Organization
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MAZZOTTA (CFO)
(914) 941-1263
Entity
Organization
Contact information
Practice address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993
Mailing address
560 WHITE PLAINS RD, TARRYTOWN, NY 10591-5113
(914) 941-1263
(914) 941-0993
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
5905200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03003578
—
NY
Enumeration date
07/12/2006
Last updated
02/20/2026
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