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URGENT CARE PHYSICIAN OF NEW YORK-HARTSDALE, PLLC

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Company Details

Name: URGENT CARE PHYSICIAN OF NEW YORK-HARTSDALE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Nov 2010 (15 years ago)
Entity Number: 4019150
ZIP code: 10005
County: Westchester
Place of Formation: New York
Address: 28 LIBERTY ST., NEW YORK, NY, United States, 10005

DOS Process Agent

Name Role Address
NATIONAL REGISTERED AGENTS, INC. DOS Process Agent 28 LIBERTY ST., NEW YORK, NY, United States, 10005

National Provider Identifier

NPI Number:
1770885808
Certification Date:
2024-11-13

Authorized Person:

Name:
VICKI PURUGGANAN
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7186841310

Form 5500 Series

Employer Identification Number (EIN):
274009996
Plan Year:
2023
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
15
Sponsors Telephone Number:

History

Start date End date Type Value
2019-01-28 2024-06-21 Address 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Service of Process)
2012-06-26 2019-01-28 Address 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
2010-11-15 2012-06-26 Address 875 AVENUE OF THE AMERICAS,, SUITE 501, NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240621000284 2024-06-21 BIENNIAL STATEMENT 2024-06-21
210224060285 2021-02-24 BIENNIAL STATEMENT 2020-11-01
SR-102325 2019-01-28 CERTIFICATE OF CHANGE (BY AGENT) 2019-01-28
161115006114 2016-11-15 BIENNIAL STATEMENT 2016-11-01
140814000436 2014-08-14 CERTIFICATE OF PUBLICATION 2014-08-14

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State