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DSH330119M LENOX HILL HOSPITAL (Active)
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Main Details
Name
LENOX HILL HOSPITAL
Subdivision Name
Northwell Greenwich Village Hospital- Ultrasound
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330119M
Medicare Provider Number
330119
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2022
Participating Start Date
1/24/2022
Participating Approval Date
1/13/2022
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
30 7th Avenue
NEW YORK, NY 10011
Billing Address
LENOX HEALTH GREENWICH VILLAGE
30 7TH AVENUE
NEW YORK, NY 10011
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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