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RUSSELL KARP MD FUNCTIONAL MEDICINE PLLC

Company Details

Name: RUSSELL KARP MD FUNCTIONAL MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Oct 2017 (8 years ago)
Entity Number: 5219422
ZIP code: 12601
County: Dutchess
Place of Formation: New York
Address: 23 CROFT ROAD, POUGHKEEPSIE, NY, United States, 12601

DOS Process Agent

Name Role Address
RUSSELL KARP DOS Process Agent 23 CROFT ROAD, POUGHKEEPSIE, NY, United States, 12601

National Provider Identifier

NPI Number:
1033622857

Authorized Person:

Name:
RUSSELL KARP
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
2083P0500X - Preventive Medicine/Occupational Environmental Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180131000368 2018-01-31 CERTIFICATE OF PUBLICATION 2018-01-31
171018000059 2017-10-18 ARTICLES OF ORGANIZATION 2017-10-18

Date of last update: 24 Mar 2025

Sources: New York Secretary of State