Search icon

HIGHLAND VALLEY MEDICAL CARE PLLC

Company Details

Name: HIGHLAND VALLEY MEDICAL CARE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Jun 2023 (2 years ago)
Entity Number: 6868705
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 221 jayne blvd, pt, PORT JEFFERSON STATION, NY, United States, 11776

Contact Details

Phone +1 934-246-8316

DOS Process Agent

Name Role Address
fatima malik DOS Process Agent 221 jayne blvd, pt, PORT JEFFERSON STATION, NY, United States, 11776

National Provider Identifier

NPI Number:
1831971449
Certification Date:
2024-06-05

Authorized Person:

Name:
TINA MALEK
Role:
CREDENTIALING CONTACT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230606003597 2023-06-06 ARTICLES OF ORGANIZATION 2023-06-06

Date of last update: 20 Mar 2025

Sources: New York Secretary of State