If your plan is to be in NYC I don't think you can go wrong with either, and Hofstra is cheaper. Having a nearby support system is really big. In your case, I would go Hofstra. Assuming they have enough clinical rotation sites I don't think you close any doors. I don't think you can go wrong with CWRU either, but spending 4 years away from family is not for everyone. If you want to leave options open for the future in terms of matching elsewhere in the country, then CWRU may give you the leg up.