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NEWTONVILLE PEDIATRICS AND INTERNAL MEDICINE, PLLC

Company Details

Name: NEWTONVILLE PEDIATRICS AND INTERNAL MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Nov 1998 (27 years ago)
Entity Number: 2313522
ZIP code: 12110
County: Albany
Place of Formation: New York
Address: 564 LOUDON ROAD, LATHAM, NY, United States, 12110

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 564 LOUDON ROAD, LATHAM, NY, United States, 12110

National Provider Identifier

NPI Number:
1821178682

Authorized Person:

Name:
DR. JOANNE MARIE FOGARTY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5187834622

Filings

Filing Number Date Filed Type Effective Date
201125060152 2020-11-25 BIENNIAL STATEMENT 2020-11-01
181116006367 2018-11-16 BIENNIAL STATEMENT 2018-11-01
161116006068 2016-11-16 BIENNIAL STATEMENT 2016-11-01
121130006073 2012-11-30 BIENNIAL STATEMENT 2012-11-01
101104003219 2010-11-04 BIENNIAL STATEMENT 2010-11-01

Date of last update: 31 Mar 2025

Sources: New York Secretary of State