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PEDIATRIC PSYCHOLOGY & MEDICINE OF WESTERN NEW YORK, PLLC

Company Details

Name: PEDIATRIC PSYCHOLOGY & MEDICINE OF WESTERN NEW YORK, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Jun 2016 (9 years ago)
Entity Number: 4969305
ZIP code: 14226
County: Erie
Place of Formation: New York
Address: 4476 MAIN STREET, SUITE 205, AMHERST, NY, United States, 14226

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 4476 MAIN STREET, SUITE 205, AMHERST, NY, United States, 14226

National Provider Identifier

NPI Number:
1588118954

Authorized Person:

Name:
DR. TED ANDREWS
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
2080P0006X - Developmental - Behavioral Pediatrics Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
160902000469 2016-09-02 CERTIFICATE OF PUBLICATION 2016-09-02
160627000756 2016-06-27 ARTICLES OF ORGANIZATION 2016-06-27

Date of last update: 24 Mar 2025

Sources: New York Secretary of State