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PRIME MEDICAL OF THE FINGER LAKES PLLC

Company Details

Name: PRIME MEDICAL OF THE FINGER LAKES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jun 2011 (14 years ago)
Entity Number: 4109368
ZIP code: 14456
County: Ontario
Place of Formation: New York
Address: 1150 STATE ROUTE 5&20, GENEVA, NY, United States, 14456

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1150 STATE ROUTE 5&20, GENEVA, NY, United States, 14456

National Provider Identifier

NPI Number:
1659669588

Authorized Person:

Name:
CHARBEL G MOUSSALLEM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3157595339

Filings

Filing Number Date Filed Type Effective Date
130606007013 2013-06-06 BIENNIAL STATEMENT 2013-06-01
110621000270 2011-06-21 ARTICLES OF ORGANIZATION 2011-06-21

Date of last update: 27 Mar 2025

Sources: New York Secretary of State