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UPPER WEST SIDE MEDICAL DOCTOR PLLC

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Company Details

Name: UPPER WEST SIDE MEDICAL DOCTOR PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Dec 2017 (8 years ago)
Entity Number: 5244561
ZIP code: 10024
County: New York
Place of Formation: New York
Address: 46 W, 86TH ST, STE 1A, NY, NY, United States, 10024

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 46 W, 86TH ST, STE 1A, NY, NY, United States, 10024

National Provider Identifier

NPI Number:
1912417254

Authorized Person:

Name:
BHAVANA KRANTHI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9174721525
Fax:
9089621000

Filings

Filing Number Date Filed Type Effective Date
180411000561 2018-04-11 CERTIFICATE OF PUBLICATION 2018-04-11
180410000077 2018-04-10 CERTIFICATE OF PUBLICATION 2018-04-10
171204000421 2017-12-04 ARTICLES OF ORGANIZATION 2017-12-04

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State