Surgeons Group Membership Application
Please read the rules and regulations, then sign and mail the required documents listed below:
- Copy of your state registration to practice medicine (Office of Professions Registration Certificate with expiration date)
- Passport size photo (for your picture ID)
- Check or money order for $500 to NYSPIA Surgeons Group
Mail to: NYSPIA Surgeons Group – 421 Loudon Road, Albany, NY 12211
Questions? – email firstname.lastname@example.org
You can apply to join the NYSPIA Surgeons Group by downloading the application below and submitting it to NYSPIA.