Organization
URBAN HEALTH PLAN, INC.
Active
Other names
Saint Lawrence Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A DELEON JR. MD (CHIEF MEDICAL OFFICER)
(718) 589-2440
Entity
Organization
Contact information
Practice address
1764 WESTCHESTER AVE, BRONX, NY 10472-3022
(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
Enumeration date
12/19/2012
Last updated
12/19/2012
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