Organization
VISTA BEHAVIORAL HEALTH MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD A ALI MD (OWNER)
(585) 245-8640
Entity
Organization
Contact information
Practice address
4245 LAKEVILLE RD, SUITE 4A, GENESEO, NY 14454
(585) 245-8640
Mailing address
4245 LAKEVILLE RD, SUITE 4A, GENESEO, NY 14454
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
01/23/2008
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