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TRACEY L. BRENNAN, M.D., PLLC

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Company Details

Name: TRACEY L. BRENNAN, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Feb 2005 (20 years ago)
Entity Number: 3166606
ZIP code: 12866
County: Saratoga
Place of Formation: New York
Address: 324 WEST AVENUE, SARATOGA SPRINGS, NY, United States, 12866

Contact Details

Phone +1 518-583-0000

DOS Process Agent

Name Role Address
TRACEY L. BRENNAN, M.D., PLLC DOS Process Agent 324 WEST AVENUE, SARATOGA SPRINGS, NY, United States, 12866

National Provider Identifier

NPI Number:
1528283132

Authorized Person:

Name:
DR. TRACEY L. BRENNAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2023-02-25 2025-04-15 Address 324 WEST AVENUE, SARATOGA SPRINGS, NY, 12866, USA (Type of address: Service of Process)
2021-03-15 2023-02-25 Address 324 WEST AVENUE, SARATOGA SPRINGS, NY, 12866, USA (Type of address: Service of Process)
2005-02-18 2021-03-15 Address 15 MARION PLACE, SARATOGA SPRINGS, NY, 12866, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250415001398 2025-04-15 BIENNIAL STATEMENT 2025-04-15
230225000451 2023-02-25 BIENNIAL STATEMENT 2023-02-01
210315060202 2021-03-15 BIENNIAL STATEMENT 2021-02-01
130205006374 2013-02-05 BIENNIAL STATEMENT 2013-02-01
110308002647 2011-03-08 BIENNIAL STATEMENT 2011-02-01

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State