Organization · Type 2 NPI
Open Door Family Medical Center, Inc.
Federally Qualified Health Center (FQHC) · Mamaroneck, NY
NPI number
1487194155
Active
Practice location
689 Mamaroneck Ave
Mamaroneck, NY 10543-5910
Fax (914) 732-0234
Mailing address
165 Main St
Ossining, NY 10562-4702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 5905200R (NY) |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
- Basmah RanaFamily Medicine Physician Mamaroneck, NY NPI 1821790213
- Florine Abraham, DDSGeneral Practice Dentistry Mamaroneck, NY NPI 1821439688
- Julia Paige Deloach, MSN, FNP-BCFamily Nurse Practitioner Mamaroneck, NY NPI 1912450719
- Virginia Tran, RN, MSN, APRN, NP-CFamily Nurse Practitioner Mamaroneck, NY NPI 1356996904
About NPI 1487194155
Open Door Family Medical Center, Inc.'s National Provider Identifier is 1487194155, issued on Mar 1, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mamaroneck, NY. The record was last updated on Apr 10, 2017.