Cardiel Precision Brain Health
Private, Highly Personalized Neurology for Migraine, Memory & Brain Health
Comprehensive, evidence-based care from Dr. Myrna Cardiel, grounded in academic neurology and informed by the broader factors that shape brain health.
Extended visits, individualized diagnostic and treatment planning, direct physician-led care, and close coordination with referring clinicians.
- Migraine & Headache Care
- Memory, Brain Fog & Cognitive Evaluation
- Menopause & Midlife Brain Health
- Metabolic Brain Health & GLP‑1 Care
Neurology informed by a broader medical perspective. When clinically relevant, care may incorporate sleep, metabolic health, nutrition, physical activity, hormonal transitions, obesity treatment, and neurological considerations for patients using or considering hormone therapy or GLP‑1 medications.
Direct-pay private practice • Out-of-network superbills available
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 and metabolic 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
GLP-1 Optimization & Neurometabolic Care
Already using a GLP-1 medication—or considering one? Dr. Cardiel provides physician-led evaluation and management that looks beyond the number on the scale, with attention to treatment appropriateness, medication effects, nutrition, body composition, strength, metabolic health, sleep, and long-term strategy. Migraine, cognitive symptoms, and hormonal transitions can also be considered when clinically relevant.
Care may include
- Medication & dose review
- Nutrition & protein
- Body composition
- Muscle & strength
- Metabolic health
- Long-term strategy
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.
Specialized, Physician-Led Neurology
Personalized Migraine & Headache Care in Midtown Manhattan
Individualized evaluation and treatment with Dr. Myrna Cardiel.
Private, direct-pay, out-of-network care.
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 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.
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.
Obesity Medicine • Neurometabolic Care
GLP-1 Care Beyond the Scale
GLP-1 Optimization & Physician-Led Obesity Medicine
Already taking a GLP-1 medication—or considering one? These medications can be powerful medical therapies, but prescribing the medication is only one part of thoughtful treatment. Dr. Myrna Cardiel provides individualized care with attention to medication strategy, nutrition, muscle and strength, body composition, metabolic health, side effects, sleep, and the long-term plan.
For patients who also experience migraine, brain fog, sleep problems, hormonal transitions, or other neurological symptoms, those concerns can be considered within the same broader medical perspective when clinically relevant.
Already receiving your medication elsewhere? You may still request an independent medical review and discuss whether ongoing management or transfer of prescribing care would be appropriate.
Three ways to begin
Care can meet you where you are
You do not need to fit into a one-size-fits-all program. The first step depends on whether you are already taking a medication, considering treatment, or seeking more detailed monitoring.
Already taking a GLP-1
Medication Review & Optimization
You do not need to start over because another clinician prescribed your medication. Dr. Cardiel can review your current drug, dose, response, weight trajectory, side effects, nutritional intake, medical history, other medications, and treatment goals.
When clinically appropriate, ongoing prescribing and medical management may also be discussed.
Considering treatment
GLP-1 & Obesity Medicine Consultation
A medical evaluation can help determine whether pharmacologic weight management is appropriate, which FDA-approved treatment options may be reasonable, and what monitoring should accompany treatment.
A consultation does not guarantee a prescription. Treatment recommendations follow an individualized medical evaluation.
Seeking deeper monitoring
Precision Neurometabolic Care
For selected patients, a more comprehensive approach may include body-composition monitoring, nutritional assessment, laboratory evaluation, glucose monitoring, exercise and strength assessment, sleep evaluation, bone-health assessment, or other testing when clinically useful.
Not every patient needs every test. Monitoring is individualized according to risk, goals, treatment response, and the clinical question being addressed.
Beyond scale weight
The medication may be working. But what exactly are you losing?
Meaningful weight reduction can improve health, but scale weight alone does not distinguish changes in fat mass from changes in lean tissue. A good treatment plan also considers how you are eating, moving, sleeping, functioning, and tolerating therapy.
