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ISLAND MOHS SURGERY, PLLC

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Company Details

Name: ISLAND MOHS SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Aug 2012 (13 years ago)
Entity Number: 4290698
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 877 STEWART AVENUE,, SUITE 27, GARDEN CITY, NY, United States, 11530

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 877 STEWART AVENUE,, SUITE 27, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1114271285

Authorized Person:

Name:
ALAN LEE SPINOWITZ M.D.
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5167450679

Form 5500 Series

Employer Identification Number (EIN):
460980973
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
121123000134 2012-11-23 CERTIFICATE OF PUBLICATION 2012-11-23
120831000622 2012-08-31 ARTICLES OF ORGANIZATION 2012-08-31

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State