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Mount Sinai Selikoff Centers for Occupational Health fax number
(646) 537-9462
Occupational Health (Selikoff Centers for Occupational Health)
Used for: Medical evaluations for respirator use and related documentation
Fax destination details
- Department
- Occupational Health (Selikoff Centers for Occupational Health)
- Purpose
- Medical evaluations for respirator use and related documentation
- Form
- Medical Evaluation Questionnaire — Medical Evaluation Questionnaire (English) and Spanish Language Medical Evaluation Questionnaire
- Address
- Manhattan Clinical Center, Mount Sinai Selikoff Centers for Occupational Health, 1468 Madison Avenue, Annenberg Building, 3rd Floor, New York, NY 10029
- Voice phone
- 888-702-0630
- 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.
Fill out the Medical Evaluation Questionnaire (or Spanish Language Medical Evaluation Questionnaire) and fax to Norman Zuckerman at Mount Sinai Hospital at 646-537-9462
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