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Organization

URBAN HEALTH PLAN, INC

Active
Parent organization
PS 48 - SCHOOL HEALTH
Other names
PS 48 - SCHOOL HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
PS 48 - SCHOOL HEALTH
Authorized official
DR. SAMUEL DELEON JR. MD (VP/CMO MEDICAL AFFAIRS)
(718) 589-2440
Entity
Organization

Contact information

Practice address
1290 SPOFFORD AVE, BRONX, NY 10474-6511
(718) 589-2440
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02994952
NY
Enumeration date
03/10/2011
Last updated
03/17/2011
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