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Form DOH-4407 Provider Name / Address Change - New York
What Is Form DOH-4407?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH-4407?A: DOH-4407 is a form for provider name/address change in New York.
Q: Who should use DOH-4407?A: Providers who need to change their name or address in New York should use the DOH-4407 form.
Q: How do I fill out DOH-4407?A: You need to provide your current name/address, new name/address, and other required information on the DOH-4407 form.
Q: Is there a fee for submitting DOH-4407?A: There is no fee for submitting the DOH-4407 form.
Q: What should I do after completing DOH-4407?A: After completing the DOH-4407 form, you should submit it to the New York Department of Health as instructed on the form.
Form Details:
- Released on September 1, 2006;
- The latest edition provided by the New York State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DOH-4407 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Department of Health.
