# ALL AGES MEDICAL CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073654950
- **Authorized official:** DR. JAY LORAH D.O. (PHYSICIAN)
- **Authorized official phone:** (845) 535-3007

## Contact information

- **Practice address:** 2 MEDICAL PARK DR, SUITE 5, WEST NYACK, NY 10994-1965
- **Practice address phone:** (845) 535-3007
- **Mailing address:** 2 MEDICAL PARK DR, SUITE 5, WEST NYACK, NY 10994-1965
- **Mailing address phone:** (845) 535-3007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2067871 | NY | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 07/26/2007