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URBAN FAMILY DOCTOR, PLLC

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Company Details

Name: URBAN FAMILY DOCTOR, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Dec 2015 (9 years ago)
Entity Number: 4870405
ZIP code: 11218
County: Kings
Place of Formation: New York
Address: 51 KERMIT PLACE, BROOKLYN, NY, United States, 11218

Contact Details

Phone +1 347-669-0017

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 51 KERMIT PLACE, BROOKLYN, NY, United States, 11218

National Provider Identifier

NPI Number:
1710535836
Certification Date:
2025-05-09

Authorized Person:

Name:
AMANDA HARRIS
Role:
SOLE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3476690016

Filings

Filing Number Date Filed Type Effective Date
160325000502 2016-03-25 CERTIFICATE OF PUBLICATION 2016-03-25
151229000489 2015-12-29 ARTICLES OF ORGANIZATION 2015-12-29

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State