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CH02198A BROOKLYN PLAZA MEDICAL CENTER (Active)
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Main Details
Name
BROOKLYN PLAZA MEDICAL CENTER
Subdivision Name
BENJAMIN BANNEKER ACADEMY SBH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000523
340B ID
CH02198A
Grant Number
H80CS00410
Additional Details
Current Program Status
Active
Registration Date
10/1/2005
Participating Start Date
9/9/2005
Participating Approval Date
7/27/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Brooklyn Plaza Medical Center
Daniel Desire, Chief Financial Officer
(718) 596-9800 Ext: 226
Primary Contact
Brooklyn Plaza Medical Center917-804-6951
Caleb L. Terry, Chief Compliance Officer
(718) 596-9800 Ext: 266
Addresses
Street Address
77 Clinton Ave
Brooklyn, NY 11205-2302
Billing Address
BROOKLYN PLAZA MEDICAL CENTER, INC.
650 FULTON STREET
BROOKLYN, NY 11217
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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