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STATEN ISLAND PEDIATRIC CARDIOLOGY, PLLC

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Company Details

Name: STATEN ISLAND PEDIATRIC CARDIOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Apr 2014 (11 years ago)
Entity Number: 4562924
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 2550 VICTORY BLVD., SUITE 302, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 718-982-1496

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2550 VICTORY BLVD., SUITE 302, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1770993644

Authorized Person:

Name:
DR. JARED C LACORTE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2080P0202X - Pediatric Cardiology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
465519427
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
140613000910 2014-06-13 CERTIFICATE OF PUBLICATION 2014-06-13
140416000671 2014-04-16 ARTICLES OF ORGANIZATION 2014-04-16

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State