OPEN DOOR FAMILY MEDICAL CENTER INC. NPI 1629237151

NPI Information

OPEN DOOR FAMILY MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Mount Kisco, NY. OPEN DOOR FAMILY MEDICAL CENTER, INC. NPI is 1629237151. The provider is registered as an organization entity type.

The provider's business location address is:

30 W MAIN ST
MOUNT KISCO, NY
ZIP 10549-910
Phone: (914) 666-3272
Fax: (914) 666-3263

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 33D2156602 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/9/2008 and was last updated on 2/1/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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