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DSH330055N NEWYORK-PRESBYTERIAN / QUEENS (Active)
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Main Details
Name
NEWYORK-PRESBYTERIAN / QUEENS
Subdivision Name
NYP/Queens Dental Services Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330055N
Medicare Provider Number
330055
Outpatient Facility Provider Number
330055
Additional Details
Current Program Status
Active
Registration Date
10/7/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/3/2013
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
New York Presbyterian
William Farrell, SVP, Finance
(212) 297-4358
Primary Contact
NewYork-Presbyterian Hospital
Gajendra Gharia, Director of Finance, Dept of 340B Programs
(212) 297-4353
Addresses
Street Address
174-11 Horace Harding Expressway
Fresh Meadows, NY 11365
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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