340B Drug Pricing Program Database
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DSH330196H NYC Health + Hospitals/South Brooklyn Health (Active)
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Main Details
Name
NYC Health + Hospitals/South Brooklyn Health
Subdivision Name
Ida Israel: Primary Care Adults
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330196H
Medicare Provider Number
330196
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/4/2015
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
NYC Health + Hospitals
Deborah Alyse Brown, Senior Vice President, Chief External Affairs Officer
(347) 947-0446
Primary Contact
NYC Health + Hospitals
Mark Capuano, Senior Director, Corporate Pharmacy 340B Program
(347) 835-9198
Addresses
Street Address
2925 West 19th Street
Brooklyn, NY 11224
Billing Address
Coney Island Hospital
2601 Ocean Parkway
Brooklyn, NY 11235
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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