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YANLUN LI MEDICAL PRACTICE P.C.

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Company Details

Name: YANLUN LI MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Sep 2014 (11 years ago)
Entity Number: 4631539
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 15 BROOKBRIDGE ROAD, GREAT NECK, NY, United States, 11021

Contact Details

Phone +1 718-701-0589

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
YANLUN LI Chief Executive Officer 15 BROOKBRIDGE ROAD, GREAT NECK, NY, United States, 11021

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 15 BROOKBRIDGE ROAD, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1164040523
Certification Date:
2023-12-28

Authorized Person:

Name:
DR. YANLUN LI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7187010877

Filings

Filing Number Date Filed Type Effective Date
200722000570 2020-07-22 CERTIFICATE OF AMENDMENT 2020-07-22
180110006058 2018-01-10 BIENNIAL STATEMENT 2016-09-01
140905000061 2014-09-05 CERTIFICATE OF INCORPORATION 2014-09-05

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State