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RRC330119-00 LENOX HILL HOSPITAL (Terminated)
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Main Details
Name
LENOX HILL HOSPITAL
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC330119-00
Medicare Provider Number
330119
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2017
Participating Start Date
7/1/2017
Participating Approval Date
6/8/2017
Last Recertification Date
9/15/2021
Termination Date
Termination Reason
1/24/2022
Change of hospital entity type
Contacts
Authorizing Official
Northwell Health
Michele L Cusack, Executive Vice President
(516) 321-6058
Primary Contact
Northwell
Onisis Stefas, VP of Pharmacy Operations
(516) 719-5720
Addresses
Street Address
100 EAST 77TH STREET
NEW YORK, NY 10075
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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