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GENESEE PHYSICIAN PRACTICE, PLLC

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Company Details

Name: GENESEE PHYSICIAN PRACTICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Oct 2015 (10 years ago)
Entity Number: 4840412
ZIP code: 13421
County: Madison
Place of Formation: New York
Address: ATTN: PRESIDENT, 321 GENESEE STREET, ONEIDA, NY, United States, 13421

Contact Details

Phone +1 315-363-6000

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent ATTN: PRESIDENT, 321 GENESEE STREET, ONEIDA, NY, United States, 13421

National Provider Identifier

NPI Number:
1598138356

Authorized Person:

Name:
MIKE FIFIELD
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
3153625120

Filings

Filing Number Date Filed Type Effective Date
160111000357 2016-01-11 CERTIFICATE OF PUBLICATION 2016-01-11
151027000366 2015-10-27 ARTICLES OF ORGANIZATION 2015-10-27

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State