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ISLAND PHYSICIAN SERVICES, PLLC

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Company Details

Name: ISLAND PHYSICIAN SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Mar 2012 (13 years ago)
Entity Number: 4216290
ZIP code: 11228
County: Nassau
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:
1669738746

Authorized Person:

Name:
NICHOLAS TARRICONE
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5166789573

Filings

Filing Number Date Filed Type Effective Date
120313001149 2012-03-13 ARTICLES OF ORGANIZATION 2012-03-13

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State