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NEWYORK-PRESBYTERIAN / QUEENS
DSH330101BX NEW YORK-PRESBYTERIAN HOSPITAL
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Covered Entity Details
Entity Name
NEW YORK-PRESBYTERIAN HOSPITAL
Subdivision Name
Comprehensive Health Program
Type
Disproportionate Share Hospital
340B ID
DSH330101BX
Entity Address
180 Ft. Washington Avenue
HP, 6th Floor and 3rd Floor
VC-3
New York, NY 10032
Medicare Provider Number
330101
Outpatient Facility Provider Number
Participating Start Date
7/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
NEWYORK-PRESBYTERIAN / QUEENS
Pharmacy Address
56-45 MAIN ST.
FLUSHING, NY 11355-5045
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William Farrell, SVP, Finance
(212) 297-4358
Contract Pharmacy Representative
NewYork-Presbyterian-Queens
Alexander Melchert, Director of Pharmacy
(718) 670-1545
Signed By Date
1/14/2019
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