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
MS. LINDSAY C. FARRELL MBA, FACMPE (PRESIDENT AND CEO)
(914) 502-1450
Entity
Organization
Contact information
Practice address
30 W MAIN ST, MOUNT KISCO, NY 10549-1910
(914) 666-3272
(914) 666-3263
Mailing address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 502-1450
(914) 762-7224
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
—
03003596
—
NY
Enumeration date
06/09/2008
Last updated
02/01/2012
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