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REGINALD CAMILLO, MD, PLLC

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Company Details

Name: REGINALD CAMILLO, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Dec 2011 (14 years ago)
Entity Number: 4180997
ZIP code: 10595
County: Westchester
Place of Formation: New York
Address: 9 HIGHCLERE LANE, VALHALLA, NY, United States, 10595

Contact Details

Phone +1 929-376-8997

DOS Process Agent

Name Role Address
REGINALD ALIVIA CAMILLO DOS Process Agent 9 HIGHCLERE LANE, VALHALLA, NY, United States, 10595

National Provider Identifier

NPI Number:
1821607995
Certification Date:
2020-07-24

Authorized Person:

Name:
MS. NADINE A SMITH
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
8883869586

Filings

Filing Number Date Filed Type Effective Date
120208000449 2012-02-08 CERTIFICATE OF AMENDMENT 2012-02-08
111227000471 2011-12-27 ARTICLES OF ORGANIZATION 2011-12-27

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State