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MONOGRAM MEDICAL, P.C.

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Company Details

Name: MONOGRAM MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Mar 1999 (26 years ago)
Entity Number: 2359352
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 1913 AVENUE Z, BROOKLYN, NY, United States, 11235
Principal Address: 1913 AVE Z, BROOKLYN, NY, United States, 11235

Contact Details

Phone +1 718-934-6661

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1913 AVENUE Z, BROOKLYN, NY, United States, 11235

Chief Executive Officer

Name Role Address
LANCE AUSTEIN MD Chief Executive Officer 1913 AVE Z, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1619206364

Authorized Person:

Name:
DR. LANCE I AUSTEIN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7188911417

Filings

Filing Number Date Filed Type Effective Date
130415002055 2013-04-15 BIENNIAL STATEMENT 2013-03-01
110404002963 2011-04-04 BIENNIAL STATEMENT 2011-03-01
090318002424 2009-03-18 BIENNIAL STATEMENT 2009-03-01
070315002377 2007-03-15 BIENNIAL STATEMENT 2007-03-01
050610002599 2005-06-10 BIENNIAL STATEMENT 2005-03-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State