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Organization

URBAN HEALTH PLAN, INC

Active
Other names
Plaza Del Castillo Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL DELEON MD (CMO/VP MEDICAL AFFAIRS)
(718) 589-2440
Entity
Organization

Contact information

Practice address
1515 SOUTHERN BOULEVARD, BRONX, NY 10460-5980
(718) 589-2440
(718) 589-4793
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
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00244977
NY
05
02994952
NY
Enumeration date
01/25/2007
Last updated
12/08/2025
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