340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330261M PHELPS MEMORIAL HOSPITAL CENTER (Active)
Print
Main Details
Name
PHELPS MEMORIAL HOSPITAL CENTER
Subdivision Name
Phelps Memorial Hospital Diagnostic Imaging at Dobbs Ferry - Ultrasound Diagnostic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330261M
Medicare Provider Number
330261
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2021
Participating Start Date
7/1/2021
Participating Approval Date
6/2/2021
Last Recertification Date
8/19/2024
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
11 Ashford Avenue
2nd floor
Dobbs Ferry, NY 10522
Billing Address
Phelps Memorial Hospital Center
701 North Broadway
Sleepy Hollow, NY 10591
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session