Organization · Type 2 NPI

Open Door Family Medical Center School Based Mobile Dental Van

Federally Qualified Health Center (FQHC) · Ossining, NY

NPI number 1073919973 Active

Practice location

165 Main St
Ossining, NY 10562-4702

Call (914) 941-1263 Map

Other practice locations

22 Edward St, Ossining, NY 10562-5512 · (914) 937-7817
30 Ryder Rd, Ossining, NY 10562-2122 · (914) 937-7817
30 Pocantico St, Sleepy Hollow, NY 10591-2306 · (914) 937-7817
154 N Broadway, Tarrytown, NY 10591-2681 · (914) 937-7817

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	5905200R (NY)

Federally Qualified Health Center (FQHC): Definition to come...

53 other providers at this address

Other federally qualified health center (fqhc) providers in Ossining

See all in Ossining →

NPI record

NPI: 1073919973
Entity type: Organization (Type 2)
Issued: Nov 5, 2014
Last updated: Feb 5, 2024
Status: Active
Subpart: Yes of Open Door Family Medical Centers, Inc

Other names

<unavail>
Open Door Family Medical Centers, Inc · former legal business name

Authorized official

Ms. Maria Mazzotta, CPA
CFO
(914) 502-1470

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1073919973

Open Door Family Medical Center School Based Mobile Dental Van's National Provider Identifier is 1073919973, issued on Nov 5, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ossining, NY. The record was last updated on Feb 5, 2024.