340B Drug Pricing Program Database
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DSH330194W MAIMONIDES MEDICAL CENTER (Active)
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Main Details
Name
MAIMONIDES MEDICAL CENTER
Subdivision Name
Maimonides Health Bay Ridge Emergency Department - Emergency Department
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330194W
Medicare Provider Number
330194
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/2/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/21/2024
Last Recertification Date
Contacts
Authorizing Official
Maimonides Health
Gennie Sanchez, Senior Vice President, Enterprise Services
(718) 283-6880
Primary Contact
Maimonides Medical Center
Yevgenia Bukher, Assistant Director, Pharmacy Department
(718) 283-7232 Ext: 7232
Addresses
Street Address
9036 7th Avenue
Brooklyn, NY 11228
Billing Address
Maimonides Medical Center
4802 10th Avenue
Brooklyn, NY 11219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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