Provider Demographics
NPI:1497122626
Name:ALL AGES MEDICAL CARE INC
Entity Type:Organization
Organization Name:ALL AGES MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-803-2786
Mailing Address - Street 1:144 MORGAN ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5433
Mailing Address - Country:US
Mailing Address - Phone:203-353-1123
Mailing Address - Fax:203-353-1132
Practice Address - Street 1:144 MORGAN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5433
Practice Address - Country:US
Practice Address - Phone:203-353-1123
Practice Address - Fax:203-353-1132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty