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OBOSA MEDICAL SERVICES, P.C.

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Company Details

Name: OBOSA MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Jun 2001 (24 years ago)
Entity Number: 2647517
ZIP code: 10901
County: Rockland
Place of Formation: New York
Address: 11 GOLDEN ROAD, MONTEBELLO, NY, United States, 10901
Principal Address: 11 GOLDEN RD, MONTEBELLO, NY, United States, 10901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 11 GOLDEN ROAD, MONTEBELLO, NY, United States, 10901

Chief Executive Officer

Name Role Address
FRANCIS AGBANKPOLO, MD Chief Executive Officer 11 GOLDEN RD, MONTEBELLO, NY, United States, 10901

National Provider Identifier

NPI Number:
1538239918

Authorized Person:

Name:
FRANCIS AGBONKPOLO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RS0010X - Sports Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
030829002035 2003-08-29 BIENNIAL STATEMENT 2003-06-01
010606000793 2001-06-06 CERTIFICATE OF INCORPORATION 2001-06-15

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State