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JUAN VAILLANT MEDICAL PLLC

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Company Details

Name: JUAN VAILLANT MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Nov 2014 (11 years ago)
Entity Number: 4667297
ZIP code: 11235
County: New York
Place of Formation: New York
Address: 123 HAMPTON AVENUE, BROOKLYN, NY, United States, 11235

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 123 HAMPTON AVENUE, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1295132991

Authorized Person:

Name:
JUAN VAILLANT
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
141117000515 2014-11-17 ARTICLES OF ORGANIZATION 2014-11-17

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State