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TRINIDAD D. AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC

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Company Details

Name: TRINIDAD D. AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Dec 2018 (7 years ago)
Entity Number: 5458172
ZIP code: 11372
County: Queens
Place of Formation: New York
Address: 7116 34TH AVENUE, APT 3A, JACKSON HEIGHTS, NY, United States, 11372

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 7116 34TH AVENUE, APT 3A, JACKSON HEIGHTS, NY, United States, 11372

National Provider Identifier

NPI Number:
1386118412

Authorized Person:

Name:
TRINIDAD D AGTARAP
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190307000717 2019-03-07 CERTIFICATE OF PUBLICATION 2019-03-07
181213000040 2018-12-13 ARTICLES OF ORGANIZATION 2018-12-13

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State