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DSH330019 NY COMMUNITY HOSPITAL OF BROOKLYN (Active)
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Main Details
Name
NY COMMUNITY HOSPITAL OF BROOKLYN
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330019
Medicare Provider Number
330019
Additional Details
Current Program Status
Active
Registration Date
10/1/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/18/2018
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Maimonides Midwood Community Hospital
Robert Ren, Chief Administrative Officer
(718) 692-5303
Primary Contact
New York Community Hospital
Sophie A Hanna, DOP
(718) 692-5340
Addresses
Street Address
2525 KINGS HIGHWAY
BROOKLYN, NY 11229
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial Start date 1/1/2009, Terminated 10/1/2018, Reinstatement 1/1/2019
10/09/2018
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