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CEDI MEDICAL OFFICE, PLLC

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Company Details

Name: CEDI MEDICAL OFFICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Jun 2020 (5 years ago)
Entity Number: 5763409
ZIP code: 10451
County: Bronx
Place of Formation: New York
Address: 775 CONCOURSE VILLAGE EAST, #20K, BRONX, NY, United States, 10451

Contact Details

Phone +1 718-220-0900

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 775 CONCOURSE VILLAGE EAST, #20K, BRONX, NY, United States, 10451

National Provider Identifier

NPI Number:
1992310411
Certification Date:
2021-04-30

Authorized Person:

Name:
DR. KWABENA BOAKYE
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7187336773

Filings

Filing Number Date Filed Type Effective Date
200608000297 2020-06-08 ARTICLES OF ORGANIZATION 2020-06-08

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State