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Mail:
New York City Department of Health and Mental Hygiene
Citywide Immunization Registry
125 Worth Street, CN #64R
NY, NY 10013-4089
Phone: (212) 676-2323
FAX: (212) 676-2314



To Order Immunization Registry Reporting Forms IMM30C (9/05)

Mail:
New York Citywide Immunization Registry
P.O Box 90490
Binghamton, NY 13902
Email: cirforms@srcp.com
Phone: (800) 238-0130
FAX: (212) 208-4641

November 2005

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