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NORTH VALLEY MEDICAL, P.C.

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Company Details

Name: NORTH VALLEY MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Jun 2000 (25 years ago)
Entity Number: 2521878
ZIP code: 11580
County: Nassau
Place of Formation: New York
Address: 300 STUART AVE, VALLEY STREAM, NY, United States, 11580

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
EMERTH COBURN Chief Executive Officer 300 STUART AVE, VALLEY STREAM, NY, United States, 11580

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 300 STUART AVE, VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1972701530

Authorized Person:

Name:
MRS. DAWN COBURN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
7182765083

History

Start date End date Type Value
2000-06-16 2002-07-24 Address 259-31 148TH DRIVE, ROSEDALE, NY, 11422, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
020724002563 2002-07-24 BIENNIAL STATEMENT 2002-06-01
000616000392 2000-06-16 CERTIFICATE OF INCORPORATION 2000-06-16

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State