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SOUTHERN TIER EMERGENCY PHYSICIANS, P.C.

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Company Details

Name: SOUTHERN TIER EMERGENCY PHYSICIANS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Apr 1992 (33 years ago)
Entity Number: 1630668
ZIP code: 14845
County: Chemung
Place of Formation: New York
Address: 240 OAK HILL DRIVE, HORSEHEADS, NY, United States, 14845

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
STEPHEN MANGANARO MD Agent 240 OAK HILL DRIVE, HORSEHEADS, NY, 14845

DOS Process Agent

Name Role Address
C/O STEPHEN MANGANARO DOS Process Agent 240 OAK HILL DRIVE, HORSEHEADS, NY, United States, 14845

National Provider Identifier

NPI Number:
1043220379

Authorized Person:

Name:
STEPHEN MANGANARO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6077346293
Fax:
6077372624

Filings

Filing Number Date Filed Type Effective Date
920421000562 1992-04-21 CERTIFICATE OF INCORPORATION 1992-04-21

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State