Provider Demographics
NPI:1245454040
Name:HEALTH PLUS PHSP INC
Entity type:Organization
Organization Name:HEALTH PLUS PHSP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EARLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-630-0110
Mailing Address - Street 1:335 ADAMS STREET
Mailing Address - Street 2:26TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3714
Mailing Address - Country:US
Mailing Address - Phone:718-852-5090
Mailing Address - Fax:718-855-4332
Practice Address - Street 1:335 ADAMS STREET
Practice Address - Street 2:26TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3714
Practice Address - Country:US
Practice Address - Phone:718-852-5090
Practice Address - Fax:718-855-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00798398Medicaid