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KEVIN PAUL COTTERELL, M.D., P.C.

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Company Details

Name: KEVIN PAUL COTTERELL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Apr 1996 (29 years ago)
Entity Number: 2020013
ZIP code: 11501
County: Nassau
Place of Formation: New York
Address: FALTISCHEK, P.C., 170 OLD COUNTRY ROAD, MINEOLA, NY, United States, 11501
Principal Address: 1286 CORONET DR, BALDWIN, NY, United States, 11510

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KEVIN P COTTERELL MD Chief Executive Officer 1286 CORONET DR, BALDWIN, NY, United States, 11510

DOS Process Agent

Name Role Address
C/O GREGORY J NACLERIO ESQ - RUSKIN MOSCOU EVANS & DOS Process Agent FALTISCHEK, P.C., 170 OLD COUNTRY ROAD, MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1922380294

Authorized Person:

Name:
KEVIN PAUL COTTERELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
020418002282 2002-04-18 BIENNIAL STATEMENT 2002-04-01
960415000343 1996-04-15 CERTIFICATE OF INCORPORATION 1996-04-15

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State