Organization · Type 2 NPI

Urban Health Plan, Inc.

Federally Qualified Health Center (FQHC) · Corona, NY

NPI number 1710125141 Active

Practice location

3716 108th St
Corona, NY 11368-2025

Fax (718) 991-4516

Specialties and licenses

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

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

22 other providers at this address

NPI record

NPI: 1710125141
Entity type: Organization (Type 2)
Issued: Jan 22, 2009
Last updated: Feb 28, 2011
Status: Active
Subpart: Yes of Plaza del Sol Family Health Center

Other names

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Plaza del Sol Family Health Center · doing business as

Authorized official

Dr. Samuel Deleon, MD
CMO/vp 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 1710125141

Urban Health Plan, Inc.'s National Provider Identifier is 1710125141, issued on Jan 22, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Corona, NY. The record was last updated on Feb 28, 2011.