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MONOGRAM HEALTH PROFESSIONAL MEDICAL SERVICES, PLLC

Company Details

Name: MONOGRAM HEALTH PROFESSIONAL MEDICAL SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Feb 2023 (2 years ago)
Entity Number: 6721167
ZIP code: 10005
County: Erie
Place of Formation: New York
Address: 28 LIBERTY STREET, NEW YORK, NY, United States, 10005

DOS Process Agent

Name Role Address
C T CORPORATION SYSTEM DOS Process Agent 28 LIBERTY STREET, NEW YORK, NY, United States, 10005

National Provider Identifier

NPI Number:
1568169845
Certification Date:
2025-01-29

Authorized Person:

Name:
SHAWN VERNER
Role:
GENERAL COUNSEL
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No

Contacts:

Fax:
6292406003

History

Start date End date Type Value
2023-04-04 2025-02-24 Address 28 LIBERTY STREET, NEW YORK, NY, 10005, USA (Type of address: Service of Process)
2023-02-02 2023-04-04 Address 28 LIBERTY STREET, NEW YORK, NY, 10005, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250224001827 2025-02-24 BIENNIAL STATEMENT 2025-02-24
230404000217 2023-04-03 CERTIFICATE OF PUBLICATION 2023-04-03
230202001287 2023-02-01 ARTICLES OF ORGANIZATION 2023-02-01

Date of last update: 20 Mar 2025

Sources: New York Secretary of State