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MOHAWK GLEN FAMILY PRACTICE, PLLC

Company Details

Name: MOHAWK GLEN FAMILY PRACTICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Feb 2003 (22 years ago)
Entity Number: 2870597
ZIP code: 13441
County: Oneida
Place of Formation: New York
Address: 91 PERIMETER ROAD SUITE 120, ROME, NY, United States, 13441

Contact Details

Phone +1 315-336-8260

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 91 PERIMETER ROAD SUITE 120, ROME, NY, United States, 13441

National Provider Identifier

NPI Number:
1194746354

Authorized Person:

Name:
ANTHONY M COTRONEA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
130424002276 2013-04-24 BIENNIAL STATEMENT 2013-02-01
110211002674 2011-02-11 BIENNIAL STATEMENT 2011-02-01
090204002075 2009-02-04 BIENNIAL STATEMENT 2009-02-01
070501002280 2007-05-01 BIENNIAL STATEMENT 2007-02-01
050211002172 2005-02-11 BIENNIAL STATEMENT 2005-02-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State