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MAZLIN & SHAW, M.D.S, P.C.

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Company Details

Name: MAZLIN & SHAW, M.D.S, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Jul 1997 (28 years ago)
Entity Number: 2158251
ZIP code: 07670
County: New York
Place of Formation: New York
Address: 29 FARVIEW RD, TENAFLY, NJ, United States, 07670
Principal Address: 11A EAST 74TH ST, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JEFFREY MAZLIN MD Chief Executive Officer 11A E 74TH ST, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
JEFFREY MAZLIN MD DOS Process Agent 29 FARVIEW RD, TENAFLY, NJ, United States, 07670

National Provider Identifier

NPI Number:
1225053044

Authorized Person:

Name:
DR. JEFFREY A MAZLIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2125172847

Form 5500 Series

Employer Identification Number (EIN):
133955086
Plan Year:
2011
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
15
Sponsors Telephone Number:

History

Start date End date Type Value
2001-07-12 2005-08-26 Address 11A EAST 74TH ST, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
1997-07-01 2001-07-12 Address 747 THIRD AVENUE, 19/FL, NEW YORK, NY, 10017, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
050826002038 2005-08-26 BIENNIAL STATEMENT 2005-07-01
030715002390 2003-07-15 BIENNIAL STATEMENT 2003-07-01
010712002946 2001-07-12 BIENNIAL STATEMENT 2001-07-01
970701000157 1997-07-01 CERTIFICATE OF INCORPORATION 1997-07-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State