340B Drug Pricing Program Database
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DSH330214DU NYU Langone Hospitals (Active)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
NYU Langone Essex Crossing Ambulatory Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214DU
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/30/2019
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
171 Delancey Street
New York, NY 10002
Billing Address
NYU Langone Hospitals
PO Box 427
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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