| NPI | 1508999293 |
|---|---|
| Doing Business As | 48TH STREET PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | ANGELA FUTRELL Chief Executive Officer 757-380-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-04-01 |