Refined Medical NY
Verified listingAbout Refined Medical NY
What is Refined Medical NY?
Refined Medical NY is a wellness and aesthetics practice on Long Island, with East Setauket as one of its two locations. It describes itself as integrating holistic and conventional medicine, and it has a 5-star rating on Google from 14 reviews. It does not name the town of its second location.
Its prescribers are Dr. Nycholle Gavilanes, MD, the medical director and a board-certified internal medicine physician; Peter Sicardi, PA, a board-certified Physician Assistant; Chris Koch, a registered Physician Assistant who co-owns its management company; and Tara Koch, a Physician Associate who leads its aesthetics and weight loss work. Services include trigger point injections, nerve blocks and joint injections, vitamin therapy and infusions, massage therapy, a weight loss program, male and female hormone replacement, peptide therapy, men's health and aesthetics. The medications it names are tirzepatide and semaglutide for weight loss, plus Sarapin and lidocaine in its trigger point injections. It lists Monday, Wednesday, Thursday and Saturday as operating days, with no hours given.
This listing is for its Setauket- East Setauket office at 8 Technology Dr.
What does it cost?
Its weight loss program, Refined Body, starts at $125. The clinic does not say whether that is per visit or per month, or whether medication is included. It does not publish a consultation fee, and it gives no price for hormone therapy or peptide therapy. It accepts most major insurances and also offers cash pay packages. Some plans, including NYSHIP, Aetna, BCBS and some Cigna plans, carry massage benefits, and the clinic asks you to contact it to check yours.
Membership works on credits rather than a flat fee. Four tiers give 4, 6, 8 or 12 credits, each used within 4 months, and a VIP tier gives unlimited credits used within the month. Credit prices are not given. Every membership starts with a full medical evaluation and in-office bloodwork, followed by quarterly reviews. Cancellations need advance notice, or the clinic may keep a deposit or charge a fee.
What should you ask before you book?
Ask which prescriber will sign any weight loss or hormone prescription, and whether the $125 starting price includes medication. Ask whether the medication is brand-name or compounded, and what follow-up visits and lab work cost. The men's program notes that insurance is required for lab processing fees, so ask how that applies to a cash-pay patient. In its own words: "We may consider applicable candidates for the use of GLP-1 agonists or other prescription-based weight loss medications." Ask what the clinic checks before it considers you a candidate.
For peptide therapy, ask what it involves, who prescribes it and what it costs, since the clinic names it without detail. The East Setauket listing does not include weight loss, so ask which office offers that program and which town the second location is in. Dr. Gavilanes also works as a health coach using qigong, pranic healing, hypnotherapy and Emotional Freedom Techniques, so ask which of her services are medical care, and whether coaching is billed separately. Finally, ask about hours, whether any visit can be done by video, and what counts as advance notice for cancellation. The office number is (516) 704-7447.
Who is it a good fit for?
This is a good fit if you want pain injections, vitamin infusions, massage or aesthetic treatments, and you are willing to get prices in writing before you book. It is a weaker match if you need a published monthly price for weight loss or hormone care, since the clinic does not publish one.
Sources: refinedmedicalny.com, refinedmedicalny.com/services, refinedmedicalny.com/about, refinedmedicalny.com/contact, refinedmedicalny.com/terms-of-use
Services Offered
What we confirmed
Read off Refined Medical NY’s own website on 2026-10-15. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “We may consider applicable candidates for the use of GLP-1 agonists or other prescription-based weight loss medications.” source
- ✓Hormone therapy — listed on their site as “HORMONE REPLACEMENT THERAPY” source
- ✓Peptide therapy — listed on their site as “peptide therapy” source
We have not yet collected published prices or prescriber credentials for this clinic. When we do, they will appear here with a link to the page they came from — or a note saying the clinic publishes none, which is itself worth knowing. Call them for a price in the meantime.
Hours
DAYS OF OPERATION: Monday, Wednesday, Thursday, Saturday