Organization
URBAN HEALTH PLAN, INC.
Active
Other names
ELMHURST VOYAGES HIGH SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
PALOMA HERNANDEZ PHD/MPH (PRESIDENT AND CEO)
(718) 589-2440
Entity
Organization
Contact information
Practice address
4510 94TH ST, ELMHURST, NY 11373-2824
(347) 748-6115
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994952
—
NY
Enumeration date
05/14/2018
Last updated
05/14/2018
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