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HM10467 Montefiore Medical Center (Active)
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Main Details
Name
Montefiore Medical Center
Subdivision Name
Hemostasis and Thrombosis Center at Montefiore
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM10467
Grant Number
H30MC24048
Additional Details
Current Program Status
Active
Registration Date
7/13/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/29/2016
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Montefiore Medical Center
David Menashy, Vice President of Finance
(917) 280-2722
Primary Contact
Hemophilia Treatment Center at Montefiore
Jennifer Davila, MD, HTC Co-director
(718) 741-2342
Addresses
Street Address
111 East 210th Street
Bronx, NY 10467
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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