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REVIVED MEDICAL IPA, LLC
Company Details
Name: |
REVIVED MEDICAL IPA, LLC |
Jurisdiction: |
New York |
Legal type: |
DOMESTIC LIMITED LIABILITY COMPANY |
Status: |
Active
|
Date of registration: |
04 Jun 2021 (4 years ago)
|
Entity Number: |
6028676 |
ZIP code: |
11230
|
County: |
Kings |
Place of Formation: |
New York |
Address: |
1329 EAST 17TH STREET, UNIT 1, BROOKLYN, NY, United States, 11230 |
DOS Process Agent
Name |
Role |
Address |
THE LLC
|
DOS Process Agent
|
1329 EAST 17TH STREET, UNIT 1, BROOKLYN, NY, United States, 11230
|
National Provider Identifier
Certification Date:
2022-05-19
Authorized Person:
Taxonomy:
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Selected Taxonomy:
103T00000X - Psychologist
Selected Taxonomy:
225100000X - Physical Therapist
Selected Taxonomy:
225X00000X - Occupational Therapist
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Contacts:
History
Start date |
End date |
Type |
Value |
2021-06-04
|
2021-08-16
|
Address
|
1329 EAST 17TH STREET, UNIT 1, BROOKLYN, NY, 11230, USA (Type of address: Service of Process)
|
Filings
Filing Number |
Date Filed |
Type |
Effective Date |
210816002307
|
2021-08-14
|
CERTIFICATE OF PUBLICATION
|
2021-08-14
|
210604000105
|
2021-06-04
|
ARTICLES OF ORGANIZATION
|
2021-06-04
|
This company hasn't received any reviews.
Date of last update: 22 Mar 2025
Sources:
New York Secretary of State