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GWEN S. KOROVIN, M.D., P.C.

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Company Details

Name: GWEN S. KOROVIN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Dec 1994 (30 years ago)
Entity Number: 1878572
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 70 EAST 77TH ST, #1B, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
GWEN S. KOROVIN, MD DOS Process Agent 70 EAST 77TH ST, #1B, NEW YORK, NY, United States, 10021

Chief Executive Officer

Name Role Address
GWEN S. KOROVIN, MD Chief Executive Officer 70 EAST 77TH ST, #1B, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1063781698

Authorized Person:

Name:
MISS GWEN S KOROVIN
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2126509736

History

Start date End date Type Value
2023-02-14 2023-02-14 Address 70 EAST 77TH ST, #1B, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2015-01-14 2023-02-14 Address 70 EAST 77TH ST, #1B, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
2015-01-14 2023-02-14 Address 70 EAST 77TH ST, #1B, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2010-12-30 2015-01-14 Address 70 E 77TH STREET / 1B, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2006-12-19 2010-12-30 Address 70 E 77TH STREET / 1B, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
230214002882 2023-02-14 BIENNIAL STATEMENT 2022-12-01
150114002068 2015-01-14 BIENNIAL STATEMENT 2014-12-01
130103002048 2013-01-03 BIENNIAL STATEMENT 2012-12-01
101230002159 2010-12-30 BIENNIAL STATEMENT 2010-12-01
061219002452 2006-12-19 BIENNIAL STATEMENT 2006-12-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State