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NYC HEALTH + HOSPITALS / SOUTH BROOKLYN
DSH330385 NORTH CENTRAL BRONX HOSPITAL CENTER (NYCHHC)
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Covered Entity Details
Entity Name
NORTH CENTRAL BRONX HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330385
Entity Address
3424 KOSSUTH AVE.
BRONX, NY 10467
Medicare Provider Number
330385
Participating Start Date
12/1/1992
Last Recertification Date
8/16/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
NYC HEALTH + HOSPITALS / SOUTH BROOKLYN
Pharmacy Address
CONEY ISLAND HOSPITAL
2601 OCEAN PKWY
PHARMACY DEPARTMENT
BROOKLYN, NY 11235
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
4/17/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
NYCH+H Coney Island Hospital
Michael Inzerillo, Director of Pharmacy
(718) 616-4083
Signed By Date
4/15/2020
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