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Long Island FQHC, Inc. is a nonprofit 501(c)(3) organization (EIN/tax ID number: 27-0216316)

Long Island FQHC, Inc.  © 2010-2015. All Rights Reserved. 380 Nassau Road, Roosevelt NY 11575

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Introduction to Privacy Notice

Dear Patient,

This is a summary of the ways in which medical information about you may be used and disclosed, and how you can get access to this information. Long Island FQHC will use your medical information as part of rendering patient care. Your medical information may be used for treatment, payment, or health care operations. For example, your medical information may be used by the health care professional treating you, by the business office to process your payment for the services rendered, and by administrative personnel reviewing the quality and appropriateness of the care you receive. Your information may also be disclosed pursuant to applicable federal and state law.