340B Drug Pricing Program Database
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DSH330214GH NYU Langone Hospitals (Approved)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
NYU Langone Hospital—Suffolk Outpatient Chemical Dependency Center East
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214GH
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/9/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
Last Recertification Date
Contacts
Authorizing Official
NYU Langone Health
JOSEPH LHOTA, Chief Financial Officer
(646) 634-3670
Primary Contact
NYU Langone Health
Kristopher DaCosta, Director of 340B and Pharmacy Business & Analytics
(646) 754-9356
Addresses
Street Address
550 Montauk Highway
Shirley, NY 11967
Billing Address
NYU Langone Hospitals
PO Box 427
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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