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OCEAN BREEZE ASSOCIATES LLC
CHC29018-00 NEW YORK CITY HEALTH AND HOSPITALS
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Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS
Subdivision Name
Cumberland Diagnostic and Treatment Center
Type
HRSA-Funded Health Center
340B ID
CHC29018-00
Entity Address
100 N Portland Ave
Brooklyn, NY 11205-2005
Grant Number
H80CS29018
Participating Start Date
4/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
OCEAN BREEZE ASSOCIATES LLC
Pharmacy Address
DBA: OCEAN BREEZE PHARMACY
1817 HYLAN BLVD
STATEN ISLAND, NY 10305-1918
Pharmacy Comments
Contract Details
Approval Date
7/14/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
Ocean Breeze Associates
Suketu Patel, President
(718) 987-2525 Ext: 45
Signed By Date
7/14/2022
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