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MICHAEL C. BURNETT, M.D., PLLC

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Company Details

Name: MICHAEL C. BURNETT, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Aug 2014 (11 years ago)
Entity Number: 4622493
ZIP code: 11042
County: New York
Place of Formation: New York
Address: 1983 MARCUS AVE, SUITE 106, LAKE SUCCESS, NY, United States, 11042

DOS Process Agent

Name Role Address
C/O RON LEBOW, ESQ. DOS Process Agent 1983 MARCUS AVE, SUITE 106, LAKE SUCCESS, NY, United States, 11042

National Provider Identifier

NPI Number:
1093116535

Authorized Person:

Name:
MICHAEL CHARLES BURNETT
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2126448356
Fax:
2128448356

Filings

Filing Number Date Filed Type Effective Date
141113000208 2014-11-13 CERTIFICATE OF PUBLICATION 2014-11-13
140815000452 2014-08-15 ARTICLES OF ORGANIZATION 2014-08-15

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State