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ASIA L TODD, NP IN PSYCHIATRY, PLLC

Company Details

Name: ASIA L TODD, NP IN PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Jan 2020 (5 years ago)
Entity Number: 5683098
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: 82 WOODLANDS WAY, BROCKPORT, NY, United States, 14420

Contact Details

Phone +1 585-774-1029

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 82 WOODLANDS WAY, BROCKPORT, NY, United States, 14420

National Provider Identifier

NPI Number:
1467138180
Certification Date:
2024-06-02

Authorized Person:

Name:
ASIA TODD
Role:
PSYCHIATRIC NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6892059899

Filings

Filing Number Date Filed Type Effective Date
200107000027 2020-01-07 ARTICLES OF ORGANIZATION 2020-01-07

Date of last update: 23 Mar 2025

Sources: New York Secretary of State