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PARK AVENUE MEDICAL GROUP, P.C.

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Company Details

Name: PARK AVENUE MEDICAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Sep 1999 (26 years ago)
Entity Number: 2415055
ZIP code: 10010
County: New York
Place of Formation: New York
Address: ONE MADISON AVE., 29TH FLOOR, NEW YORK, NY, United States, 10010

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MICHAEL H. SINGER DOS Process Agent ONE MADISON AVE., 29TH FLOOR, NEW YORK, NY, United States, 10010

National Provider Identifier

NPI Number:
1417058348

Authorized Person:

Name:
DR. JAMES CHENG
Role:
VICE PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2126852822

Filings

Filing Number Date Filed Type Effective Date
990901000544 1999-09-01 CERTIFICATE OF INCORPORATION 1999-09-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State