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BASTIEN WELLNESS MEDICINE, PLLC

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Company Details

Name: BASTIEN WELLNESS MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Aug 2024 (a year ago)
Entity Number: 7404706
ZIP code: 12207
County: New York
Place of Formation: New York
Address: 418 broadway, suite r, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
peggy pauline bastien DOS Process Agent 418 broadway, suite r, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1588461032
Certification Date:
2025-07-12

Authorized Person:

Name:
PEGGY P BASTIEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-08-26 2024-11-05 Address 418 broadway, suite r, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241105001033 2024-11-04 CERTIFICATE OF PUBLICATION 2024-11-04
240826000217 2024-08-23 ARTICLES OF ORGANIZATION 2024-08-23

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State