Private, Highly Personalized Neurology for Migraine, Memory and Cognitive Concerns
Comprehensive, evidence-based neurological evaluation and treatment from Dr. Myrna Cardiel, a board-certified neurologist with more than 20 years of experience.
Extended visits, individualized diagnostic planning, direct physician-led care, and close coordination with referring clinicians.
In-person care in Midtown Manhattan and telehealth appointments in New York, New Jersey, and Connecticut.
Direct-pay private practice • Out-of-network superbills available
Office: 917-905-1057
Email: info@myrnacardielmd.com
*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 |
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 and sphenopalatine ganglion blocks when clinically appropriate.
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.
Depending on the clinical presentation, evaluation may include cognitive assessment, laboratory testing, advanced imaging, Alzheimer’s disease biomarkers, genetic evaluation, and coordination with other specialists.
Priority scheduling—often within 72 hours—is reserved for established patients of Cardiel Precision Brain Health and patients referred by select physician partners, when clinically appropriate and subject to availability.
Cardiel Precision Brain Health is a fee-for service private practice and is not affiliated with NYU Langone Health.
Memory, Brain Fog and 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.
Reasons for evaluation may include:
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
Depending on the clinical presentation, evaluation may include:
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
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
The objective is not to order every available test. It is to select the appropriate testing efficiently and move from uncertainty toward a clear diagnostic and care plan.
How Care Is Structured
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.
When clinically relevant, care may incorporate cognitive testing, biomarker review, sleep, hormonal and metabolic factors, vascular risk, lifestyle considerations, advanced imaging, and ongoing physician guidance. The scope of evaluation is individualized according to each patient’s symptoms, clinical complexity, goals, and need for longitudinal care.
Migraine & Headache Care Pathways
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. Depending on the clinical need, treatment may include medication management, procedures, identification of important migraine contributors, and longitudinal physician guidance.
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 the patient’s headache pattern, previous treatment experience, medical history, goals, and clinical complexity. Procedures may be incorporated when clinically appropriate.
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 the patient’s goals and clinical needs, care may incorporate symptom tracking, wearable or metabolic data, and ongoing physician interpretation and guidance.
How Care Is Structured
Not every contributor to migraine needs to be addressed at once. The scope of care is tailored to each patient’s clinical needs, priorities, life circumstances, and capacity for implementation.
Some patients benefit from addressing a small number of high-impact factors, while others choose a more comprehensive approach involving longitudinal tracking, data review, and ongoing physician guidance.
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 or concentration/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, labs, biomarkers, cognitive testing, wearable data, hormonal fluctuations, physical fitness, recovery data or metabolic health when relevant to the neurological concern.
Important Note
These are not standalone hormone therapy, obesity medicine, or GLP-1 services. They are considered when clinically appropriate as part of a broader neurological, migraine, or brain health evaluation.
Recommendations are individualized based on symptoms, medical history, risk factors, goals, and the patient’s ongoing care with other clinicians.
Not Sure Whether This Is a Good Fit?
The practice specializes in migraine, cognitive concerns, brain health and related neurological conditions. Other neurological symptoms may be considered when appropriate.
If you are unsure whether your concern is a good fit, please contact the office.
For information about Botox for chronic migraine, nerve blocks, trigger point injections, SPG blocks, and other services, please see “Procedures.”
ABOUT DR. CARDIEL
Myrna Cardiel, MD, 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 private practice focuses on migraine and headache disorders, memory and cognitive concerns, women’s neurological health and the neurological effects of hormonal transitions.
She founded Cardiel Precision Brain Health to offer a more private and highly personalized model of neurological care, with extended evaluations, thoughtful diagnostic planning, continuity, and close coordination with patients’ referring physicians and care teams.
A More Integrated Approach to Neurological Care
Dr. Cardiel provides comprehensive, science-driven neurological care integrating headache medicine, lifestyle medicine, hormonal evaluation, metabolic health, sleep, and physical fitness to improve neurological symptoms, and support long-term brain health.
