OPEN DOOR FAMILY MEDICAL CENTER INC. NPI 1487194155

NPI Information

OPEN DOOR FAMILY MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Mamaroneck, NY. OPEN DOOR FAMILY MEDICAL CENTER, INC. NPI is 1487194155. The provider is registered as an organization entity type.

The provider's business location address is:

689 MAMARONECK AVE
MAMARONECK, NY
ZIP 10543-910
Phone: (914) 732-0233
Fax: (914) 732-0234

The provider's authorized official is Lindsay C Farrell .
The authorized official title is President And Ceo and has the following contact phone number (914) 502-1450.

The CLIA number assigned to this NPI record is 33D2156600 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/1/2017 and was last updated on 4/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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