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DOLSON AVENUE MEDICAL, P.C.

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Company Details

Name: DOLSON AVENUE MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Sep 2000 (25 years ago)
Entity Number: 2557623
ZIP code: 10940
County: Orange
Place of Formation: New York
Address: 54 DOLSON AVENUE, MIDDLETOWN, NY, United States, 10940
Principal Address: 54 DOLSON AVE, MIDDLETOWN, NY, United States, 10940

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 54 DOLSON AVENUE, MIDDLETOWN, NY, United States, 10940

Chief Executive Officer

Name Role Address
HERBERT GARCIA Chief Executive Officer 54 DOLSON AVE, MIDDLETOWN, NY, United States, 10940

National Provider Identifier

NPI Number:
1720158660

Authorized Person:

Name:
DR. HERBERT GARCIA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
8453421397

Filings

Filing Number Date Filed Type Effective Date
100930002607 2010-09-30 BIENNIAL STATEMENT 2010-09-01
080909002635 2008-09-09 BIENNIAL STATEMENT 2008-09-01
060915002060 2006-09-15 BIENNIAL STATEMENT 2006-09-01
041130002474 2004-11-30 BIENNIAL STATEMENT 2004-09-01
010820000145 2001-08-20 CERTIFICATE OF CORRECTION 2001-08-20

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State