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TABASCO FAMILY PRACTICE PLLC

Company Details

Name: TABASCO FAMILY PRACTICE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Jan 2003 (22 years ago)
Entity Number: 2855777
ZIP code: 12446
County: Ulster
Place of Formation: New York
Address: 5 GOLDEN LANE, KERHONKSON, NY, United States, 12446

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 5 GOLDEN LANE, KERHONKSON, NY, United States, 12446

National Provider Identifier

NPI Number:
1073701579

Authorized Person:

Name:
DR. LUCINDA GROVENBURG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8456264627

Filings

Filing Number Date Filed Type Effective Date
190130060077 2019-01-30 BIENNIAL STATEMENT 2019-01-01
150130006359 2015-01-30 BIENNIAL STATEMENT 2015-01-01
110121002711 2011-01-21 BIENNIAL STATEMENT 2011-01-01
090112002349 2009-01-12 BIENNIAL STATEMENT 2009-01-01
070123002069 2007-01-23 BIENNIAL STATEMENT 2007-01-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State