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PATCHOGUE MEDICAL GROUP L.L.P.

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Company Details

Name: PATCHOGUE MEDICAL GROUP L.L.P.
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 06 Dec 1995 (30 years ago)
Entity Number: 1979492
ZIP code: 11772
County: Blank
Place of Formation: New York
Address: 1 ROE BLVD EAST, PATCHOGUE, NY, United States, 11772

Contact Details

Phone +1 631-475-3900

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 1 ROE BLVD EAST, PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1477743599

Authorized Person:

Name:
JODI SILVER-SMITH
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6314755166

History

Start date End date Type Value
1995-12-06 2000-12-05 Address 1 ROE BOULEVARD EAST, PATCHOGUE, NY, 00000, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
151009002020 2015-10-09 FIVE YEAR STATEMENT 2015-12-01
101108002304 2010-11-08 FIVE YEAR STATEMENT 2010-12-01
051020002140 2005-10-20 FIVE YEAR STATEMENT 2005-12-01
001205002168 2000-12-05 FIVE YEAR STATEMENT 2000-12-01
960222000179 1996-02-22 AFFIDAVIT OF PUBLICATION 1996-02-22

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State