Organization · Type 2 NPI

Urban Health Plan, Inc.

Federally Qualified Health Center (FQHC) · Bronx, NY

NPI number 1114224128 Active

Practice location

888 Rev James A Polite Ave
Bronx, NY 10459-4107

Call (718) 589-2440 Map

Fax (718) 991-4516

Mailing address

1065 Southern Blvd
Bronx, NY 10459-2417

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Emily OrtizSpeech-Language Pathologist Bronx, NY NPI 1588442628

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NPI record

NPI: 1114224128
Entity type: Organization (Type 2)
Issued: Feb 28, 2011
Last updated: Mar 17, 2011
Status: Active
Subpart: Yes of PS 333/335 - School Health

Other names

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PS 333/335 - School Health · doing business as

Authorized official

Dr. Samuel Deleon, MD
VP/cmo Medical Affairs
(718) 589-2440

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114224128

Urban Health Plan, Inc.'s National Provider Identifier is 1114224128, issued on Feb 28, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bronx, NY. The record was last updated on Mar 17, 2011.