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WELLCARE MEDICAL OF LONG ISLAND PLLC

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Company Details

Name: WELLCARE MEDICAL OF LONG ISLAND PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 08 Oct 2020 (5 years ago)
Date of dissolution: 31 Mar 2023
Entity Number: 5853478
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 1300 UNION TURNPIKE,, SUITE #206, NEW HYDE PARK, NY, United States, 11040

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1300 UNION TURNPIKE,, SUITE #206, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1114508587
Certification Date:
2022-12-09

Authorized Person:

Name:
EVAN B. SHAPIRO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2020-10-08 2023-03-31 Address 1300 UNION TURNPIKE,, SUITE #206, NEW HYDE PARK, NY, 11040, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230331003475 2023-03-31 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-03-31
210304000253 2021-03-04 CERTIFICATE OF PUBLICATION 2021-03-04
201008000360 2020-10-08 ARTICLES OF ORGANIZATION 2020-10-08

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State