Depending on the individual, useful questions may include:
What thoughtful management may include
A treatment plan built around health, not simply dose escalation
The scope of care is individualized. These are common domains that may be reviewed when they are relevant to treatment decisions.
Medication & Dose Strategy
Review of current treatment, response, tolerability, dose progression, other medications, goals, and whether continued escalation is actually necessary.
Nutrition, Protein & Hydration
Attention to reduced appetite, adequate intake, protein strategy, hydration, gastrointestinal symptoms, and practical nutrition during treatment.
Muscle, Strength & Function
Resistance exercise, strength, physical function, and preservation of lean tissue may be considered—especially during substantial or rapid weight reduction.
Metabolic & Cardiovascular Risk
Laboratory and clinical review may address glucose regulation, lipids, blood pressure, liver health, and other weight-related medical risks when appropriate.
Sleep, Recovery & Hormonal Context
Sleep apnea, sleep quality, menopausal transition, fertility treatment, recovery, and other physiologic factors may influence symptoms, appetite, and treatment goals.
Maintenance & Long-Term Strategy
Obesity is a chronic condition. The plan should include what happens after initial weight reduction, including maintenance, medication decisions, and sustainable habits.
Selective monitoring
Use the tool only when it answers a useful question
Not every patient needs CGM, DEXA, body-composition testing, HRV, or extensive laboratory panels. Testing is selected when the information is likely to influence treatment, clarify risk, or help monitor a meaningful outcome.
Laboratory Assessment
Selected metabolic, nutritional, endocrine, cardiovascular, or safety labs according to history and treatment.
Body Composition
SECA medical body-composition analysis or external DEXA when the result is clinically useful for monitoring lean and fat mass.
Glucose Monitoring
Continuous glucose monitoring may be considered in selected patients when it can answer a specific metabolic or behavioral question.
Strength & Exercise
Resistance-training frequency, functional measures, or other practical assessment may help focus muscle-preservation goals.
Bone Health
DEXA bone-density assessment may be considered when age, menopause, rapid weight change, medication history, or other risk factors warrant it.
Sleep & Wearables
Sleep assessment, heart-rate data, or other wearable information may be reviewed when it contributes meaningfully to the clinical picture.
The Cardiel Precision Brain Health difference
When GLP-1 treatment intersects with brain health
Dr. Cardiel brings together training in Neurology, Headache Medicine, Lifestyle Medicine, Obesity Medicine, and menopause-related neurological care. For selected patients, weight-management treatment may intersect with neurological symptoms rather than existing in a separate silo.
Care may consider changes in migraine or headache patterns, cognition and brain fog, sleep, hydration and nutritional status, neurological medications, physical activity, hormonal transitions, and metabolic health when clinically relevant.
Important: GLP-1 medications are not currently FDA-approved treatments for migraine. Early research examining GLP-1 pathways in migraine and headache disorders is interesting, but the evidence remains preliminary and additional clinical trials are needed.
Medical review matters
These are prescription medications—not a cosmetic shortcut
Before starting or continuing treatment, the medical review should consider whether the medication is appropriate for you, how it fits with your other conditions and medications, and what safety issues require discussion or monitoring.
- Medical history, weight-related conditions, current medications, prior weight-management treatment, and treatment goals
- Gastrointestinal symptoms, hydration, nutritional intake, and the pace of weight reduction
- Personal and family history relevant to medication contraindications or boxed warnings
- History of pancreatitis, gallbladder disease, kidney problems, diabetes-related eye disease, or other medication-specific risks when relevant
- Pregnancy plans, fertility treatment, contraception, and hormonal therapy when applicable
- Upcoming surgery or procedures requiring anesthesia or deep sedation, because medication-specific peri-procedural guidance may apply
Frequently asked questions
What patients often want to know
These answers are general. Medication choice, monitoring, and prescribing decisions are individualized after medical evaluation.
