| Open Door Family Medical Center, Inc. | |
|
165 Main St Ossining NY 10562-4702 | |
| (914) 941-1263 | |
| (914) 941-8626 |
| Full Name | Open Door Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 165 Main St, Ossining, New York |
| Authorized Official Name and Position | Maria Mazzotta (CFO) |
| Authorized Official Contact | 9149411263 |
| 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) 941-1263 | Open Door Family Medical Center, Inc. 165 Main St Ossining NY 10562-4702 Ph: (914) 941-1263 |
| NPI Number | 1215569777 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215569777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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