Academic Neurology & Brain Health
Dr. Cardiel spent the majority of her career at NYU Langone Health, where she served as Clinical Professor of Neurology for nearly two decades and led initiatives focused on preventing or delaying cognitive decline, preserving memory and cognitive function.
This work helped shape her commitment to a more comprehensive, prevention-oriented approach to neurological care — one that looks beyond isolated symptoms to better understand the broader factors influencing brain function over time.
Military Service & Personal Philosophy
Dr. Cardiel’s clinical perspective is shaped in part by nearly a decade of service in the United States Army and by her neurology residency training at Walter Reed, one of the nation’s leading military medical centers. In that environment, discipline, resilience, teamwork, and physical readiness were central to both medical training and daily life.
That experience continues to inform her approach to brain health today. She emphasizes movement, metabolic health, resilience, and long-term cognitive health as important components of neurological well-being, while recognizing that each patient’s health status, life circumstances, and physical abilities are unique.
Her approach is individualized, with care plans designed to support each person’s goals, capabilities, and overall well-being.
Board Certifications & Clinical Expertise
Dr. Cardiel holds multiple board certifications reflecting a strong interest in the relationship between neurological health, hormonal transitions, metabolism, sleep, physical fitness, nutrition, and cognitive performance across the lifespan.
Her training includes:
Neurology
Clinical Neurophysiology
Lifestyle Medicine
Obesity Medicine
Menopause Care
Clinical Focus
Migraine, Headache Disorders & Neurological Resilience
Migraine is a complex neurological condition influenced by genetics, sleep, stress physiology, hormonal factors, metabolism, and other biological contributors. Dr. Cardiel provides comprehensive migraine and headache care designed to improve symptom control, reduce disability, and support long-term neurological stability.
Particular areas of interest include chronic migraine, hormonally influenced migraine, headache associated with neck pain, facial pain, and migraine occurring during major life transitions such as fertility treatment, perimenopause and menopause.
Brain Health, Cognitive Performance & Memory Concerns
Evaluation of memory concerns, brain fog, cognitive fatigue, attention difficulties, and changes in mental performance. Care focuses on identifying potentially reversible contributors to cognitive symptoms and memory loss, while supporting cognitive health, mental clarity, and optimal brain function throughout adulthood.
Frequently Asked Questions
Conveniently located near Grand Central Station
6 East 45th Street, 4th Floor, New York, NY 10017
Office Hours and Reserved Access
In-person care in Midtown Manhattan and telehealth appointments in New York, New Jersey, and Connecticut.
Cardiel Precision Brain Health sees patients by appointment, with extended visits and scheduling designed around a highly personalized model of care.
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
FOR REFERRING PHYSICIANS
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.
New-patient inquiries are reviewed individually to determine whether the patient’s needs align with Dr. Cardiel’s clinical focus, model of care, and current availability.
If you would like to be considered for a consultation, please submit a consultation request or contact the office:
For Referring Physicians
Dr. Cardiel welcomes select physician referrals for patients who may benefit from comprehensive migraine, headache, memory, or cognitive neurological evaluation.
Physicians with a specific patient to refer may submit a referral request. Physicians interested in learning more about the practice and discussing future referral coordination may request an introduction with Dr. Cardiel.
Email: info@myrnacardielmd.com
Call: 917-905-1057
Reserved priority scheduling—often within 72 hours—is maintained for established patients of Cardiel Precision Brain Health and patients referred through select physician relationships, when clinically appropriate and subject to availability.
Office Hours and Reserved Access
Cardiel Precision Brain Health sees patients by appointment, with extended visits and scheduling 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 only
In-person care in Midtown Manhattan and telehealth appointments in New York, New Jersey, and Connecticut.
Practice Model
Cardiel Precision Brain Health is a private, direct-pay, out-of-network neurology practice. Detailed superbills are provided for eligible services and may be submitted for possible out-of-network reimbursement, depending on the patient’s insurance benefits.
Laboratory testing, imaging, medications, and certain other services provided by outside entities may still be processed through insurance when appropriate.
The practice does not automatically have access to records from previous healthcare providers. When records are needed, the office will provide instructions for transmitting them securely.
Awards & Recognition
Visit Dr. Cardiel’s Blog
