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S. Swan
Organization
2
Total Mentions
2
Documents
18
Connected Entities
Organization referenced in documents
Document Mentions (2)
EFTA01650943.pdf
1 mentionEFTA01650943
fill out the attached HIPPA form? Yes. Fill out one HIPAA form for each service provider. You can photocopy a blank form to make extra copies. 80 S. Swan Street Albany, NY 12210-8002 (518) 457-8727 ovs.ny.gov 55 Hanson Place Brooklyn, NY 11217-1523 (718) 923-4325 800-247-8035 Rev. September 201
EFTA01651057.pdf
1 mentionEFTA01651057
insurance company or benefits plan before the OVS can pay. Mail your documents to: New York State Office of Victim Services AE Smith Building 80 S. Swan Street Albany, NY 12210-8002 Rev September 2015 Page 4 of 4 EFTA01651061
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Connected Entities(18)
Medicaid
OrganizationUnited States social health care program for families and individuals with limited resources
2 docs2 co-mentions
Victim Services
OrganizationFBI Victim Services
2 docs2 co-mentions
the State of New York
LocationState in the northeastern United States
2 docs2 co-mentions
the New York City Commission of Human Rights
OrganizationOrganization referenced in documents
2 docs2 co-mentions
HIPAA
OrganizationOrganization referenced in documents
2 docs2 co-mentions
Social Security Benefits
OrganizationOrganization referenced in documents
2 docs2 co-mentions
CA
Complete Address
PersonPerson referenced in documents
2 docs2 co-mentions
New York State Law
OrganizationOrganization referenced in documents
2 docs2 co-mentions
See the Court Ordered Restitution Information
OrganizationOrganization referenced in documents
2 docs2 co-mentions
First Hospital
OrganizationOrganization referenced in documents
2 docs2 co-mentions
the New York State Department of Health'
OrganizationOrganization referenced in documents
2 docs2 co-mentions
the Social Security Death Benefit
OrganizationOrganization referenced in documents
2 docs2 co-mentions
OVictim Assistance Program
OrganizationOrganization referenced in documents
2 docs2 co-mentions
Disability Insurance
OrganizationOrganization referenced in documents
2 docs2 co-mentions
the Death Certificate
OrganizationOrganization referenced in documents
2 docs2 co-mentions
Primary Insurance Company
OrganizationOrganization referenced in documents
2 docs2 co-mentions
Governmental Agency Name
OrganizationOrganization referenced in documents
2 docs2 co-mentions
The New York State Public Health Law
OrganizationOrganization referenced in documents
2 docs2 co-mentions