Clinic Selection Postcard

World Trade Center Health Program Enrollment, Appeals & Reimbursement

App R Clinic Selection Postcard

OMB: 0920-0891

Document [pdf]
Download: pdf | pdf
NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL

FIRST-CLASS MAIL PERMIT NO. 12 RENSSELAER, NY
POSTAGE WILL BE PAID BY ADDRESSEE

WTC HEALTH PROGRAM
PO BOX 7000
RENSSELAER NY 12144-9947

First Name:
Last Name:
Member ID #:
Please select one Clinical Center of Excellence that you wish to visit for your first monitoring exam
NYU/ Bellevue WTC Clinical Center
462 First Avenue at 27th Street
New York, NY 10016
(212) 562-4572
Long Island World Trade Center Program
SUNY, Stony Brook
1345 Motor Parkway, 1st Floor
Islandia, NY 11749
(631) 855-1200
Long Island Satellite Clinics:
Long Island World Trade Center Program,
SUNY, Stony Brook
173 Mineola Blvd., Suite 302
Mineola, NY 11501
(516) 419-5900
Mount Sinai Medical Center
Annenberg Building, 3rd Floor
1468 Madison Avenue
New York, NY 10029
(212) 241-1554

Mount Sinai Satellite Clinic:
The Mount Sinai WTC Program Clinical Center
on Staten Island
690 Castleton Ave
2nd Floor
Staten Island, NY 11801
(212) 241-1554
Queens Clinical Center at
LIJ Medical Center/Queens College
97-77 Queens Boulevard, 9th Floor
Rego Park, NY 11374
(718) 267-2420
University of Medicine & Dentistry of New Jersey
EOHSI Clinical Center
170 Frelinghuysen Road
Piscataway, NJ 08854
(732) 445-0123 ext. 600
FDNY Bureau of Health Services
(only open to current and former FDNY employees)
9 Metrotech Center
Brooklyn, NY 11201
(718) 999-1858


File Typeapplication/pdf
File Titleuntitled
File Modified2013-10-08
File Created2013-10-08

© 2024 OMB.report | Privacy Policy