Printing Instructions - eMedNY
To apply for an Electronic/Paper Transmitter Identification Number (ETIN), which is required to send and receive New York State Medicaid data electronically or on paper, please complete the items below and forward, along with a Certification Statement to: eMedNY Attn: Provider Enrollment Support P.O. Box 4614 Rensselaer, NY 12144-8614
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