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HOOSICK STREET PEDIATRICS, PLLC

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Company Details

Name: HOOSICK STREET PEDIATRICS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Jul 2013 (12 years ago)
Entity Number: 4434705
ZIP code: 12180
County: Rensselaer
Place of Formation: New York
Address: 333 HOOSICK STREET, TROY, NY, United States, 12180

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 333 HOOSICK STREET, TROY, NY, United States, 12180

National Provider Identifier

NPI Number:
1336654052

Authorized Person:

Name:
MR. SCOTT SHAVER
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5182733732

Filings

Filing Number Date Filed Type Effective Date
141124000256 2014-11-24 CERTIFICATE OF PUBLICATION 2014-11-24
130723000359 2013-07-23 ARTICLES OF ORGANIZATION 2013-07-23

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State