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MID-ISLAND SPEECH LANGUAGE PATHOLOGY PLLC

Company Details

Name: MID-ISLAND SPEECH LANGUAGE PATHOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Aug 2017 (8 years ago)
Entity Number: 5192254
ZIP code: 11741
County: Suffolk
Place of Formation: New York
Address: 24 DONALD STREET, HOLBROOK, NY, United States, 11741

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 24 DONALD STREET, HOLBROOK, NY, United States, 11741

National Provider Identifier

NPI Number:
1780191288

Authorized Person:

Name:
MRS. JACLYN HAVLICEK
Role:
SPEECH PATHOLOGIST, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171219000561 2017-12-19 CERTIFICATE OF PUBLICATION 2017-12-19
170825000014 2017-08-25 ARTICLES OF ORGANIZATION 2017-08-25

Date of last update: 24 Mar 2025

Sources: New York Secretary of State