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PROFESSIONAL PRIMARY CARE PHYSICIAN PLLC

Company Details

Name: PROFESSIONAL PRIMARY CARE PHYSICIAN PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Oct 2020 (5 years ago)
Entity Number: 5867515
ZIP code: 11362
County: Queens
Place of Formation: New York
Address: 6110 MARATHON PARKWAY, LITTLE NECK, NY, United States, 11362

Contact Details

Phone +1 718-374-3830

Phone +1 516-519-8831

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6110 MARATHON PARKWAY, LITTLE NECK, NY, United States, 11362

National Provider Identifier

NPI Number:
1942922471
Certification Date:
2023-10-13

Authorized Person:

Name:
FOZIA JANGDA
Role:
MD/ OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210429000691 2021-04-29 CERTIFICATE OF PUBLICATION 2021-04-29
210330000321 2021-03-30 CERTIFICATE OF CHANGE 2021-03-30
210225000191 2021-02-25 CERTIFICATE OF PUBLICATION 2021-02-25
201029000045 2020-10-29 ARTICLES OF ORGANIZATION 2020-10-29

Date of last update: 22 Mar 2025

Sources: New York Secretary of State