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JSN PRIMARY CARE PHYSICIAN, PLLC

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Company Details

Name: JSN PRIMARY CARE PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Jan 2021 (4 years ago)
Entity Number: 5909585
ZIP code: 11419
County: Queens
Place of Formation: New York
Address: 103-02 LEFFERTS BLVD, RICHMOND HILL, NY, United States, 11419

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 103-02 LEFFERTS BLVD, RICHMOND HILL, NY, United States, 11419

National Provider Identifier

NPI Number:
1518559053
Certification Date:
2021-03-08

Authorized Person:

Name:
JASVENDAR SINGH NANDRA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3477193010

Filings

Filing Number Date Filed Type Effective Date
210105000499 2021-01-05 ARTICLES OF ORGANIZATION 2021-01-05

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State