Organization
URBAN HEALTH PLAN, INC.
Active
Organization
URBAN HEALTH PLAN, INC.
Active
Parent organization
PLAZA DEL SOL FAMILY HEALTH CENTER
Other names
PLAZA DEL SOL FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLAZA DEL SOL FAMILY HEALTH CENTER
Authorized official
DR. SAMUEL DELEON MD (CMO/VP MEDICAL AFFAIRS)
(718) 589-2440
Entity
Organization
Contact information
Practice address
3716 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
(718) 991-4516
Mailing address
3716 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
(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
—
00244977
—
NY
Enumeration date
01/22/2009
Last updated
02/28/2011
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