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HT MEDICAL HEALTH OF PORT JEFFERSON STATION PLLC

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Company Details

Name: HT MEDICAL HEALTH OF PORT JEFFERSON STATION PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 May 2017 (8 years ago)
Entity Number: 5139975
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 11 MEDICAL DRIVE, PT JEFFERSON STATION, NY, United States, 11776

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 11 MEDICAL DRIVE, PT JEFFERSON STATION, NY, United States, 11776

National Provider Identifier

NPI Number:
1891292462

Authorized Person:

Name:
VARUN BAJAJ
Role:
BILLER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170808000048 2017-08-08 CERTIFICATE OF PUBLICATION 2017-08-08
170519000223 2017-05-19 ARTICLES OF ORGANIZATION 2017-05-19

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State