List the requested NY Care Information Gateway Authorized User(s) below. The Authorized User Manager must ensure that all proposed users will complete training and have provided you with the appropriate proof of identity prior to their inclusion on this form. You can add up to twenty Authorized Users. For larger group registration, please click here for the appropriate excel form.
551 North Country Road, Suite 206, St. James, NY 11780
14 Penn Plaza, 225 West 34th Street, 9th Floor, New York, NY 10122
P.O. Box 800038, Elmhurst, NY 11380
To reach a NYCIG customer service representative, please call 631-250-9191