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MILLER PLACE PT, FAMILY HEALTH NP AND CHIROPRACTIC PLLC

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Company Details

Name: MILLER PLACE PT, FAMILY HEALTH NP AND CHIROPRACTIC PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Apr 2020 (5 years ago)
Entity Number: 5734357
ZIP code: 11729
County: Suffolk
Place of Formation: New York
Address: 2103 DEER PARK AVENUE, DEER PARK, NY, United States, 11729

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2103 DEER PARK AVENUE, DEER PARK, NY, United States, 11729

National Provider Identifier

NPI Number:
1588290779
Certification Date:
2020-03-19

Authorized Person:

Name:
DR. JACK J TESORIERO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
6312424500
Fax:
6312420885

Filings

Filing Number Date Filed Type Effective Date
221021001174 2022-10-21 BIENNIAL STATEMENT 2022-04-01
200402000001 2020-04-02 ARTICLES OF ORGANIZATION 2020-04-02

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State