Fidelis Care New York Provider Request Form

Fidelis Care New York Provider Network On-Line Request for Application

Fidelis Care is now accepting Primary Care and Specialist Physician Applications for the following counties:
Allegany
Genesee
Livingston
Madison
Ontario
Putnam
Schoharie
Seneca
Wayne

Click here to complete the Inquiry form.

All other requests will be reviewed and considered on an as needed basis.

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