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ANNA SUPONYA MEDICAL PRACTICE, PLLC

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Company Details

Name: ANNA SUPONYA MEDICAL PRACTICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Aug 2006 (19 years ago)
Entity Number: 3401321
ZIP code: 10305
County: Kings
Place of Formation: New York
Address: 265A CLIFTON AVENUE, STATEN ISLAND, NY, United States, 10305

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 265A CLIFTON AVENUE, STATEN ISLAND, NY, United States, 10305

National Provider Identifier

NPI Number:
1871672980

Authorized Person:

Name:
ANNA SUPONYA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7182388375

Filings

Filing Number Date Filed Type Effective Date
100826003131 2010-08-26 BIENNIAL STATEMENT 2010-08-01
080807002503 2008-08-07 BIENNIAL STATEMENT 2008-08-01
060816000534 2006-08-16 ARTICLES OF ORGANIZATION 2006-08-16

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State