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SHORE TO SHORE MEDICAL WELLNESS PLLC

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Company Details

Name: SHORE TO SHORE MEDICAL WELLNESS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Mar 2022 (3 years ago)
Entity Number: 6421532
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 1500 route 112, building 8 suite b, PORT JEFFERSON STATION, NY, United States, 11776

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 1500 route 112, building 8 suite b, PORT JEFFERSON STATION, NY, United States, 11776

National Provider Identifier

NPI Number:
1679211965
Certification Date:
2023-02-17

Authorized Person:

Name:
GREGORY BREVETTI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-03-04 2024-06-24 Address 1500 route 112, building 8 suite b, PORT JEFFERSON STATION, NY, 11776, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240624001254 2024-06-24 BIENNIAL STATEMENT 2024-06-24
220304000303 2022-03-03 ARTICLES OF ORGANIZATION 2022-03-03

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State