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JOHN J. DECICCO, D.P.M., P.C.

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Company Details

Name: JOHN J. DECICCO, D.P.M., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Dec 1989 (36 years ago)
Entity Number: 1407862
ZIP code: 11714
County: Nassau
Place of Formation: New York
Address: 162 HICKSVILLE ROAD, BETHPAGE, NY, United States, 11714

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DR. JOHN J. DECICCO DOS Process Agent 162 HICKSVILLE ROAD, BETHPAGE, NY, United States, 11714

Chief Executive Officer

Name Role Address
DR. JOHN J. DECICCO Chief Executive Officer 162 HICKSVILLE ROAD, BETHPAGE, NY, United States, 11714

National Provider Identifier

NPI Number:
1346412962

Authorized Person:

Name:
JOHN J DECICCO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP1100X - Podiatric Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5166818890

History

Start date End date Type Value
1989-12-18 1992-12-14 Address 317 LAGOON DRIVE WEST, COPIAGUE HARBOR, NY, 11726, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
921214002904 1992-12-14 BIENNIAL STATEMENT 1992-12-01
C087420-4 1989-12-18 CERTIFICATE OF INCORPORATION 1989-12-18

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State