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BLOOMING OB-GYN, PLLC

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Company Details

Name: BLOOMING OB-GYN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Mar 2022 (3 years ago)
Entity Number: 6438554
ZIP code: 11577
County: New York
Place of Formation: New York
Address: anna fieldman, m.d., 40 turf lane, ROSLYN HEIGHTS, NY, United States, 11577

DOS Process Agent

Name Role Address
the pllc DOS Process Agent anna fieldman, m.d., 40 turf lane, ROSLYN HEIGHTS, NY, United States, 11577

National Provider Identifier

NPI Number:
1467197038
Certification Date:
2022-04-28

Authorized Person:

Name:
ANNA FIELDMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220324000025 2022-03-21 ARTICLES OF ORGANIZATION 2022-03-21

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State