Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Mobile Health before sending sensitive documents. FaxFlow is not affiliated with this organization.
Mobile Health fax number
(646) 625-3030
CDPAP Medical Screenings (Mobile Health)
Used for: Medical screenings and health assessments for NY CDPAP Personal Assistants; Mobile Health Form and Drug Attestation used for PA health assessments; forms can be emailed to ppl@mobilehealth.com or faxed to 646-625-3030.
Fax destination details
- Department
- CDPAP Medical Screenings (Mobile Health)
- Purpose
- Medical screenings and health assessments for NY CDPAP Personal Assistants; Mobile Health Form and Drug Attestation used for PA health assessments; forms can be emailed to ppl@mobilehealth.com or faxed to 646-625-3030.
- Form
- Mobile Health Form; Drug Attestation — Mobile Health Form and Drug Attestation (NY CDPAP PPL medical screenings)
- Address
- 11-25 44th Road, Long Island City, NY 11101
- Voice phone
- 212-695-5122
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Physician must complete, sign, and stamp the Mobile Health Form. Completed forms can be emailed to ppl@mobilehealth.com or faxed to 646-625-3030; include the PA's PPL ID on every page.
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