340B Drug Pricing Program Database
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DSH330214X NYU Langone Hospitals (Active)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
Multiple Sclerosis Comprehensive Care Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214X
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/12/2015
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
NYU Langone Health
JOSEPH LHOTA, Chief Financial Officer
(646) 634-3670
Primary Contact
NYU Langone Health
Kristopher DaCosta, Director of 340B and Pharmacy Business & Analytics
(646) 754-9356
Addresses
Street Address
240 East 38th Street, Floors 12, 13, and 18
New York, NY 10016
Billing Address
NYU Langone Hospitals
PO Box 427
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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