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GRIGOL ADEISHVILI MEDICAL PLLC

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Company Details

Name: GRIGOL ADEISHVILI MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Jul 2021 (4 years ago)
Entity Number: 6229923
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 100 OCEANA DRIVE WEST APT 2I, BROOKLYN, NY, United States, 11235

Contact Details

Phone +1 347-491-3100

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 100 OCEANA DRIVE WEST APT 2I, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1720897184
Certification Date:
2024-12-31

Authorized Person:

Name:
GRIGOL ADEISHVILI,
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207VX0000X - Obstetrics Physician
Is Primary:
Yes

Contacts:

Fax:
3474913200

Filings

Filing Number Date Filed Type Effective Date
210728001021 2021-07-23 ARTICLES OF ORGANIZATION 2021-07-23

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State