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CHRYSALIS MEDICAL WELLNESS SERVICES PLLC

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Company Details

Name: CHRYSALIS MEDICAL WELLNESS SERVICES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Sep 2021 (4 years ago)
Entity Number: 6280501
ZIP code: 13903
County: Broome
Place of Formation: New York
Address: 117 PARK AVE, #1, BINGHAMTON, NY, United States, 13903

DOS Process Agent

Name Role Address
CHRYSALIS MEDICAL WELLNESS SERVICES PLLC DOS Process Agent 117 PARK AVE, #1, BINGHAMTON, NY, United States, 13903

National Provider Identifier

NPI Number:
1053076331
Certification Date:
2021-11-02

Authorized Person:

Name:
DR. LIZETH DIAZ LEDESMA
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-08-18 2023-10-30 Address 117 PARK AVE, BINGHAMTON, NY, 13903, USA (Type of address: Service of Process)
2021-09-14 2022-08-18 Address 117 PARK AVE, BINGHAMTON, NY, 13903, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231030020069 2023-10-30 BIENNIAL STATEMENT 2023-09-01
220818000736 2022-02-17 CERTIFICATE OF PUBLICATION 2022-02-17
210914002131 2021-09-14 ARTICLES OF ORGANIZATION 2021-09-14

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State