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NPI Code Detail

MEDICARE: URBAN HEALTH PLAN, INC.

MEDICARE: URBAN HEALTH PLAN, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982758066
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN HEALTH PLAN, INC.
Provider Business Mailing Address
First Line : 1065 SOUTHERN BOULEVARD
Second Line :
City : BRONX
State : NY
Zip : 10452-2417
Country : US
Telephone Number : 718-589-2440
Fax Number : 718-991-4516
Provider Business Practice Location Address
First Line : 890 HUNTS POINT AVE
Second Line :
City : BRONX
State : NY
Zip : 10474-5402
Country : US
Telephone Number : 718-589-2440
Fax Number : 718-589-4793
Authorized Official
Title or Position : DIRECTOR, MANAGED CARE OFFICE, CONT
Name : MS. ALEXANDRA BORBON
Credential :
Telephone Number : 718-589-2440
Provider Enumeration Date : 01/23/2007
Last Update Date : 03/17/2011

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Directions to “URBAN HEALTH PLAN, INC. ” Practice Location

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