# EQUITABLE HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427914217
- **Authorized official:** LANCE JOHNSON (DIRECTOR)
- **Authorized official phone:** (801) 949-4021

## Contact information

- **Practice address:** 626 RXR PLZ FL 6TH, UNIONDALE, NY 11556-3829
- **Practice address phone:** (801) 949-4021
- **Mailing address:** 626 RXR PLZ FL 6TH, UNIONDALE, NY 11556-3829
- **Mailing address phone:** (801) 949-4021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QP0904X | Federal Public Health Clinic/Center | — | NULL | — |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/24/2025
- **Last updated:** 01/09/2026