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S. NADESAN PHYSICIAN, LLC

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Company Details

Name: S. NADESAN PHYSICIAN, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Mar 2004 (21 years ago)
Entity Number: 3031087
ZIP code: 10579
County: Putnam
Place of Formation: New York
Address: 22 PARK DRIVE, PUTNAM VALLEY, NY, United States, 10579

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 22 PARK DRIVE, PUTNAM VALLEY, NY, United States, 10579

National Provider Identifier

NPI Number:
1003054990

Authorized Person:

Name:
URMI A PARIKH
Role:
MEDICAL BILLER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6466021091

Filings

Filing Number Date Filed Type Effective Date
040324000654 2004-03-24 ARTICLES OF ORGANIZATION 2004-03-24

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State