Organization
URBAN HEALTH PLAN, INC.
Active
Organization
URBAN HEALTH PLAN, INC.
Active
Other names
PONCE DELEON ELEMENTARY SCHOOL/PS 161
Organization subpart
No
Provider details
NPI number
Authorized official
PALOMA HERNANDEZ (PRESIDENT AND CEO)
(718) 589-2440
Entity
Organization
Contact information
Practice address
628 TINTON AVE, BRONX, NY 10455-3218
(917) 737-8813
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
02994952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994952
—
NY
Enumeration date
01/02/2014
Last updated
01/02/2014
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