Provider First Line Business Practice Location Address:
30 W MAIN ST
Provider Second Line Business Practice Location Address:
OPEN DOOR FAMILY MEDICAL CENTERS, INC.
Provider Business Practice Location Address City Name:
MOUNT KISCO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10549-1910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-941-1263
Provider Business Practice Location Address Fax Number:
914-941-0993
Provider Enumeration Date:
12/15/2006