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CROSS COUNTY MEDICAL, P.C.

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Company Details

Name: CROSS COUNTY MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jun 1997 (28 years ago)
Entity Number: 2150127
ZIP code: 11223
County: Kings
Place of Formation: New York
Address: 813 QUENTIN RD #203, BROOKLYN, NY, United States, 11223

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JUDAH A CHARNOFF DOS Process Agent 813 QUENTIN RD #203, BROOKLYN, NY, United States, 11223

Chief Executive Officer

Name Role Address
JUDAH A CHARNOFF, MD Chief Executive Officer 813 QUENTIN RD #203, BROOKLYN, NY, United States, 11223

National Provider Identifier

NPI Number:
1417236969

Authorized Person:

Name:
JUDAH A CHARNOFF
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
7188596250

Form 5500 Series

Employer Identification Number (EIN):
113382342
Plan Year:
2014
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
27
Sponsors Telephone Number:

History

Start date End date Type Value
1997-06-05 1999-07-12 Address 813 QUENTIN ROAD, BROOKLYN, NY, 11223, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
990712002283 1999-07-12 BIENNIAL STATEMENT 1999-06-01
970605000033 1997-06-05 CERTIFICATE OF INCORPORATION 1997-06-05

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State