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JONGMI LEE NP IN ADULT & FAMILY HEALTH PLLC

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Company Details

Name: JONGMI LEE NP IN ADULT & FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Oct 2018 (7 years ago)
Entity Number: 5418138
ZIP code: 10468
County: Bronx
Place of Formation: New York
Address: 2623 SEDGWICK AVENUE, APARTMENT 4D, BRONX, NY, United States, 10468

DOS Process Agent

Name Role Address
JONGMI LEE DOS Process Agent 2623 SEDGWICK AVENUE, APARTMENT 4D, BRONX, NY, United States, 10468

National Provider Identifier

NPI Number:
1972071660
Certification Date:
2019-12-20

Authorized Person:

Name:
JONGMI LEE
Role:
PRINCIPAL
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
9293520455

Filings

Filing Number Date Filed Type Effective Date
181001000136 2018-10-01 ARTICLES OF ORGANIZATION 2018-10-01

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State