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DSH330214AW NYU Langone Hospitals (Terminated)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
NYU Langone Levit Medical—Canarsie
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214AW
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/13/2015
Last Recertification Date
8/20/2019
Termination Date
Termination Reason
10/1/2020
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
NYU Langone Health
Daniel J Widawsky, Chief Financial Officer
(212) 263-3092
Primary Contact
NYU Langone Health
Kenny Yu, Senior Director of Pharmacy Services
(212) 263-5051
Addresses
Street Address
9708 Seaview Avenue
Brooklyn, NY 11236
Billing Address
NYU Langone Hospitals
550 First Avenue
New York, NY 10016
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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