| NPI | 1073919973 |
|---|---|
| Former Legal Business Name | OPEN DOOR FAMILY MEDICAL CENTERS, INC |
| Entity Type | Organization |
| Authorized Contact | MARIA MAZZOTTA CFO 914-502-1470 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 5905200R) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2024-02-05 |