340B Drug Pricing Program Database
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DSH330350 UNIVERSITY HOSPITAL OF BROOKLYN (Active)
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Main Details
Name
UNIVERSITY HOSPITAL OF BROOKLYN
Subdivision Name
SUNY DOWNSTATE MEDICAL CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330350
Medicare Provider Number
330350
Additional Details
Current Program Status
Active
Registration Date
9/14/2007
Participating Start Date
12/1/1992
Participating Approval Date
9/14/2007
Last Recertification Date
8/23/2024
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
445 LENOX ROAD
Attn: Pharmacy Box 36
BROOKLYN, NY 11203
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/14/07 ADMIN CORRECTION (REVERSED ENT NAME AND SUB-DIV NAME)
10/30/2007
May 2025
May 2025
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