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PHYSICIAN ASSOCIATES OF PARK PLACE, P.C.

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Company Details

Name: PHYSICIAN ASSOCIATES OF PARK PLACE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 10 Apr 1997 (28 years ago)
Date of dissolution: 28 Jun 2006
Entity Number: 2132194
ZIP code: 11216
County: Kings
Place of Formation: New York
Principal Address: 910 PARK PLACE, BROOKLYN, NY, United States, 11216
Address: 910 PARK PLACE SUITE 1B, BROOKLYN, NY, United States, 11216

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 910 PARK PLACE SUITE 1B, BROOKLYN, NY, United States, 11216

Chief Executive Officer

Name Role Address
GOLDA O JOHNSON, M.D. Chief Executive Officer 910 PARK PLACE, BROOKLYN, NY, United States, 11216

National Provider Identifier

NPI Number:
1740213016

Authorized Person:

Name:
DR. GOLDA O JOHNSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
060628000718 2006-06-28 CERTIFICATE OF DISSOLUTION 2006-06-28
050713002575 2005-07-13 BIENNIAL STATEMENT 2005-04-01
030417002028 2003-04-17 BIENNIAL STATEMENT 2003-04-01
990426002347 1999-04-26 BIENNIAL STATEMENT 1999-04-01
970410000478 1997-04-10 CERTIFICATE OF INCORPORATION 1997-04-10

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State