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LISA PARK, M.D., PLLC

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Company Details

Name: LISA PARK, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Sep 2007 (18 years ago)
Entity Number: 3567068
ZIP code: 10019
County: New York
Place of Formation: New York
Address: 635 WEST 165TH ST, BOX 40, NEW YORK, NY, United States, 10019

DOS Process Agent

Name Role Address
LISA PARK, M.D., PLLC DOS Process Agent 635 WEST 165TH ST, BOX 40, NEW YORK, NY, United States, 10019

National Provider Identifier

NPI Number:
1780871947

Authorized Person:

Name:
DR. LISA PARK
Role:
SOLE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2122632574

History

Start date End date Type Value
2007-09-12 2017-09-07 Address 530 1ST AVENUE HCC, SUITE 3B, NEW YORK, NY, 10016, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170907006234 2017-09-07 BIENNIAL STATEMENT 2017-09-01
130916006036 2013-09-16 BIENNIAL STATEMENT 2013-09-01
110922003247 2011-09-22 BIENNIAL STATEMENT 2011-09-01
090910002524 2009-09-10 BIENNIAL STATEMENT 2009-09-01
070912000779 2007-09-12 ARTICLES OF ORGANIZATION 2007-09-12

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State