| Open Door Family Medical Center, Inc. | |
|
351 E Main St Mount Kisco NY 10549-3003 | |
| (914) 720-4214 | |
| Not Available |
| Full Name | Open Door Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 351 E Main St, Mount Kisco, New York |
| Authorized Official Name and Position | Maria Mazzotta (CHIEF FINANCE OFFICER) |
| Authorized Official Contact | 9145021470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Family Medical Center, Inc. 165 Main St Ossining NY 10562-4702 Ph: (914) 502-1470 | Open Door Family Medical Center, Inc. 351 E Main St Mount Kisco NY 10549-3003 Ph: (914) 720-4214 |
| NPI Number | 1548592348 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548592348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 5905200R (New York) | Primary |
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Open Door Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 W Main St, Mount Kisco, NY 10549 Phone: 914-666-3272 Fax: 914-666-3263 |