If there is bad weather or if you live far from the office, you can do sessions via a HIPAA compliant video platform.
After the initial in-person session. As long as you live in New York State.
To access Dr. Spellman's virtual waiting room (5 minutes earlier the first time to download the free app) please click https://vsee.me/u/drspellman
HIPAA-compliant telemedicine technology - Used by NASA astronauts aboard the International Space Station