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DSH330236H NewYork-Presbyterian/Brooklyn Methodist (Terminated)
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Main Details
Name
NewYork-Presbyterian/Brooklyn Methodist
Subdivision Name
Dental Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330236H
Medicare Provider Number
330236
Outpatient Facility Provider Number
330236
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
9/10/2018
Termination Date
Termination Reason
10/1/2018
Other
Contacts
Authorizing Official
NewYork Presbyterian Brooklyn Methodist Hospital
Michael P. Fagan, Senior VP of Finance
(718) 780-3031
Primary Contact
NewYork Presbyterian Brooklyn Methodist Hospital
Alan Hui, Chief of Pharmacy
(718) 780-5569
Addresses
Street Address
506 sixth Street
Brooklyn, NY 11215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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