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NYU Langone Hospitals fax number
(929) 455-9490
Financial Counseling Services / Financial Assistance
Used for: Submission of the NYU Langone Hospitals Financial Assistance Application (NYS Uniform Hospital Financial Assistance Application) for hospital charges
Fax destination details
- Department
- Financial Counseling Services / Financial Assistance
- Purpose
- Submission of the NYU Langone Hospitals Financial Assistance Application (NYS Uniform Hospital Financial Assistance Application) for hospital charges
- Form
- NYS Uniform Hospital Financial Assistance Application — NYS Uniform Hospital Financial Assistance Application
- Address
- 550 First Avenue MSB G200, New York, NY 10016
- Voice phone
- 1-866-486-9847
- Website
- Visit organization website
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Complete the enclosed NYS Uniform Hospital Financial Assistance Application, print, and return within 30 days to NYU Langone Hospitals Attn: Financial Assistance, 550 First Avenue MSB G200, New York, NY 10016. The form covers hospital charges only; no income documentation is required for submission; private room charges and cosmetic procedure charges are not covered by the Financial Assistance Program.
Official form instructions are published as a downloadable file on the organization's website.
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