Organization
AGES & STAGES , LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN GAIL SWIAT PT (PARTNER)
(845) 692-4391
Entity
Organization
Contact information
Practice address
192 TOWER DR, SUITE 400, MIDDLETOWN, NY 10941-2056
(845) 692-4391
(845) 692-4397
Mailing address
192 TOWER DR, SUITE 400, MIDDLETOWN, NY 10941-2056
(845) 692-4391
(845) 692-4397
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03260620
—
NY
Enumeration date
01/11/2008
Last updated
02/03/2015
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