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TIM SIEPEL MD P.C.

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Company Details

Name: TIM SIEPEL MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Mar 1986 (39 years ago)
Entity Number: 1066583
ZIP code: 14141
County: Erie
Place of Formation: New York
Address: 523 RT. 219, SPRINGVILLE, NY, United States, 14141

Contact Details

Phone +1 716-863-2090

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SERVICE MEDICAL, P.C. DOS Process Agent 523 RT. 219, SPRINGVILLE, NY, United States, 14141

National Provider Identifier

NPI Number:
1073613014

Authorized Person:

Name:
DR. TIMOTHY V SIEPEL
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7169423977

Filings

Filing Number Date Filed Type Effective Date
090730000803 2009-07-30 CERTIFICATE OF AMENDMENT 2009-07-30
B335600-4 1986-03-19 CERTIFICATE OF INCORPORATION 1986-03-19

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State