Organization
OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN
Active
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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