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TRI-STAR PHYSICIAN, LLC

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Company Details

Name: TRI-STAR PHYSICIAN, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Aug 2010 (15 years ago)
Entity Number: 3982433
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 140-21 32ND AVE. SUITE C1, FLUSHING, NY, United States, 11354

Contact Details

Phone +1 718-224-1600

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 140-21 32ND AVE. SUITE C1, FLUSHING, NY, United States, 11354

National Provider Identifier

NPI Number:
1144519042

Authorized Person:

Name:
DR. HAN S LEE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7182248085

History

Start date End date Type Value
2012-05-09 2024-08-15 Address 140-21 32ND AVE. SUITE C1, FLUSHING, NY, 11354, USA (Type of address: Service of Process)
2011-01-20 2012-05-09 Address C/O HAN S. LEE, M.D., 134 THE DELL, ALBERTSON, NY, 11507, USA (Type of address: Service of Process)
2010-08-09 2011-01-20 Address C/O HAN S. LEE, M.D., 134 THE DELL, ALBERTSON, NY, 11507, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240815003022 2024-08-15 BIENNIAL STATEMENT 2024-08-15
160816006172 2016-08-16 BIENNIAL STATEMENT 2016-08-01
140804006439 2014-08-04 BIENNIAL STATEMENT 2014-08-01
120827006260 2012-08-27 BIENNIAL STATEMENT 2012-08-01
120509000082 2012-05-09 CERTIFICATE OF CHANGE 2012-05-09

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State