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PARKWAY LIFESTYLE MEDICINE, PLLC

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Company Details

Name: PARKWAY LIFESTYLE MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Sep 2024 (10 months ago)
Entity Number: 7428013
ZIP code: 11218
County: Kings
Place of Formation: New York
Address: 383 ocean parkway, BROOKLYN, NY, United States, 11218

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 383 ocean parkway, BROOKLYN, NY, United States, 11218

National Provider Identifier

NPI Number:
1720801913
Certification Date:
2024-11-05

Authorized Person:

Name:
PERRY J STEIN
Role:
OWNER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
163WW0000X - Wound Care Registered Nurse
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240925002194 2024-09-24 ARTICLES OF ORGANIZATION 2024-09-24

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State