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PHYSICAL HEALTH MEDICAL PLLC

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Company Details

Name: PHYSICAL HEALTH MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Nov 2019 (6 years ago)
Entity Number: 5661198
ZIP code: 11374
County: Nassau
Place of Formation: New York
Address: 64-41 SAUNDERS STREET, APT 306, REGO PARK, NY, United States, 11374

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 64-41 SAUNDERS STREET, APT 306, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1942087184
Certification Date:
2023-07-26

Authorized Person:

Name:
DR. DIANA BARAYEVA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2019-11-22 2022-02-24 Address 64-41 SAUNDERS STREET, APT 306, REGO PARK, NY, 11374, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220224003723 2022-02-24 CERTIFICATE OF PUBLICATION 2022-02-24
191122000738 2019-11-22 ARTICLES OF ORGANIZATION 2019-11-22

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State