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MILBURN MEDICAL PRACTICE PLLC

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Company Details

Name: MILBURN MEDICAL PRACTICE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Nov 2011 (14 years ago)
Entity Number: 4168450
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 3209 MILBURN AVENUE, BALDWIN, NY, United States, 11510

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 3209 MILBURN AVENUE, BALDWIN, NY, United States, 11510

National Provider Identifier

NPI Number:
1376811430

Authorized Person:

Name:
DR. ANAND R PERSAUD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Fax:
5166234600

Filings

Filing Number Date Filed Type Effective Date
120130000020 2012-01-30 CERTIFICATE OF PUBLICATION 2012-01-30
111122000340 2011-11-22 ARTICLES OF ORGANIZATION 2011-11-22

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State