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LIFE BODY MEDICINE PLLC

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Company Details

Name: LIFE BODY MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Mar 2019 (6 years ago)
Entity Number: 5519287
ZIP code: 11746
County: Nassau
Place of Formation: New York
Address: 2 MCCULLOCH DR, DIX HILLS, NY, United States, 11746

DOS Process Agent

Name Role Address
UNNIKRISHNAN THAMPY DOS Process Agent 2 MCCULLOCH DR, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:
1700448552
Certification Date:
2022-04-11

Authorized Person:

Name:
UNNIKRISHNAN NARAYANAN THAMPY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190618000699 2019-06-18 CERTIFICATE OF PUBLICATION 2019-06-18
190322000454 2019-03-22 ARTICLES OF ORGANIZATION 2019-03-22

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State