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KOSTKO MEDICAL PLLC

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Company Details

Name: KOSTKO MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Jan 2015 (10 years ago)
Entity Number: 4696159
ZIP code: 11374
County: Queens
Place of Formation: New York
Address: 98-76 QUEENS BLVD SUITE 1JK, REGO PARK, NY, United States, 11374

Contact Details

Phone +1 718-459-8900

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 98-76 QUEENS BLVD SUITE 1JK, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1568853158
Certification Date:
2020-04-13

Authorized Person:

Name:
SEMYON KOSTKO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7184598903

Filings

Filing Number Date Filed Type Effective Date
150120000238 2015-01-20 ARTICLES OF ORGANIZATION 2015-01-20

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State