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DSH330104 MONTEFIORE NYACK HOSPITAL (Active)
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Main Details
Name
MONTEFIORE NYACK HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330104
Medicare Provider Number
330104
Additional Details
Current Program Status
Active
Registration Date
2/27/2006
Participating Start Date
4/1/2006
Participating Approval Date
2/28/2006
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Montefiore Nyack Hospital
Michael A Novak, Chief Operating Officer
(845) 348-2516
Primary Contact
Montefiore Nyack Hospital
Daryl Schiller, Pharmacy Director
(845) 348-2604
Addresses
Street Address
160 NORTH MIDLAND AVENUE
NYACK, NY 10960
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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