Location:
New York Medical Training Center
36-09 Main Street, 5th Floor, Flushing,
New York 11354
(Corner of Main Street & Northern Blvd)

Tel: 718-460-1717,718- 460-4096,
718-460-4340,718-475-2603
Fax: 718- 539-9655
Course Application Form
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Contact Information
Name*
Address*
City*
State*
Zip Code*
Home Telephone*
Eg:( 777-777-7777 )
Time to be Contacted *  
Cell Phone
Birth Date
(mm/dd/yyyy)*
Email*

How did you learn about us? (If newspaper, which one?)
Do you have a high school diploma, GED, or a higher education diploma?
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Classes and Pricing (financing is available)*
Medical Assistant (CMA)
EKG Technician (Electrocardiography) $450.00
Phlebotomy Technician (Blood Draw Techniques) $450.00
EKG & Phlebotomy (CET & CPT ) $699.00
Medical Billing (Computerized ICD9 & CPT Coding) $399.00
Medical Office Administration (CMAA) $599.00
Patient Care Technician (CNT) $699.00
Nurse Aide/Assistant (CNA) $699.00
Pharmacy Technician (PTCB) $999.00
CPR (Certification from American Heart Association Valid for 2 Years) $80.00
 
Section*
I wish to attend classes
During the day During the evening On the weekend
 
 
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