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STANISLAV KULISHOV PHYSICIAN, P.C.

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Company Details

Name: STANISLAV KULISHOV PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Nov 2000 (25 years ago)
Entity Number: 2569658
ZIP code: 11230
County: Kings
Place of Formation: New York
Address: 1502 EAST 14TH STREET STE 2, BROOKLYN, NY, United States, 11230

Contact Details

Phone +1 718-627-3939

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1502 EAST 14TH STREET STE 2, BROOKLYN, NY, United States, 11230

National Provider Identifier

NPI Number:
1477627370

Authorized Person:

Name:
STANISLAV KULISHOV
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084N0402X - Neurology with Special Qualifications in Child Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
7186278737

Filings

Filing Number Date Filed Type Effective Date
001101000638 2000-11-01 CERTIFICATE OF INCORPORATION 2000-11-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State