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.
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:
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.