Cornell 6 This is the current insurance information on file Please review and make corrections on the back of this form Insurance Name 1. 2. 3. 9 7 CHECK/M.O. ACCT. BALANCE $ $450.60 AMT. ENCLOSED NEWYORK-PRESBYTERIAN HOSPITAL PO BOX 9305 NEW YORK, NY 10087-9305 iiiiiiiiiii111101.1011.011.11111...11.11.11111 1111111111111111 653585A (PC1) EFTA01195213