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DIFFERENCES PRACTICE MEDICAL PLLC

Company Details

Name: DIFFERENCES PRACTICE MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 May 2012 (13 years ago)
Entity Number: 4248162
ZIP code: 10801
County: New York
Place of Formation: New York
Address: 778 PELHAMDALE AVENUE, NEW ROCHELLE, NY, United States, 10801

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 778 PELHAMDALE AVENUE, NEW ROCHELLE, NY, United States, 10801

National Provider Identifier

NPI Number:
1245585744

Authorized Person:

Name:
DR. CAROL MCLEAN-LONG
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
120521000561 2012-05-21 ARTICLES OF ORGANIZATION 2012-05-21

Date of last update: 26 Mar 2025

Sources: New York Secretary of State