Open Door Family Medical Center School Based Mobile Dental Van

NPI #1073919973 in Ossining, New York

Provider Information

NPI Number: 1073919973
Entity Type: Organization
Organization Name: Open Door Family Medical Center School Based Mobile Dental Van
Subpart: Yes (part of a larger organization)
Parent Organization: OPEN DOOR FAMILY MEDICAL CENTERS, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 5, 2014
Last Updated: Feb 5, 2024

Practice Location

Address: 165 MAIN ST
City: Ossining
State: New York
ZIP Code: 10562-4702
Phone: (914) 941-1263

Authorized Official

Name: MS. MARIA MAZZOTTA, CPA
Title: CFO
Phone: (914) 502-1470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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