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LAWRENCE MARC JACOBSON, MD, PLLC

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Company Details

Name: LAWRENCE MARC JACOBSON, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Mar 2002 (23 years ago)
Entity Number: 2745423
ZIP code: 10280
County: New York
Place of Formation: New York
Address: 21 SOUTH END AVE., SUITE PH1Y, NEW YORK, NY, United States, 10280

Contact Details

Phone +1 212-981-9812

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 21 SOUTH END AVE., SUITE PH1Y, NEW YORK, NY, United States, 10280

National Provider Identifier

NPI Number:
1013192566
Certification Date:
2025-01-23

Authorized Person:

Name:
DR. LAWRENCE M JACOBSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
043642161
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
030117000637 2003-01-17 AFFIDAVIT OF PUBLICATION 2003-01-17
030117000649 2003-01-17 AFFIDAVIT OF PUBLICATION 2003-01-17
020321000370 2002-03-21 ARTICLES OF ORGANIZATION 2002-03-21

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State