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Contact Information

EQUITABLE HEALTH CORPORATION
626 RXR PLZ FL 6TH
UNIONDALE, NY11556-3829
 Phone: 801-949-4021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinic/Center

261Q00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
 

Public Health, Federal

261QP0904X
Indicates primary specialty

NPI Profile & details for EQUITABLE HEALTH CORPORATION

NPI Number 1427914217
LBN Legal business name EQUITABLE HEALTH CORPORATION
Authorized official LANCE JOHNSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2025
Last updated 01/09/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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