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tion because of the release or disclosure of HIV-related information, I may contact the New York State Division of Human Rights at (212) 480-2493 or the New York City Commission of Human Rights at (212) 306-7450. These agencies are responsible for protecting my rights 3 I have the right to revoke this authorization at any time by writing t
Page: EFTA00018851 →tion because of the release or disclosure of HIV-related information, I may contact the New York State Division of Human Rights at (212) 480.2493 or the New York City Commission of Human Rights at (212) 306-7450. These agencies arc responsible for protecting my rights. 3. 1 have the right to revoke this authorization at any time by writing
Page: EFTA00038442 →Albany
LocationCapital city of the State of New York, United States, and seat of Albany County

New York State
LocationMajor Medical Insurance Company
Organizationthe New York State Division of Human
OrganizationAE SMITH BLDG.
Organization