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NORTHPORT PEDIATRICS, PLLC

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Company Details

Name: NORTHPORT PEDIATRICS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jun 2007 (18 years ago)
Entity Number: 3537574
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 205 EAST MAIN STREET, STE. 2-6, HUNTINGTON, NY, United States, 11743

Contact Details

Phone +1 631-757-5604

DOS Process Agent

Name Role Address
SUSAN GUNDUZ DOS Process Agent 205 EAST MAIN STREET, STE. 2-6, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1164896346

Authorized Person:

Name:
BRIAN KEIFER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2009-06-25 2021-06-03 Address 351 LARKFIELD RD, E. NORTHPORT, NY, 11731, USA (Type of address: Service of Process)
2007-06-28 2009-06-25 Address 351 LARKFIELD ROAD, EAST NORTHPORT, NY, 11731, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210603061143 2021-06-03 BIENNIAL STATEMENT 2021-06-01
180504006910 2018-05-04 BIENNIAL STATEMENT 2017-06-01
151230000757 2015-12-30 CERTIFICATE OF PUBLICATION 2015-12-30
151014006280 2015-10-14 BIENNIAL STATEMENT 2015-06-01
130827006160 2013-08-27 BIENNIAL STATEMENT 2013-06-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State