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ISLAND PULMONARY AND CRITICAL CARE, PLLC

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Company Details

Name: ISLAND PULMONARY AND CRITICAL CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Aug 2015 (10 years ago)
Entity Number: 4799470
ZIP code: 11755
County: Suffolk
Place of Formation: New York
Address: 50 SOUTHVIEW CIRCLE, LAKE GROVE, NY, United States, 11755

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 50 SOUTHVIEW CIRCLE, LAKE GROVE, NY, United States, 11755

National Provider Identifier

NPI Number:
1396543351
Certification Date:
2025-04-28

Authorized Person:

Name:
DR. EDISON GENARO GAVILANES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
160113001053 2016-01-13 CERTIFICATE OF PUBLICATION 2016-01-13
150804000554 2015-08-04 ARTICLES OF ORGANIZATION 2015-08-04

USAspending Awards / Financial Assistance

Date:
2020-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State