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New York Blood Center, Inc.
HM6351 LONG ISLAND JEWISH-HILLSIDE MEDICAL CTR
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Covered Entity Details
Entity Name
LONG ISLAND JEWISH-HILLSIDE MEDICAL CTR
Subdivision Name
HEMOPHILIA TREATMENT CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM6351
Entity Address
270-05 76TH AVE., RM 358
ONCOLOGY INSTITUTE
NEW HYDE PARK, NY 11040
Grant Number
H30MC24048
Participating Start Date
4/1/1995
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
New York Blood Center, Inc.
Pharmacy Address
1200 PROSPECT AVENUE
WESTBURY, NY 11590
Pharmacy Comments
Contract Details
Approval Date
5/1/1996
Contract Begin Date
5/1/1996
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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