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PARK AVENUE AMBULATORY CENTER LLC

Company Details

Name: PARK AVENUE AMBULATORY CENTER LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Oct 2020 (5 years ago)
Entity Number: 5859271
ZIP code: 10128
County: New York
Place of Formation: New York
Address: 1775 YORK AVENUE, #32A, NEW YORK, NY, United States, 10128

DOS Process Agent

Name Role Address
SHANA ACKERMAN DOS Process Agent 1775 YORK AVENUE, #32A, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1700486511
Certification Date:
2020-10-30

Authorized Person:

Name:
SHANALEE ACKERMAN
Role:
FACILITY DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
201016010485 2020-10-16 ARTICLES OF ORGANIZATION 2020-10-16

Date of last update: 22 Mar 2025

Sources: New York Secretary of State