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ITHACA MEDICAL SERVICES PLLC

Company Details

Name: ITHACA MEDICAL SERVICES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Oct 2020 (5 years ago)
Entity Number: 5856959
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 101 DATES DRIVE, ITHACA, NY, United States, 14850

Contact Details

Phone +1 607-274-3177

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 101 DATES DRIVE, ITHACA, NY, United States, 14850

National Provider Identifier

NPI Number:
1164166559
Certification Date:
2022-04-22

Authorized Person:

Name:
KATHY HATFIELD
Role:
REIMBURSEMENT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6072770104

History

Start date End date Type Value
2020-10-14 2024-12-19 Address 101 DATES DRIVE, ITHACA, NY, 14850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241219004022 2024-12-19 BIENNIAL STATEMENT 2024-12-19
201014000284 2020-10-14 ARTICLES OF ORGANIZATION 2020-10-14

Date of last update: 22 Mar 2025

Sources: New York Secretary of State