This doctor's office are ridiculous. The office itself in Manlius is extremely dirty and apparently they don't keep good records. I always pay my copay upfront at Dr's offices. The receptionist was not at the desk so I handed the Dr. $20.00 in trust that they would put it towards my account. The Dr. explained he did not know how to print out the receipt. It's my own fault, however they decided that they would leave a very rude message on my voicemail and decided to charge me more than $50.00 to pay the measly $20.00 that they "say" I owe. Not only this, after I was treated I had a terrible pain in my lower back for weaks. When I called the Dr. he said it was just my body readjusting itself. Please take this review into account when thinking about contracting this Dr.