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GATEWAY PHYSICIAN GROUP, PLLC

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Company Details

Name: GATEWAY PHYSICIAN GROUP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 04 Aug 2009 (16 years ago)
Date of dissolution: 13 Mar 2013
Entity Number: 3841142
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 338 EAST 49TH STREET, NEW YORK, NY, United States, 10017

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 338 EAST 49TH STREET, NEW YORK, NY, United States, 10017

National Provider Identifier

NPI Number:
1548492226

Authorized Person:

Name:
CAROL GODDARD
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
130313000133 2013-03-13 CERTIFICATE OF DISSOLUTION 2013-03-13
091007000506 2009-10-07 CERTIFICATE OF PUBLICATION 2009-10-07
090804000611 2009-08-04 ARTICLES OF ORGANIZATION 2009-08-04

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State