| Open Door Family Medical Center School Based Mobile Dental Van | |
|
165 Main St Ossining NY 10562-4702 | |
| (914) 941-1263 | |
| Not Available |
| Full Name | Open Door Family Medical Center School Based Mobile Dental Van |
|---|---|
| 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 | 9145021470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Family Medical Center School Based Mobile Dental Van 165 Main St Ossining NY 10562-4702 Ph: (914) 937-7817 | Open Door Family Medical Center School Based Mobile Dental Van 165 Main St Ossining NY 10562-4702 Ph: (914) 941-1263 |
| NPI Number | 1073919973 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073919973 | 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: Not Enrolled in Medicare Practice Location: 165 Main St, Ossining, NY 10562 Phone: 914-941-1263 Fax: 914-941-8626 | |
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