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BRAIN CARE LONG ISLAND, PLLC

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Company Details

Name: BRAIN CARE LONG ISLAND, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Feb 2022 (3 years ago)
Entity Number: 6392834
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 1175 MONTAUK HIGHWAY, STE 6, WEST ISLIP, NY, United States, 11795

Contact Details

Phone +1 833-774-6333

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1175 MONTAUK HIGHWAY, STE 6, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1508508730
Certification Date:
2023-10-06

Authorized Person:

Name:
KEVIN MULLINS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6313377698

Form 5500 Series

Employer Identification Number (EIN):
825328817
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
23
Sponsors Telephone Number:

History

Start date End date Type Value
2022-02-02 2022-04-01 Address 1175 MONTAUK HIGHWAY, STE 6, WEST ISLIP, NY, 11795, 4939, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220401001129 2022-03-31 CERTIFICATE OF PUBLICATION 2022-03-31
220202000383 2022-02-01 ARTICLES OF ORGANIZATION 2022-02-01

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State