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HIGH LINE MODERN MEDICINE PLLC

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Company Details

Name: HIGH LINE MODERN MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Feb 2025 (5 months ago)
Entity Number: 7528254
ZIP code: 10011
County: New York
Place of Formation: New York
Address: 420 west 23rd street, NEW YORK, NY, United States, 10011

DOS Process Agent

Name Role Address
the llc DOS Process Agent 420 west 23rd street, NEW YORK, NY, United States, 10011

National Provider Identifier

NPI Number:
1588452379
Certification Date:
2025-04-30

Authorized Person:

Name:
MS. LUZ PONDER
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
6466072616

Filings

Filing Number Date Filed Type Effective Date
250206003966 2025-02-06 ARTICLES OF ORGANIZATION 2025-02-06

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State