340B Drug Pricing Program Database
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DSH330214FJ NYU Langone Hospitals (Active)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
Perlmutter Cancer Center - Hematology/Oncology Clinic - Blood & Marrow Transplant
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214FJ
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/23/2020
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
610 Second Avenue
New York, NY 10016
Billing Address
NYU Langone Hospitals
PO Box 427
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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