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PARKSHORE HEALTH CARE LLC
DSH330019 NY COMMUNITY HOSPITAL OF BROOKLYN
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Covered Entity Details
Entity Name
NY COMMUNITY HOSPITAL OF BROOKLYN
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330019
Entity Address
2525 KINGS HIGHWAY
BROOKLYN, NY 11229
Medicare Provider Number
330019
Participating Start Date
1/1/2019
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
PARKSHORE HEALTH CARE LLC
Pharmacy Address
D/B/A FOUR SEASONS NURSING & REHAB CENTE
1222 E 96TH STREET
BROOKLYN, NY 11236
Pharmacy Comments
Contract Details
Approval Date
7/13/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
LEONARDO TAMBURELLO, CFO
(718) 692-5382
Contract Pharmacy Representative
Jonathan Shaatal, dop
(718) 688-8755
Signed By Date
7/13/2015
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