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PS MEDICAL CARE OF ELMONT PLLC

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Company Details

Name: PS MEDICAL CARE OF ELMONT PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Jun 2017 (8 years ago)
Entity Number: 5154494
ZIP code: 11003
County: Nassau
Place of Formation: New York
Address: 1336 SUN AVENUE, ELMONT, NY, United States, 11003

Contact Details

Phone +1 516-502-9355

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1336 SUN AVENUE, ELMONT, NY, United States, 11003

National Provider Identifier

NPI Number:
1225559990
Certification Date:
2024-12-02

Authorized Person:

Name:
DR. FATIMA KHAN
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
8888582068

Filings

Filing Number Date Filed Type Effective Date
170913000792 2017-09-13 CERTIFICATE OF PUBLICATION 2017-09-13
170614000640 2017-06-14 ARTICLES OF ORGANIZATION 2017-06-14

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State