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Organization

OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN

Active
Parent organization
OPEN DOOR FAMILY MEDICAL CENTERS, INC
Other names
Open Door Family Medical Centers, Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
OPEN DOOR FAMILY MEDICAL CENTERS, INC
Authorized official
MS. MARIA MAZZOTTA CPA (CFO)
(914) 502-1470
Entity
Organization

Contact information

Practice address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 941-1263
Mailing address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 937-7817

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
5905200R
NY

Other

Enumeration date
11/05/2014
Last updated
02/05/2024
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