across adulthood.
- Neurology
- Clinical Neurophysiology
- Lifestyle Medicine
- Obesity Medicine
- Menopause Care
Clinical Focus
Specialized care for migraine and cognitive concerns
The detailed clinical pathways are explained on their dedicated pages, allowing this biography to remain focused on Dr. Cardiel’s background and approach.
Headache Medicine
Migraine, Headache Disorders & Neurological Resilience
Specialized care for episodic and chronic migraine, hormonally influenced migraine, worsening headache patterns, facial pain, headache associated with neck pain, and migraine during major life transitions.
Explore Migraine CareCognitive Neurology
Brain Health, Cognitive Performance & Memory Concerns
Thoughtful evaluation of memory changes, brain fog, cognitive fatigue, attention difficulties, and changes in mental performance, with attention to potentially reversible contributors and clinically appropriate advanced testing.
Explore Memory & Cognitive EvaluationCardiel Precision Brain Health
Location & Office Hours
A private Midtown Manhattan setting, conveniently located near Grand Central Station.
New York, NY 10017
By Appointment
Office Hours & Reserved Access
Extended visits and scheduling are designed around a highly personalized model of care.
Practice Hours
Cardiel Precision Brain Health sees patients by appointment.
- Monday–Thursday
- 9:00 a.m.–5:00 p.m.
- Friday
- Established patients by prior arrangement
- Saturday mornings
- Practice members only, by prior arrangement
- Sunday
- Closed
Where Care Is Available
Choose in-person neurological care in Midtown Manhattan or an eligible telehealth appointment.
The Office
A Welcoming Midtown Setting
A professional, comfortable environment designed for private, personalized neurological care.
6 East 45th Street, 4th Floor
New York, NY 10017 • Conveniently located near Grand Central Station
Considering Care?
Request a Private Consultation
Submit a consultation request describing your concerns and preferred type of appointment. The practice will review whether your needs align with Dr. Cardiel’s clinical focus and current availability.
Private Neurology • Midtown Manhattan
Considering Care at Cardiel Precision Brain Health?
Request a Private Consultation
Cardiel Precision Brain Health is a highly personalized, limited-volume neurology practice for adults seeking comprehensive care for migraine, memory and cognitive concerns, and long-term brain health.
Each new-patient inquiry is reviewed individually to determine whether the patient’s needs align with Dr. Cardiel’s clinical focus, model of care, and current availability.
Begin Here
Choose the Right Way to Connect
Select the pathway that best describes your inquiry, or contact the office directly.
Prospective Patients
New-Patient Inquiries
Submit a private consultation request so the practice can review your neurological concerns and determine whether the care model is an appropriate fit.
Request a ConsultationFor Referring Physicians
Clinical Referrals
Dr. Cardiel welcomes select referrals for comprehensive migraine, headache, memory, or cognitive evaluation. Physicians may refer a patient or discuss future referral coordination.
Refer a PatientDirect Contact
Connect with Dr. Cardiel
For general questions, referral coordination, or assistance with the consultation process, please contact the office.
By Appointment
Office Hours & Reserved Access
Extended visits and scheduling are designed around a highly personalized model of care.
- Monday–Thursday
- 9:00 a.m.–5:00 p.m.
- Friday
- Established patients by prior arrangement only
- Saturday mornings
- Practice members only, by prior arrangement
Where Care Is Available
Midtown Manhattan & Telehealth
Choose in-person neurological care in New York City or an eligible telehealth appointment.
Practice Model
Direct-Pay, Out-of-Network Care
Cardiel Precision Brain Health is a private, direct-pay neurology practice. Detailed superbills are provided for eligible services and may be submitted for possible out-of-network reimbursement, depending on the patient’s benefits. Laboratory testing, imaging, medications, and certain outside services may still be processed through insurance when appropriate.
Awards & Recognition
