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ALL AGES MEDICAL CARE PLLC NPI 1073654950


NPI Information

NPI: 1073654950
Provider Name: ALL AGES MEDICAL CARE, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2 MEDICAL PARK DR
SUITE 5
WEST NYACK, NY
ZIP 10994
Phone: (845) 535-3007
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ALL AGES MEDICAL CARE, PLLC is a family medicine in West Nyack, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALL AGES MEDICAL CARE, PLLC NPI is 1073654950. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2 MEDICAL PARK DR
SUITE 5
WEST NYACK, NY
ZIP 10994-965
Phone: (845) 535-3007

The provider's authorized official is Jay Lorah .
The authorized official title is Physician and has the following contact phone number (845) 535-3007.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/26/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2067871NEW YORKYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G66736MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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