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HICKSVILLE FAMILY MEDICAL CARE PLLC

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Company Details

Name: HICKSVILLE FAMILY MEDICAL CARE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Oct 2009 (16 years ago)
Entity Number: 3862980
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 412 S BROADWAY, HICKSVILLE, NY, United States, 11801

Contact Details

Phone +1 516-938-1550

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 412 S BROADWAY, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1770813792
Certification Date:
2025-02-27

Authorized Person:

Name:
DR. SANDEEP JAIN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QC1800X - Corporate Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QE0002X - Emergency Care Clinic/Center
Is Primary:
No

Contacts:

Fax:
5169381554

History

Start date End date Type Value
2011-11-14 2023-11-06 Address 412 S BROADWAY, HICKSVILLE, NY, 11801, USA (Type of address: Service of Process)
2009-10-02 2011-11-14 Address 42 STIRRUP LANE, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231106004189 2023-11-06 BIENNIAL STATEMENT 2023-10-01
111114002488 2011-11-14 BIENNIAL STATEMENT 2011-10-01
091204000842 2009-12-04 CERTIFICATE OF PUBLICATION 2009-12-04
091002000345 2009-10-02 ARTICLES OF ORGANIZATION 2009-10-02

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State