Organization
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Active
Parent organization
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Authorized official
MRS. MARIA MAZZOTTA (CHIEF FINANCE OFFICER)
(914) 502-1470
Entity
Organization
Contact information
Practice address
155 MAIN ST, BREWSTER, NY 10509-1521
(845) 279-6999
(845) 279-0908
Mailing address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 502-1470
(914) 762-7224
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
5905200R
NY
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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