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LSA PHYSICIANS PLLC

Company Details

Name: LSA PHYSICIANS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Apr 2020 (5 years ago)
Entity Number: 5736080
ZIP code: 10069
County: New York
Place of Formation: New York
Address: 240 WEST 73RD STREET, NEW YORK, NY, United States, 10069

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 240 WEST 73RD STREET, NEW YORK, NY, United States, 10069

National Provider Identifier

NPI Number:
1841897915
Certification Date:
2020-10-02

Authorized Person:

Name:
MELISSA NIELI
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
9144705056

Filings

Filing Number Date Filed Type Effective Date
200408000140 2020-04-08 ARTICLES OF ORGANIZATION 2020-04-08

Date of last update: 22 Mar 2025

Sources: New York Secretary of State