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FUSE MEDICAL PLLC

Company Details

Name: FUSE MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Dec 2021 (3 years ago)
Entity Number: 6356560
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 25 savin ct., STATEN ISLAND, NY, United States, 10304

Contact Details

Phone +1 914-460-4891

DOS Process Agent

Name Role Address
doctor ilya parizh DOS Process Agent 25 savin ct., STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1104549716
Certification Date:
2024-01-30

Authorized Person:

Name:
DR. ILYA PARIZH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
874158207
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
211224001087 2021-12-23 ARTICLES OF ORGANIZATION 2021-12-23

Date of last update: 21 Mar 2025

Sources: New York Secretary of State