Organization
URBAN HEALTH PLAN, INC.
Active
Organization
URBAN HEALTH PLAN, INC.
Active
Other names
NEWTOWN HIGH SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
PALOMA HERNANDEZ MPH (PRESIDENT AND CEO)
(718) 589-2440
Entity
Organization
Contact information
Practice address
4801 90TH ST, ROOM 368, ELMHURST, NY 11373-4015
(718) 589-2440
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
—
02994952
—
NY
01
—
W03211
PTAN
NY
Enumeration date
12/05/2016
Last updated
12/05/2016
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