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CRESCENT MEDICAL CONSULTANTS, LLC

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Company Details

Name: CRESCENT MEDICAL CONSULTANTS, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Sep 2015 (10 years ago)
Entity Number: 4821226
ZIP code: 14212
County: Erie
Place of Formation: New York
Address: 139 SOBIESKI STREET, BUFFALO, NY, United States, 14212

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 139 SOBIESKI STREET, BUFFALO, NY, United States, 14212

Agent

Name Role Address
FOUZIA JAWED Agent 139 SOBIESKI STREET, BUFFALO, NY, 14212

National Provider Identifier

NPI Number:
1184203804
Certification Date:
2022-08-26

Authorized Person:

Name:
BETSY ROWE
Role:
BILLER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150917000404 2015-09-17 ARTICLES OF ORGANIZATION 2015-09-17

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State