201 Dolson Avenue Middletown, NY 10940


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Our Staff


R. J. Storm, Licensed Acupuncturist

A licensed acupuncturist, R. J. Storm has been practicing in Middletown for the last five years. He is well-versed in multiple styles of acupuncture including Traditional Chinese, Classical Chinese, Kiiko Japanese, Japanese Meridian, Korean, and classical Jumping Point (Trigger Point).  He has also practiced in China for 7 years. 

Drawing from the additional modalities of cupping, thread moxa, ball moxa, and e-stim, R.J. specializes in respiratory and digestive disorders. 

“Treat the ‘root’, and the ‘branch’ will follow.” 

  • Acupuncture
  • Tri-State College of Acupuncture, NY, NY, USA
R. J. Storm


Clifton Burt, MD

Dr. Clifton Burt, who independently owns and operates Physical Medicine & Diagnostics, P.C., is a pain management specialist who has been working in Middletown for two years. He uses alternative methods to relieve back and neck pain without resorting to surgery.

Dr. Burt finished his residency at Virginia Commonwealth University in 2001 and has been practicing medicine since 2003. He is licensed to practice in New York, New Jersey, and Virginia.

“Physical, mental, and psychological barriers caused by pain can be eliminated.”

  • Interventional Pain Management
  • Licensed to practice in:
    • New York
    • New Jersey
    • Virginia
Clifton Burt


Dr. Jeff Spina, DC

Doctor of Chiropractic Jeff Spina, who independently owns and operates ChiroCare,  has been practicing in Middletown since 1985. He was trained at Life Chiropractic College and has helped people with all types of conditions, from back pain to neck pain, headaches to sciatica.

Dr. Spina is a member of the Middletown YMCA and president of the Salvation Army Board of Directors. In his free time, he enjoys skiing and hiking.

“I love helping sick people get well and seeing them accomplish their goals.”

  • Chiropractic
  • Life Chiropractic College, Atlanta, GA
  • New York State Chiropractic Counsel
Dr. Jeff Spina

Dr. Stephen Brune

Dr. Stephen Brune, a Board-Certified chiropractor for 10 years who has been working in Middletown for over four years, was introduced to chiropractic care in high school when he was treated for an injury. He saw the success of chiropractic as a healing art, and he decided to take it up as a profession. 

After graduating from State University of New York at New Paltz, Dr. Brune went on to study at New York Chiropractic College, from which he graduated in 1998. He enjoys a number of activities in his spare time, including golfing, painting, and playing drums and guitar. 

Dr. Brune has been volunteering on medical missions, traveling to underdeveloped countries to treat people who cannot afford basic health care services. 

“I chose this field to restore patient’s lives.” 

  • Chiropractic
  • from State University of New York at New Paltz
  • New York Chiropractic College
Dr. Stephen Brune

Tracy Parrino

Dr. Tracy Parrino, who works in Middletown now for four years, has developed a unique ability to communicate with her patients and understand their concerns. She addresses their health conditions with a caring and compassionate approach.

Dr. Parrino is a 1997 graduate of Life Chiropractic University in Atlanta Georgia. In 1998, she opened her own practice in New York City and practiced there for seven years. She then practiced in Goshen, N.Y. before joining ChiroCare.

“I love having the opportunity to help people to feel better and heal naturally.”

  • Chiropractic
  • Life Chiropractic University, Atlanta, GA
Tracy Parrino

Dr. David Spina

Dr. David Spina, who has been a practicing chiropractor for 22 years, has been working in Middletown for five years. He enjoys working with his patients and has an innate desire to help and serve people. 

Dr. Spina graduated from Life Chiropractic College in Atlanta, Ga. in 1991 and for several years practiced in Liberty, N.Y. with his father, a chiropractor for 50 years. In his spare time, Dr. Spina enjoys motorcycle riding. 

“I chose this field to help people. I love to know I can help someone be well enough to do what they love to do.” 

  • Chiropractic
  • Life Chiropractic College, Atlanta, GA
Dr. David Spina

Howard Past, DC

Dr. Howard Past has recently joined the team at Dolson Avenue Medical to provide his expertise in treating trauma cases, as well as chronic and difficult spinal injuries. Dr. Past has been a practicing Chiropractor since 1985, after graduating cum laude from Texas Chiropractic College.

Dr. Past has worked side-by-side with other interventional pain management specialists in surgical centers throughout the tri-state area and has helped patients who have not responded to traditional care.

Dr. Past has two daughters who live in Manhattan and are attending Columbia University. He enjoys tennis and skiing, and enjoys a good movie.

Come meet Dr. Howard and see how he can help you achieve better health and wellness.

Dr. Howard Past, DC


Nicole Gialella, LMT

A New York State licensed and insured massage therapist, Nicole has been practicing massage therapy for almost 5 years, but says she has been doing massage even as a child – from massaging her great grandmother when she’s not feeling well, to massaging her high school track team before every race.

“Massage is a part of my life and I have always enjoyed working with people and patients. Seeing them feel better right in front of my eyes and knowing that I helped make that happen — that gives me great pleasure and personal satisfaction.



Lea Robles

Registered Physical Therapist Lea Robles, who has been working in Middletown for five years, enjoys taking care of her patients. She specializes in musculoskeletal injuries such as sprains, strains as well as pre- and post-operative cases, helping patients restore function. She also loves working with the elderly, helping them become more independent with their activities of daily living , thus improving their quality of life.

“I love taking care of people who need help; getting them back to doing and enjoying activities without pain or discomfort.”

  • Physical Therapy

Richard Villanoza

Richard Villanoza has been practicing physical therapy since 2003, the last four of which have been in Middletown. In 2006 he began working on orthopedic cases with a specialization in the knee and shoulder.

Richard has taught classes to his colleagues on shoulder and knee treatment protocols, and brings a great deal of expertise to his patients, who respond with outstanding results.

“The people I work with here are helpful, cooperative, and knowledgeable about their professions; every team member is an asset.”

  • Physical Therapy
  • Manila Central University, BS in Physical Therapy
Richard Villanoza

Cecille Mary

Registered Physical therapist Cecille Mary, who has been working in Middletown  for three years, has worked on a variety of neurologic, geriatric and orthopedic cases through a series of rotations in both in-patient and out-patient settings. Her studies and experience have provided her with the knowledge and skill to help patients achieve maximum recovery.

“I entered this field to help others, to get them aware of (and accountable for) their health. It feels good to alleviate my patients’ pain.”

  • Physical Therapy
  • University of the City of Manila, Philippines, BS
Cecille Mary

Cheryl Escano

Cheryl Escano, a registered physical therapist, has been in the Middletown area  for  four years. She has worked extensively with patients requiring medial meniscus and ACL repairs; in many cases she has been able to bring patients back to full functionality without pain or limitations. 

A graduate of St. Jude College in Manila, Cheryl is highly trained in trigger point therapy and soft tissue mobilization. 

“It makes me happy when I see that my patients are getting better, and are able to do their daily activities and enjoy life.” 

  • Physical Therapy
  • St. Jude College, Manila, Philippines, BS 
Cheryl Escano

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