| Name: | REGO PARK MEDICAL ASSOCIATE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 30 Jan 1997 (28 years ago) |
| Entity Number: | 2108054 |
| ZIP code: | 11375 |
| County: | Queens |
| Place of Formation: | New York |
| Address: | 102-10 66 ROAD, STE 1H, FOREST HILLS, NY, United States, 11375 |
| Principal Address: | 102-10 66 ROAD, FOREST HILLS, NY, United States, 11375 |
Contact Details
Phone +1 718-830-4359
Phone +1 718-897-3127
Phone +1 718-592-6400
Phone +1 718-544-4300
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| GAVRIEL FUZAYLOV MD | Chief Executive Officer | 102-10 66 ROAD, STE 1H, FOREST HILLS, NY, United States, 11375 |
| Name | Role | Address |
|---|---|---|
| REGO PARK MEDICAL ASSOCIATE, P.C. | DOS Process Agent | 102-10 66 ROAD, STE 1H, FOREST HILLS, NY, United States, 11375 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2019-01-09 | 2021-01-21 | Address | 102-10 66 ROAD, STE 1H, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process) |
| 2015-01-13 | 2019-01-09 | Address | 98-51 QUEENS BLVD, STE 1D, REGO PARK, NY, 11378, USA (Type of address: Service of Process) |
| 2013-02-15 | 2015-01-13 | Address | 98-51 QUEENS BLVD, STE 1D, REGO PARK, NY, 11378, USA (Type of address: Service of Process) |
| 1999-10-20 | 2019-01-09 | Address | 98-51 QUEENS BLVD, STE 1D, REGO PARK, NY, 11374, USA (Type of address: Chief Executive Officer) |
| 1999-10-20 | 2019-01-09 | Address | 98-51 QUEENS BLVD, REGO PARK, NY, 11374, USA (Type of address: Principal Executive Office) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 210121060042 | 2021-01-21 | BIENNIAL STATEMENT | 2021-01-01 |
| 190109060240 | 2019-01-09 | BIENNIAL STATEMENT | 2019-01-01 |
| 150113006143 | 2015-01-13 | BIENNIAL STATEMENT | 2015-01-01 |
| 130215002202 | 2013-02-15 | BIENNIAL STATEMENT | 2013-01-01 |
| 110204002214 | 2011-02-04 | BIENNIAL STATEMENT | 2011-01-01 |
Date of last update: 01 Apr 2025
Sources: New York Secretary of State
