340B Drug Pricing Program Database
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DSH330214AZ NYU Langone Hospitals (Active)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
Ambulatory Care Rego Park
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214AZ
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
11/13/2015
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
97-85 Queens Blvd.
Rego Park, NY 11374
Billing Address
NYU Langone Hospitals
PO Box 427
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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