Organization
ALL AGES MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY LORAH D.O. (PHYSICIAN)
(845) 535-3007
Entity
Organization
Contact information
Practice address
2 MEDICAL PARK DR, SUITE 5, WEST NYACK, NY 10994-1965
(845) 535-3007
Mailing address
2 MEDICAL PARK DR, SUITE 5, WEST NYACK, NY 10994-1965
(845) 535-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2067871
NY
Other
Enumeration date
02/12/2007
Last updated
07/26/2007
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