Vista Behavioral Health Medicine Pllc | |
4245 Lakeville Rd Suite 4a Geneseo NY 14454 | |
(585) 245-8640 | |
Not Available |
Full Name | Vista Behavioral Health Medicine Pllc |
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Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
Location | 4245 Lakeville Rd, Geneseo, New York |
Authorized Official Name and Position | Muhammad A Ali (OWNER) |
Authorized Official Contact | 5852458640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vista Behavioral Health Medicine Pllc 4245 Lakeville Rd Suite 4a Geneseo NY 14454 Ph: () - | Vista Behavioral Health Medicine Pllc 4245 Lakeville Rd Suite 4a Geneseo NY 14454 Ph: (585) 245-8640 |
NPI Number | 1770705188 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 01/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770705188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | (* (Not Available)) | Primary |
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