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CINQ-NY IPA LLC

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Company Details

Name: CINQ-NY IPA LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Oct 2021 (4 years ago)
Entity Number: 6302449
ZIP code: 10528
County: New York
Place of Formation: New York
Address: 600 MAMARONECK AVENUE #400, HARRISON, NY, United States, 10528

Agent

Name Role Address
CORPORATE CREATIONS NETWORK INC. Agent 600 MAMARONECK AVENUE #400, HARRISON, NY, 10528

DOS Process Agent

Name Role Address
C/O CORPORATE CREATIONS NETWORK INC. DOS Process Agent 600 MAMARONECK AVENUE #400, HARRISON, NY, United States, 10528

National Provider Identifier

NPI Number:
1851049134
Certification Date:
2022-03-11

Authorized Person:

Name:
MRS. STEVE SWIFT
Role:
BILLING PROJECT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-08-09 2023-10-04 Address 600 MAMARONECK AVENUE #400, HARRISON, NY, 10528, USA (Type of address: Registered Agent)
2022-08-09 2023-10-04 Address 600 MAMARONECK AVENUE #400, HARRISON, NY, 10528, USA (Type of address: Service of Process)
2021-10-13 2022-08-09 Address c/o blackivy llc, 888 7th avenue, 16th floor, NEW YORK, NY, 10106, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231004002003 2023-10-04 BIENNIAL STATEMENT 2023-10-01
220809000716 2022-08-08 CERTIFICATE OF CHANGE BY ENTITY 2022-08-08
211013002429 2021-10-12 ARTICLES OF ORGANIZATION 2021-10-12

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State