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645 MEDICAL ASSOCIATES, PLLC

Company Details

Name: 645 MEDICAL ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Nov 2022 (3 years ago)
Entity Number: 6641279
ZIP code: 10022
County: New York
Place of Formation: New York
Address: 645 madison avenue, NEW YORK, NY, United States, 10022

DOS Process Agent

Name Role Address
645 MEDICAL ASSOCIATES, PLLC DOS Process Agent 645 madison avenue, NEW YORK, NY, United States, 10022

National Provider Identifier

NPI Number:
1275231722
Certification Date:
2023-02-22

Authorized Person:

Name:
ALANA LEVINE
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9402092366

Form 5500 Series

Employer Identification Number (EIN):
921047741
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2022-11-12 2023-01-26 Address 645 madison avenue, NEW YORK, NY, 10022, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230126001354 2023-01-25 CERTIFICATE OF PUBLICATION 2023-01-25
221112000248 2022-11-10 ARTICLES OF ORGANIZATION 2022-11-10

Date of last update: 21 Mar 2025

Sources: New York Secretary of State