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NORTHEASTERN THORACIC SURGERY PLLC

Company Details

Name: NORTHEASTERN THORACIC SURGERY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Feb 2023 (2 years ago)
Entity Number: 6732529
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 1500 route 112, building 8 suite b, PORT JEFFERSON STATION, NY, United States, 11776

DOS Process Agent

Name Role Address
the llc DOS Process Agent 1500 route 112, building 8 suite b, PORT JEFFERSON STATION, NY, United States, 11776

National Provider Identifier

NPI Number:
1558054759
Certification Date:
2023-06-01

Authorized Person:

Name:
GREGORY BREVETTI
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230215000264 2023-02-14 ARTICLES OF ORGANIZATION 2023-02-14

Date of last update: 20 Mar 2025

Sources: New York Secretary of State