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1. You will want to fill out the Doh 4329 Form accurately, thus be attentive when working with the segments including all of these blank fields:
2. Soon after this section is filled out, go on to type in the relevant details in these: Practitioners Contact Information, Phone Number, Fax Number, Practitioners Contact EMail Address, Practitioners Business EMail, AFFIRMATION FOR ALL PRACTITIONERS, Under penalty of perjury I affirm, Signature Original Ink Only, Print Name, Date, ACKNOWLEDGEMENT FOR PRACTITIONERS, ss On the day of in the year, PLEASE MAIL COMPLETED FORMS TO, and NYSDOHBureau of Narcotic.
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