340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330221B WYCKOFF HEIGHTS MEDICAL CENTER (Active)
Print
Main Details
Name
WYCKOFF HEIGHTS MEDICAL CENTER
Subdivision Name
WOMEN'S HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330221B
Medicare Provider Number
330221
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2019
Participating Start Date
10/8/2019
Participating Approval Date
10/8/2019
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Wyckoff Heights Medical Center
Vali Gache, Chief Executive Officer
(718) 204-1791
Primary Contact
Wyckoff Heights Medical Center
Joseph S Rumore, Director of Pharmacy
(718) 963-7547 Ext: 7141
Addresses
Street Address
110 WYCKOFF AVE
BROOKLYN, NY 11237
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session