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BODY BY YASHI GORDON RPN, PLLC

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Company Details

Name: BODY BY YASHI GORDON RPN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Jun 2019 (6 years ago)
Entity Number: 5574540
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: 127 MAPLE LANE, MEDFORD, NY, United States, 11763

Contact Details

Phone +1 718-913-2365

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 127 MAPLE LANE, MEDFORD, NY, United States, 11763

National Provider Identifier

NPI Number:
1346053196
Certification Date:
2025-01-28

Authorized Person:

Name:
YASHI GORDON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190620000396 2019-06-20 ARTICLES OF ORGANIZATION 2019-06-20

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State