New York Consolidated Laws, Public Health Law - PBH § 4704. Shared health facilities;  registration

(a) possess a valid registration issued pursuant to this article which registration may specify the kind or kinds of services the facility is authorized to provide;  and

(b) establish and maintain a uniform system of reports and audits meeting the requirements of the commissioner.

(i) the name of the facility;

(ii) the kind or kinds of service to be provided;

(iii) the location and physical description of the facility;

(iv) the name and residence address of every person, partnership or corporation having any financial interest in the ownership (including leasehold ownership) of the facility and the structure in which the facility is located;

(v) the name and residence address of every person, partnership or corporation holding any mortgage, lien, leasehold or any other security interest in the shared health facility or in any equipment located in and used in connection with a shared health facility, and a brief description of such lien or security interest;

(vi) the name, residence address and professional license number of every practitioner participating in the shared health facility;

(vii) the name and residence address of the individual designated to assume responsibility for the central coordination and management of the activities of the shared health facility;  and

(viii) such other information as the department may require.