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ELLEN MELLOW MD, PLLC

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Company Details

Name: ELLEN MELLOW MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Jan 2021 (4 years ago)
Entity Number: 5926378
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 530 EAST 76TH STREET, APT. 18A, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 530 EAST 76TH STREET, APT. 18A, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1922692052
Certification Date:
2021-03-01

Authorized Person:

Name:
DR. ELLEN MELLOW
Role:
PRINCIPAL
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
133896309
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
210428000103 2021-04-28 CERTIFICATE OF PUBLICATION 2021-04-28
210126000168 2021-01-26 ARTICLES OF ORGANIZATION 2021-01-26

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State