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EVERGREEN WOMEN'S HEALTH GROUP, LLP

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Company Details

Name: EVERGREEN WOMEN'S HEALTH GROUP, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 16 Oct 2002 (23 years ago)
Date of dissolution: 05 Nov 2002
Entity Number: 2823048
ZIP code: 14216
County: Blank
Place of Formation: New York
Address: 215 NOTTINGHAM TERRACE, BUFFALO, NY, United States, 14216

DOS Process Agent

Name Role Address
IVAN D'SOUZA, M.D. DOS Process Agent 215 NOTTINGHAM TERRACE, BUFFALO, NY, United States, 14216

Agent

Name Role Address
IVAN D'SOUZA, M.D. Agent 215 NOTTINGHAM TERRACE, BUFFALO, NY, 14216

National Provider Identifier

NPI Number:
1356308498

Authorized Person:

Name:
JOHN KEVIN FITZPATRICK
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
510431531
Plan Year:
2009
Number Of Participants:
11
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
021105000595 2002-11-05 NOTICE OF WITHDRAWAL 2002-11-05
021016000135 2002-10-16 NOTICE OF REGISTRATION 2002-10-16

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State