340B Drug Pricing Program Database
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DSH330214DE NYU Langone Hospitals (Active)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
NYU Langone Hospitals, Perlmutter Cancer Center—Midwood
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214DE
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/11/2017
Last Recertification Date
8/14/2024
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
902 Quentin Road
Brooklyn, NY 11223
Billing Address
NYU Langone Hospitals
PO Box 427
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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