Search icon

STATEN ISLAND MEDICAL GROUP PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: STATEN ISLAND MEDICAL GROUP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Aug 2011 (14 years ago)
Entity Number: 4132531
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 2071 CLOVE ROAD, STATEN ISLAND, NY, United States, 10304

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2071 CLOVE ROAD, STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1326302803

Authorized Person:

Name:
DR. ROSEMARIE PHILLIP
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
110819000045 2011-08-19 ARTICLES OF ORGANIZATION 2011-08-19

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 26 Mar 2025

Sources: New York Secretary of State