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BELLMORE-WANTAGH ADULT MEDICINE, PLLC

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Company Details

Name: BELLMORE-WANTAGH ADULT MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Feb 2008 (17 years ago)
Entity Number: 3637838
ZIP code: 11793
County: Nassau
Place of Formation: New York
Address: 2857 JERUSALEM AVENUE, WANTAGH, NY, United States, 11793

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2857 JERUSALEM AVENUE, WANTAGH, NY, United States, 11793

National Provider Identifier

NPI Number:
1306012489

Authorized Person:

Name:
DR. ERIC C. LAST
Role:
PRINCIPAL
Phone:

Taxonomy:

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

Contacts:

Fax:
5167852584

Filings

Filing Number Date Filed Type Effective Date
200219060324 2020-02-19 BIENNIAL STATEMENT 2020-02-01
140212006046 2014-02-12 BIENNIAL STATEMENT 2014-02-01
120326002871 2012-03-26 BIENNIAL STATEMENT 2012-02-01
100222002617 2010-02-22 BIENNIAL STATEMENT 2010-02-01
080702000632 2008-07-02 CERTIFICATE OF PUBLICATION 2008-07-02

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State