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DSH330056J THE BROOKLYN HOSPITAL CENTER (Active)
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Main Details
Name
THE BROOKLYN HOSPITAL CENTER
Subdivision Name
PEDIATRIC HEMATOLOGY/ONCOLOGY OUTPATIENT SERVICES
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330056J
Medicare Provider Number
330056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/4/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/5/2009
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
The Brooklyn Hospital Center
Donald P. Minarcik, VP Revenue Enhancement
(718) 488-3775
Primary Contact
The Brooklyn Hospital Center
Kathleen Minlionica, Director of Pharmacy, Per diem
(718) 250-8220
Addresses
Street Address
121 DEKALB AVENUE
BROOKLYN, NY 11201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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