340B Drug Pricing Program Database
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DSH330350N UNIVERSITY HOSPITAL OF BROOKLYN (Active)
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Main Details
Name
UNIVERSITY HOSPITAL OF BROOKLYN
Subdivision Name
SUNY Downstate Family Medicine clinic - Family Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330350N
Medicare Provider Number
330350
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/7/2024
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
SUNY Downstate
Sean Patrick Smith, Senior Associate Vice President & Deputy Chief Financial Officer
(718) 826-4943
Primary Contact
UNIVERSITY HOSPITAL OF BROOKLYN
Hossameldin Ghanem, Pharmacy 340B Manager
(718) 270-7648
Addresses
Street Address
253 Empire Blvd
Brooklyn, NY 11225
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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