Organization
URBAN HEALTH PLAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DELEON MD (MD, VP/CMO)
(718) 589-2440
Entity
Organization
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244977
—
NY
05
—
02994952
—
NY
Enumeration date
12/20/2006
Last updated
03/17/2011
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