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MAIN STREET MEDICAL SERVICES, PLLC

Company Details

Name: MAIN STREET MEDICAL SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Apr 2014 (11 years ago)
Entity Number: 4560708
ZIP code: 11791
County: Nassau
Place of Formation: New York
Address: 175 JERICHO TURNPIKE, SUITE 200, SYOSSET, NY, United States, 11791

Contact Details

Phone +1 718-461-6161

Phone +1 516-682-0700

Phone +1 718-213-4470

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 175 JERICHO TURNPIKE, SUITE 200, SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:
1346650108
Certification Date:
2024-10-04

Authorized Person:

Name:
DR. USHA KRISHNAMURTHY
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
7184613590

Filings

Filing Number Date Filed Type Effective Date
140617000452 2014-06-17 CERTIFICATE OF PUBLICATION 2014-06-17
140411000470 2014-04-11 ARTICLES OF ORGANIZATION 2014-04-11

Date of last update: 25 Mar 2025

Sources: New York Secretary of State