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MYLAUREL MEDICAL GROUP NY, PLLC

Company Details

Name: MYLAUREL MEDICAL GROUP NY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Jun 2021 (4 years ago)
Entity Number: 6035556
ZIP code: 10004
County: Albany
Place of Formation: New York
Address: 42 broadway fl 12, ste 12-300, NEW YORK, NY, United States, 10004

DOS Process Agent

Name Role Address
the llc DOS Process Agent 42 broadway fl 12, ste 12-300, NEW YORK, NY, United States, 10004

Agent

Name Role Address
FILEJET INC. Agent 42 BROADWAY FL 12, STE 12-300, NEW YORK, NY, 10004

National Provider Identifier

NPI Number:
1477214237
Certification Date:
2024-01-09

Authorized Person:

Name:
BRANKO KOLVEK
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-06-13 2023-12-21 Address 41 BROADWAY FL. 12, STE 12-300, NEW YORK, NY, 10004, 1617, USA (Type of address: Registered Agent)
2023-06-13 2023-12-21 Address 41 broadway fl 12 ste 12-300, NEW YORK, NY, 10004, USA (Type of address: Service of Process)
2023-06-01 2023-06-13 Address 41 broadway fl 12 ste 12-300, NEW YORK, NY, 10004, 1617, USA (Type of address: Service of Process)
2023-06-01 2023-06-13 Address 41 BROADWAY FL. 12, STE 12-300, NEW YORK, NY, 10004, 1617, USA (Type of address: Registered Agent)
2023-04-21 2023-06-01 Address 41 broadway fl 12 ste 12-300, NEW YORK, NY, 10004, 1617, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231221001394 2023-12-20 CERTIFICATE OF CHANGE BY ENTITY 2023-12-20
230613004150 2023-06-13 BIENNIAL STATEMENT 2023-06-01
230601002748 2023-05-26 CERTIFICATE OF AMENDMENT 2023-05-26
230421000358 2023-04-20 CERTIFICATE OF CHANGE BY ENTITY 2023-04-20
220920001226 2022-09-19 CERTIFICATE OF CHANGE BY ENTITY 2022-09-19

Date of last update: 22 Mar 2025

Sources: New York Secretary of State