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DSH330101ES NEW YORK-PRESBYTERIAN HOSPITAL (Terminated)
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Main Details
Name
NEW YORK-PRESBYTERIAN HOSPITAL
Subdivision Name
NYPW Respiratory Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330101ES
Medicare Provider Number
330101
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/3/2019
Last Recertification Date
9/5/2023
Termination Date
Termination Reason
1/1/2024
Site closure
Contacts
Authorizing Official
New York Presbyterian
William Farrell, SVP, Finance
(212) 297-4358
Primary Contact
NewYork-Presbyterian Hospital
Gajendra Gharia, Director of Finance, Dept of 340B Programs
(212) 297-4353
Addresses
Street Address
55 Palmer Avenue
5th Floor
Bronxville, NY 10708
Billing Address
NewYork-Presbyterian Hospital
525 East 68th Street
New York, NY 10065
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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