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NEW YORK MFM, LLC

Company Details

Name: NEW YORK MFM, LLC
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Dec 2015 (9 years ago)
Entity Number: 4869437
ZIP code: 02445
County: Albany
Place of Formation: Massachusetts
Address: ONE BROOKLINE PLACE, #301, BROOKLINE, MA, United States, 02445

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent ONE BROOKLINE PLACE, #301, BROOKLINE, MA, United States, 02445

National Provider Identifier

NPI Number:
1932867165
Certification Date:
2021-12-06

Authorized Person:

Name:
ORLANDO ORTIZ
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207VM0101X - Maternal & Fetal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6172640365

Filings

Filing Number Date Filed Type Effective Date
190328000360 2019-03-28 CERTIFICATE OF AMENDMENT 2019-03-28
151224000570 2015-12-24 APPLICATION OF AUTHORITY 2015-12-24

Date of last update: 25 Mar 2025

Sources: New York Secretary of State