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PEDIATRIC DENTISTRY OF BORO PARK PLLC

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Company Details

Name: PEDIATRIC DENTISTRY OF BORO PARK PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Feb 2021 (4 years ago)
Entity Number: 5939764
ZIP code: 11581
County: Nassau
Place of Formation: New York
Address: 10 HALYARD ROAD, VALLEY STREAM, NY, United States, 11581

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 10 HALYARD ROAD, VALLEY STREAM, NY, United States, 11581

National Provider Identifier

NPI Number:
1730762642
Certification Date:
2021-04-29

Authorized Person:

Name:
SHALOM BLOBSTEIN
Role:
DR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
862143502
Plan Year:
2024
Number Of Participants:
19
Sponsors Telephone Number:

History

Start date End date Type Value
2022-01-18 2025-07-01 Address 10 HALYARD ROAD, VALLEY STREAM, NY, 11581, USA (Type of address: Service of Process)
2021-02-11 2022-01-18 Address 10 HALYARD ROAD, VALLEY STREAM, NY, 11581, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250701049174 2025-07-01 BIENNIAL STATEMENT 2025-07-01
220118002750 2021-06-21 CERTIFICATE OF PUBLICATION 2021-06-21
210211000483 2021-02-11 ARTICLES OF ORGANIZATION 2021-02-11

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State