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DSH330236E NewYork-Presbyterian/Brooklyn Methodist (Terminated)
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Main Details
Name
NewYork-Presbyterian/Brooklyn Methodist
Subdivision Name
Foot and Ankle Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330236E
Medicare Provider Number
330236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/8/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
Last Recertification Date
9/5/2016
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
NewYork Presbyterian Brooklyn Methodist Hospital
Michael P. Fagan, Senior VP of Finance
(718) 780-3031
Primary Contact
Michael Orsini, Interim Chief/ Supervising Pharmacist
(718) 780-5575 Ext: 5569
Addresses
Street Address
1 Prospect Park West
Suite B
Brooklyn, NY 11215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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