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RWI11207 Family Services Network of New York, Inc. (Terminated)
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Main Details
Name
Family Services Network of New York, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11207
Grant Number
H89HA00015
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/2/2018
Last Recertification Date
2/23/2024
Time Period the Assistance was Received
3/1/2020 - 3/1/2025
Termination Date
Termination Reason
4/1/2025
Failure to recertify
Contacts
Authorizing Official
Family Services Network of New York,l Inc.
Benarge Igwe, Director
(718) 455-6010 Ext: 6168
Primary Contact
Family Services Network of New York, Inc
Benjamin Igwe, CEO
(718) 455-6010
Addresses
Street Address
1420 Bushwick Avenue
Brooklyn, NY 11207
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date (10/1/2016) until terminated effective date (4/1/2018), reinstatement date effective (10/01/2018)
08/02/2018
May 2025
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