I already get Zepbound or Wegovy from another doctor. Can I still see Dr. Cardiel?
Yes. Patients already using GLP-1 or related obesity medications may request an independent medical review and optimization consultation. Dr. Cardiel can assess the current strategy and, when medically appropriate, discuss ongoing management or transfer of prescribing care.
Do I have to join a long-term weight-loss program?
No. Care can begin with a focused medical consultation. If longitudinal monitoring would be beneficial, the appropriate scope and follow-up can be discussed after the initial evaluation.
Will I need a CGM, DEXA scan, body-composition testing, or extensive labs?
Not necessarily. Monitoring is individualized. Some patients benefit from additional metabolic, body-composition, nutritional, sleep, or bone-health assessment; others do not require it. Testing is recommended when it is likely to influence treatment or monitoring.
Can Dr. Cardiel prescribe Zepbound, Wegovy, or other weight-management medications?
When medically appropriate after an individualized evaluation, Dr. Cardiel can prescribe FDA-approved obesity medications and provide ongoing medical management. A consultation does not guarantee that a particular medication will be prescribed.
Do I always need to keep increasing the GLP-1 dose?
No single dose strategy is right for every patient. Dosing depends on the specific medication, approved labeling, treatment response, tolerability, goals, and medical circumstances. The objective is an appropriate treatment strategy—not dose escalation for its own sake.
Can GLP-1 medications treat migraine?
GLP-1 medications are not currently FDA-approved treatments for migraine. Early clinical and mechanistic research is intriguing but remains investigational. Patients who have migraine and are using a GLP-1 medication for an appropriate medical indication can have both conditions considered together.
Does the practice compound or repackage GLP-1 medications?
No. Cardiel Precision Brain Health does not manufacture, compound, or repackage GLP-1 medications. Prescriptions are sent through appropriate licensed pharmacy or manufacturer channels according to the treatment plan.
Will insurance cover the medication or testing?
Coverage varies substantially by insurance plan, diagnosis, medication, pharmacy benefit, and testing facility. Cardiel Precision Brain Health is a direct-pay, out-of-network practice. Medication, laboratory, imaging, and external facility charges are separate from professional fees unless specifically stated otherwise.
Private, highly personalized care
Already on a GLP-1? Let’s make sure the treatment still makes sense.
In-person care is available in Midtown Manhattan, with telehealth appointments in New York, New Jersey, and Connecticut. Consultation requests are reviewed individually to determine whether your needs align with Dr. Cardiel’s clinical focus and model of care.
info@myrnacardielmd.com • Secure fax: 917-590-1737
This page provides general educational information and is not a substitute for individualized medical advice. Medication selection, prescribing, dosing, monitoring, testing, and treatment duration are determined after medical evaluation and may change as evidence and regulatory guidance evolve. Cardiel Precision Brain Health is a fee-for-service private practice and is not affiliated with NYU Langone Health.
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 care in Midtown Manhattan or an eligible telehealth appointment.
The Office
A Welcoming Midtown Setting
A professional, comfortable environment designed for private, personalized 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?
Book a Visit or Request a Consultation
Cardiel Precision Brain Health is a highly personalized, limited-volume physician-led practice for adults seeking comprehensive care for migraine, memory and cognitive concerns, and long-term brain health, as well as physician-led GLP-1/obesity-medicine care.
Book an available visit online, or submit a consultation request for guidance before scheduling. Consultation requests are reviewed individually to help determine whether your needs align with Dr. Cardiel’s clinical focus, model of care, and availability.
Begin Here
Choose the Right Way to Connect
Book a visit, request guidance, refer a patient, or contact the office directly.
For New & Returning Patients
Appointments & Inquiries
Visit our Book an Appointment page to review online scheduling options and visit guidance. Prefer to discuss your needs first? Submit a consultation request for individual review.
Book an Appointment 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 scheduling and consultation requests, 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 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 medical 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.