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RWI11740 Northwell Family Health Center at Huntington (Active)
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Main Details
Name
Northwell Family Health Center at Huntington
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11740
Grant Number
H89HA00020
Additional Details
Current Program Status
Active
Registration Date
4/12/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/18/2018
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
2/15/2022 - 2/28/2027
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
15-72 New York Avenue
Huntington Station, NY 11746
Billing Address
North Shore University Hospital
300 Community Drive
Manhasset, NY 11030
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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