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Get the free Pre-application form for credentialingNewYork-Presbyterian Brooklyn Methodist Hospital

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MEDICAL BOARD 506 Sixth Street Brooklyn, NY 11215 Phone: 7187805110 Fax: 7187803222 Mark L. de Fabio, M. D, President Lawrence E. Star, M.D., Vice President John L. Romanelli, M.D., Secretary/Treasurer
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How to fill out pre-application form for credentialingnewyork-presbyterian

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How to fill out pre-application form for credentialingnewyork-presbyterian

01
Visit the NewYork-Presbyterian website and locate the pre-application form for credentialing.
02
Fill in your personal information such as name, contact details, and professional qualifications.
03
Provide details about your education, training, work experience, and any certifications or licenses held.
04
Include information about any malpractice history or disciplinary actions, if applicable.
05
Submit the completed form along with any required supporting documents to the appropriate department at NewYork-Presbyterian.

Who needs pre-application form for credentialingnewyork-presbyterian?

01
Healthcare professionals such as doctors, nurses, and other medical staff who are looking to become credentialed at NewYork-Presbyterian.
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The pre-application form for credentialing at NewYork-Presbyterian is a document that initiates the credentialing process for healthcare professionals seeking to practice at their facilities.
Healthcare professionals, including physicians and allied health providers, who seek to obtain privileges to practice at NewYork-Presbyterian are required to file the pre-application form.
To fill out the pre-application form, applicants should provide their personal and professional information, including education, training, work history, and any relevant certifications. It is essential to complete all sections accurately and provide any required documentation.
The purpose of the pre-application form is to gather preliminary information about the applicant to determine eligibility for credentialing and to facilitate the subsequent detailed review process.
The pre-application form must include information such as personal identification details, educational background, professional qualifications, current and past employment, and any disciplinary actions or legal issues that may exist.
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