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SMITH HAVEN PEDIATRICS, PLLC

SMITH HAVEN PEDIATRICS, PLLC

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Company Details

Name:	SMITH HAVEN PEDIATRICS, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	02 Jan 2014 (12 years ago)
Entity Number:	4507476
ZIP code:	11787
County:	Suffolk
Place of Formation:	New York
Address:	269 D E. MAIN STREET, SMITHTOWN, NY, United States, 11787

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	269 D E. MAIN STREET, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:

1295952448

Link:

View on NPI website

Authorized Person:

Name:

LIZ SOSULSKI

Role:

OFFICE COORDINATOR

Phone:

6318636321

Taxonomy:

Selected Taxonomy:

208000000X - Pediatrics Physician

Is Primary:

Yes

Contacts:

Phone:

+1 631-361-2121

Fax:

6313612153

Form 5500 Series

Employer Identification Number (EIN):

112956074

Plan Year:

2017

Number Of Participants:

1

Sponsors Telephone Number:

6313612121

File:

Plan Year:

2017

Number Of Participants:

1

Sponsors Telephone Number:

6313612121

File:

Plan Year:

2016

Number Of Participants:

2

Sponsors Telephone Number:

6313612121

File:

Plan Year:

2016

Number Of Participants:

2

Sponsors Telephone Number:

6313612121

File:

Plan Year:

2015

Number Of Participants:

13

Sponsors Telephone Number:

6313612121

File:

Filings

Filing Number	Date Filed	Type	Effective Date
140102000184	2014-01-02	ARTICLES OF ORGANIZATION	2014-01-02

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State