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DSH330214CZ NYU Langone Hospitals (Terminated)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
Tisch Acute Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214CZ
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/3/2016
Last Recertification Date
9/9/2022
Termination Date
Termination Reason
7/1/2023
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
NYU Langone Health
Daniel J Widawsky, Chief Financial Officer
(212) 263-3092
Primary Contact
NYU Langone Health
Kristopher DaCosta, Director of 340B and Pharmacy Business & Analytics
(646) 754-9356
Addresses
Street Address
550 1st Avenue
New York, NY 10016
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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