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ROCKAWAY PHYSICIAN PLLC

Company Details

Name: ROCKAWAY PHYSICIAN PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 May 2004 (21 years ago)
Entity Number: 3057732
ZIP code: 11550
County: Nassau
Place of Formation: New York
Address: 80 NORTH FRANKLIN STREET, HEMSTEAD, NY, United States, 11550

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 80 NORTH FRANKLIN STREET, HEMSTEAD, NY, United States, 11550

National Provider Identifier

NPI Number:
1962524447

Authorized Person:

Name:
ABIOLA FAMILUSI
Role:
CHAIRMAN
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7183273294
Fax:
7188697176

Filings

Filing Number Date Filed Type Effective Date
040525000195 2004-05-25 ARTICLES OF ORGANIZATION 2004-05-25

Date of last update: 29 Mar 2025

Sources: New York Secretary of State