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FIFTH AVENUE PSYCHIATRY ASSOCIATES PLLC

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Company Details

Name: FIFTH AVENUE PSYCHIATRY ASSOCIATES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Dec 2022 (3 years ago)
Entity Number: 6676218
ZIP code: 10028
County: New York
Place of Formation: New York
Address: 3 e. 85th street, NEW YORK, NY, United States, 10028

DOS Process Agent

Name Role Address
C/O THE PLLC DOS Process Agent 3 e. 85th street, NEW YORK, NY, United States, 10028

National Provider Identifier

NPI Number:
1669178596
Certification Date:
2023-02-02

Authorized Person:

Name:
SAMUEL GLAZER
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician
Is Primary:
No
Selected Taxonomy:
2084P0802X - Addiction Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
921891963
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2023-03-01 2025-01-30 Address 3 e. 85th street, NEW YORK, NY, 10028, USA (Type of address: Service of Process)
2023-01-25 2023-03-01 Address 3 e. 85th street, NEW YORK, NY, 10028, USA (Type of address: Service of Process)
2022-12-27 2023-01-25 Address 1900 bausch & lomb place, ROCHESTER, NY, 14604, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250130015504 2025-01-30 BIENNIAL STATEMENT 2025-01-30
230301001274 2023-02-28 CERTIFICATE OF PUBLICATION 2023-02-28
230125002719 2023-01-24 CERTIFICATE OF CHANGE BY ENTITY 2023-01-24
221227001418 2022-12-23 ARTICLES OF ORGANIZATION 2022-12-23

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State