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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