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115 E 64TH STREET MEDICAL, PLLC

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Company Details

Name: 115 E 64TH STREET MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Aug 2022 (3 years ago)
Entity Number: 6567932
ZIP code: 10065
County: New York
Place of Formation: New York
Address: 115 e 64th street, NEW YORK, NY, United States, 10065

DOS Process Agent

Name Role Address
the llc DOS Process Agent 115 e 64th street, NEW YORK, NY, United States, 10065

National Provider Identifier

NPI Number:
1770208076
Certification Date:
2022-10-08

Authorized Person:

Name:
MR. SHAHRIYAR RAHMATI
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220822000367 2022-08-22 ARTICLES OF ORGANIZATION 2022-08-22

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State