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BALANCE MEDICAL PROFESSIONAL PRIMARY SERVICES, PLLC

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Company Details

Name: BALANCE MEDICAL PROFESSIONAL PRIMARY SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Aug 2014 (11 years ago)
Entity Number: 4616669
ZIP code: 10463
County: New York
Place of Formation: New York
Address: 2910 Exterior Street, Bronx, NY, United States, 10463

DOS Process Agent

Name Role Address
CANDIDO NORBERTO, MD DOS Process Agent 2910 Exterior Street, Bronx, NY, United States, 10463

National Provider Identifier

NPI Number:
1316316789

Authorized Person:

Name:
DR. RAMON M TALLAJ
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2125674957

Filings

Filing Number Date Filed Type Effective Date
220606000896 2022-06-06 BIENNIAL STATEMENT 2020-08-01
140804000483 2014-08-04 ARTICLES OF ORGANIZATION 2014-08-04

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State