I think the easiest way to find out is to call the DOH and speak to whomever is connected with vital records.  http://www.health.state.ny.us/vital_records/genealogy.htm   James O'Connor of DOH runs a regular column in the NYS Town Clerks' Association newsletter so I expect he's the person to speak to about this.

Suzanne

^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Suzanne Etherington, Ph.D.
Region 6 Advisory Officer
New York State Archives
Binghamton State Office Bldg., #1604
44 Hawley St., Binghamton 13901
voice: 607/721-8428
fax: 607/721-8431
email: [log in to unmask]
State Archives web site: http://www.archives.nysed.gov