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CHEETHAM PHYSICIAN PLLC

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Company Details

Name: CHEETHAM PHYSICIAN 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: 4799525
ZIP code: 10019
County: New York
Place of Formation: New York
Address: 322 WEST 57TH ST., STE. 52Q, NEW YORK, NY, United States, 10019

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 322 WEST 57TH ST., STE. 52Q, NEW YORK, NY, United States, 10019

National Provider Identifier

NPI Number:
1982076360

Authorized Person:

Name:
DR. PHILIPPA JAYNE CHEETHAM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
7189633496

Filings

Filing Number Date Filed Type Effective Date
150804000612 2015-08-04 ARTICLES OF ORGANIZATION 2015-08-04

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State