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PM PEDIATRICS OF BAYSIDE, PLLC

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Company Details

Name: PM PEDIATRICS OF BAYSIDE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Aug 2010 (15 years ago)
Entity Number: 3980007
ZIP code: 12207
County: Queens
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Contact Details

Phone +1 516-248-5437

Phone +1 718-246-5437

Phone +1 718-747-5437

Phone +1 845-371-5437

Phone +1 718-268-4767

Phone +1 914-337-5437

Phone +1 718-472-5437

Phone +1 929-438-5437

Phone +1 718-253-5437

Phone +1 516-520-5437

Phone +1 718-324-5437

Phone +1 845-897-4500

Phone +1 929-920-5437

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Links between entities

Type:
Headquarter of
Company Number:
e44a0199-17b7-eb11-9187-00155d01c40e
State:
MINNESOTA

National Provider Identifier

NPI Number:
1861823197
Certification Date:
2025-01-21

Authorized Person:

Name:
DANIELLE MARIE LOPEZ
Role:
MANAGER CREDENTIALING/ENROLLMENT
Phone:

Taxonomy:

Selected Taxonomy:
207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-08-25 2024-08-23 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2012-08-22 2022-08-25 Address ONE HOLLOW LANE, SUITE 301, LAKE SUCCESS, NY, 11042, USA (Type of address: Service of Process)
2010-08-02 2012-08-22 Address 596 JERICHO TURNPIKE, SYOSSET, NY, 11791, 4522, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240823000444 2024-08-23 BIENNIAL STATEMENT 2024-08-23
221014001485 2022-10-14 BIENNIAL STATEMENT 2022-08-01
220825000050 2022-08-24 CERTIFICATE OF CHANGE BY ENTITY 2022-08-24
210428060200 2021-04-28 BIENNIAL STATEMENT 2020-08-01
190513060203 2019-05-13 BIENNIAL STATEMENT 2018-08-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State