Search icon

1091 SOUTHERN BLVD DERMATOLOGY PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: 1091 SOUTHERN BLVD DERMATOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Aug 2022 (3 years ago)
Entity Number: 6572682
ZIP code: 11373
County: Queens
Place of Formation: New York
Address: 40-37 74th street, ground floor, ELMHURST, NY, United States, 11373

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 40-37 74th street, ground floor, ELMHURST, NY, United States, 11373

National Provider Identifier

NPI Number:
1154004133
Certification Date:
2023-08-08

Authorized Person:

Name:
WENDY SANCHEZ
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3476429852
Fax:
9174737878

History

Start date End date Type Value
2022-08-26 2023-01-04 Address 40-37 74th street, ground floor, ELMHURST, NY, 11373, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230104000445 2022-10-06 CERTIFICATE OF PUBLICATION 2022-10-06
220826002743 2022-08-26 ARTICLES OF ORGANIZATION 2022-08-26

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 21 Mar 2025

Sources: New York Secretary of State