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How to use or fill out ny is1 with our platform
- Click ‘Get Form’ to open the ny is1 application in the editor.
- Begin by entering your personal information in Section 1. Fill in your first name, last name, and middle initial clearly.
- In Section 2, specify your medical degree by selecting either MD or DO.
- Proceed to Section 3 to input your NY Medical License Number along with your date of birth and license details.
- Complete Section 4 by listing your most recent board certifications, including specialty and expiration dates.
- In Section 5, indicate the years of practice for each specialty you have listed.
- For Section 6, provide your office locations in New York State. If necessary, attach an additional sheet.
- Continue filling out Sections 7 through 17 as applicable, ensuring all responses are accurate and complete.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4.8 Satisfied (161 Votes) |
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