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1561 WESTCHESTER AVENUE MEDICAL OFFICES, PLLC

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Company Details

Name: 1561 WESTCHESTER AVENUE MEDICAL OFFICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 May 2009 (16 years ago)
Entity Number: 3805123
ZIP code: 10472
County: Bronx
Place of Formation: New York
Address: 1561 WESTCHESTER AVE., BRONX, NY, United States, 10472

DOS Process Agent

Name Role Address
PRAKASH H. SHAH DOS Process Agent 1561 WESTCHESTER AVE., BRONX, NY, United States, 10472

National Provider Identifier

NPI Number:
1902035470

Authorized Person:

Name:
DR. PRAKASH H SHAH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7185897952

Filings

Filing Number Date Filed Type Effective Date
110523002395 2011-05-23 BIENNIAL STATEMENT 2011-05-01
100120000913 2010-01-20 CERTIFICATE OF PUBLICATION 2010-01-20
090501000015 2009-05-01 ARTICLES OF ORGANIZATION 2009-05-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State