340B Drug Pricing Program Database
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DSH330236J NewYork-Presbyterian/Brooklyn Methodist (Terminated)
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Main Details
Name
NewYork-Presbyterian/Brooklyn Methodist
Subdivision Name
Bay Ridge Nuclear Cardiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330236J
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
9/7/2022
Termination Date
Termination Reason
10/1/2022
Hospital Outpatient facility no longer eligible
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
8721 5th Avenue
2nd Floor
Brooklyn, NY 11209
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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