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MONTEFIORE MEDICAL CENTER
DSH330184 MONTEFIORE NEW ROCHELLE HOSPITAL
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Covered Entity Details
Entity Name
MONTEFIORE NEW ROCHELLE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330184
Entity Address
16 GUION AVE
NEW ROCHELLE, NY 10802
Medicare Provider Number
330184
Participating Start Date
1/1/2022
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MONTEFIORE MEDICAL CENTER
Pharmacy Address
DBA MONTEFIORE SPECIALTY PHARMACY
100 CORPORATE BLVD STE 111
YONKERS, NY 10701
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Joseph Alfano, VP/Executive Director
(914) 365-3636
Contract Pharmacy Representative
Montefiore Medical Center
Steven Tuckman, Pharmacy Manager
(718) 920-5194
Signed By Date
10/15/2024
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