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New York State Department of Health / NY State of Health fax number
(855) 900-5557
NY State of Health Appeals Unit
Used for: Submitting NY State of Health forms and supporting documents by fax to the NY State of Health Appeals Unit (e.g., DOH-5231 Appeal Request Instructions and DOH-5087 Authorized Representative Identity Verification).
Fax destination details
- Department
- NY State of Health Appeals Unit
- Purpose
- Submitting NY State of Health forms and supporting documents by fax to the NY State of Health Appeals Unit (e.g., DOH-5231 Appeal Request Instructions and DOH-5087 Authorized Representative Identity Verification).
- Form
- DOH-5231; DOH-5087 — NY State of Health Appeal Request – Instructions (DOH-5231); Verifying an Authorized Representative’s Identity (DOH-5087)
- Address
- NY State of Health Appeals Unit, P.O. Box 11729, Albany, NY 12211
- Voice phone
- 1-855-355-5777
- 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.
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DOH-5231: Submit an appeal request within 60 days; you may upload the form on the NY State of Health website, fax the form to 1-855-900-5557, or mail to NY State of Health Appeals Unit, P.O. Box 11729, Albany, NY 12211. DOH-5087: Authorized Representative Identity Verification; submit the form with copies of identity documents and mail to NY State of Health or fax to 1-855-900-5557.
Official form instructions are published as a downloadable file on the organization's website.
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