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PROVIDENCE MEDICAL SERVICES, PLLC

Company Details

Name: PROVIDENCE MEDICAL SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Jul 2017 (8 years ago)
Entity Number: 5164543
ZIP code: 06470
County: Putnam
Place of Formation: New York
Address: 121 POVERTY HOLLOW ROAD, NEWTOWN, CT, United States, 06470

Contact Details

Phone +1 914-202-4830

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 121 POVERTY HOLLOW ROAD, NEWTOWN, CT, United States, 06470

National Provider Identifier

NPI Number:
1417452467

Authorized Person:

Name:
DR. DHARINI SUN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171114000205 2017-11-14 CERTIFICATE OF PUBLICATION 2017-11-14
170703000394 2017-07-03 ARTICLES OF ORGANIZATION 2017-07-03

USAspending Awards / Financial Assistance

Date:
2020-07-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
59000.00
Total Face Value Of Loan:
59000.00

Date of last update: 24 Mar 2025

Sources: New York Secretary of State