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QUEENS HOSPITAL CENTER
DSH330199 METROPOLITAN HOSPITAL CENTER (NYCHHC)
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Covered Entity Details
Entity Name
METROPOLITAN HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330199
Entity Address
1901 FIRST AVE.
NEW YORK, NY 10029
Medicare Provider Number
330199
Participating Start Date
7/1/1993
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
QUEENS HOSPITAL CENTER
Pharmacy Address
1ST FLOOR NEW BUILDING
82-68 164TH ST
PHARMACY DEPARTMENT
JAMAICA, NY 11432-1121
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
4/17/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
New York City Health + Hospitals
Sheila Sarnoski-Brocavich, Director of Pharmacy
(718) 883-3883
Signed By Date
4/15/2020
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