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PORT JERVIS MEDICAL, PLLC

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Company Details

Name: PORT JERVIS MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 14 Nov 2007 (18 years ago)
Date of dissolution: 28 May 2015
Entity Number: 3592945
ZIP code: 12603
County: Orange
Place of Formation: New York
Address: C/O PAZ HEALTH CARE MANAGEMENT, 32 PINE TREE DRIVE, POUGHKEEPSIE, NY, United States, 12603

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent C/O PAZ HEALTH CARE MANAGEMENT, 32 PINE TREE DRIVE, POUGHKEEPSIE, NY, United States, 12603

National Provider Identifier

NPI Number:
1912181660

Authorized Person:

Name:
JACOB RECKESS
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2007-11-14 2008-03-25 Address 131 MOUNTAIN SPRING RD., MILFORD, PA, 18337, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150528000721 2015-05-28 CERTIFICATE OF DISSOLUTION 2015-05-28
131112006760 2013-11-12 BIENNIAL STATEMENT 2013-11-01
111208002679 2011-12-08 BIENNIAL STATEMENT 2011-11-01
091110002974 2009-11-10 BIENNIAL STATEMENT 2009-11-01
080325000096 2008-03-25 CERTIFICATE OF CHANGE 2008-03-25

USAspending Awards / Financial Assistance

Date:
2011-05-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State