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PATCHOGUE ORTHODONTICS, P.C.

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Company Details

Name: PATCHOGUE ORTHODONTICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Aug 1997 (28 years ago)
Entity Number: 2172429
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 240 PATCHOQUE-YAPHANK ROAD, PATCHOGUE, NY, United States, 11772

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 240 PATCHOQUE-YAPHANK ROAD, PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1598136145

Authorized Person:

Name:
DR. ROBERT RUBIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6312893363

Filings

Filing Number Date Filed Type Effective Date
970818000374 1997-08-18 CERTIFICATE OF INCORPORATION 1997-08-18

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State