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HM6351 LONG ISLAND JEWISH-HILLSIDE MEDICAL CTR (Active)
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Main Details
Name
LONG ISLAND JEWISH-HILLSIDE MEDICAL CTR
Subdivision Name
HEMOPHILIA TREATMENT CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM6351
Grant Number
H30MC24048
Additional Details
Current Program Status
Active
Registration Date
4/1/1995
Participating Start Date
4/1/1995
Participating Approval Date
4/1/1995
Last Recertification Date
2/11/2025
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
270-05 76TH AVE., RM 358
ONCOLOGY INSTITUTE
NEW HYDE PARK, NY 11040
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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