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KIMLYN LONG, MD PLLC

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Company Details

Name: KIMLYN LONG, MD PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Dec 2019 (5 years ago)
Entity Number: 5678685
ZIP code: 11434
County: Queens
Place of Formation: New York
Address: 176-15 MURDOCK AVENUE, ADDISLEIGH PARK, NY, United States, 11434

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 176-15 MURDOCK AVENUE, ADDISLEIGH PARK, NY, United States, 11434

National Provider Identifier

NPI Number:
1730911256
Certification Date:
2024-08-05

Authorized Person:

Name:
DR. KINLYN LONG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
171400000X - Health & Wellness Coach
Is Primary:
No
Selected Taxonomy:
202D00000X - Integrative Medicine Physician
Is Primary:
No
Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
191230000681 2019-12-30 ARTICLES OF ORGANIZATION 2019-12-30

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State