Form DOH-4407 Provider Name / Address Change - New York

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.

ADVERTISEMENT

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 or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-4407 Provider Name / Address Change - New York

4.5 of 5 (24 votes)
  • Form DOH-4407 Provider Name / Address Change - New York, Page 1
ADVERTISEMENT