Medicare Application Information

Medicare Application Log

5-7-2024, Tuesday Submit Application Online

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How to Complete the MEDICARE SAVINGS PROGRAM APPLICATION DOH-4328 

MMedicare Savings Program Application pdf 

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How to apply for a Reduced-Fare MetroCard 


Manhattan

Chinatown:
Address: 115 Chrystie St.
5th Floor
New York, NY 10002
Phone: 212-334-6114
Monday – Friday 9:00am to 5:00pm

Dyckman Community:
Address: 4055 10th Avenue
Lower Level
New York, NY  10034
Phone: 929-221-3244
Monday – Friday 8:30am to 5:00pm

Queens

Queens Community:
Address: 32-20 Northern Boulevard
3rd Floor
Queens, NY 11101
Phone: 718-784-6729
Monday – Friday 8:30am to 5:00pm

Jamaica Community
Address: 165-08 88th Avenue
8th Floor
Jamaica, NY  11432
Phone: 929-252-3193
Monday - Friday 9:00am to 5:00pm

Date of Hire at Fuji Bank: 04/20/1998

Date of  Termination at Mizuho Corporate Bank: 09/01/2008

Nationalized on 7/23/1993

Married on 7/18/1997