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VISTA BEHAVIORAL HEALTH MEDICINE, PLLC

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Company Details

Name: VISTA BEHAVIORAL HEALTH MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Mar 2007 (18 years ago)
Entity Number: 3497116
ZIP code: 14454
County: Livingston
Place of Formation: New York
Address: 6 WESTHAMPTON DRIVE, GENESEO, NY, United States, 14454

DOS Process Agent

Name Role Address
MUHAMMAD A. ALI, PHYSICIAN DOS Process Agent 6 WESTHAMPTON DRIVE, GENESEO, NY, United States, 14454

National Provider Identifier

NPI Number:
1770705188

Authorized Person:

Name:
DR. MUHAMMAD A ALI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0015X - Psychosomatic Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
070625000167 2007-06-25 CERTIFICATE OF PUBLICATION 2007-06-25
070330000001 2007-03-30 ARTICLES OF ORGANIZATION 2007-03-30

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State