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DSH330236U NewYork-Presbyterian/Brooklyn Methodist (Terminated)
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Main Details
Name
NewYork-Presbyterian/Brooklyn Methodist
Subdivision Name
OB/GYN Womens Health Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330236U
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
263 7th Avenue
Suite 3A
Brooklyn, NY 11215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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