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FAYETTEVILLE FAMILY PHYSICIAN PLLC

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Company Details

Name: FAYETTEVILLE FAMILY PHYSICIAN PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Aug 2011 (14 years ago)
Entity Number: 4131646
ZIP code: 11228
County: Onondaga
Place of Formation: New York
Address: 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, United States, 11228

DOS Process Agent

Name Role Address
UNITED STATES CORPORATION AGENTS, INC DOS Process Agent 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, United States, 11228

National Provider Identifier

NPI Number:
1164708707

Authorized Person:

Name:
DR. HDAYATU SALAWU
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3477723132

Filings

Filing Number Date Filed Type Effective Date
190805061231 2019-08-05 BIENNIAL STATEMENT 2019-08-01
170828006028 2017-08-28 BIENNIAL STATEMENT 2017-08-01
150807006320 2015-08-07 BIENNIAL STATEMENT 2015-08-01
130827006020 2013-08-27 BIENNIAL STATEMENT 2013-08-01
110817000297 2011-08-17 ARTICLES OF ORGANIZATION 2011-08-17

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State