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ISLAND FAMILY CHIROPRACTIC WELLNESS PLLC

Company Details

Name: ISLAND FAMILY CHIROPRACTIC WELLNESS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Nov 2013 (12 years ago)
Entity Number: 4487514
ZIP code: 11727
County: Suffolk
Place of Formation: New York
Address: 165 PAULS PATH, CORAM, NY, United States, 11727

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 165 PAULS PATH, CORAM, NY, United States, 11727

National Provider Identifier

NPI Number:
1861823577
Certification Date:
2022-12-02

Authorized Person:

Name:
DR. GLENN M. GIBSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140228000449 2014-02-28 CERTIFICATE OF PUBLICATION 2014-02-28
131115000030 2013-11-15 ARTICLES OF ORGANIZATION 2013-11-15

Date of last update: 26 Mar 2025

Sources: New York Secretary of State