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FAVATE NEUROLOGY, P.C.

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Company Details

Name: FAVATE NEUROLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jun 2002 (23 years ago)
Entity Number: 2784272
ZIP code: 07962
County: New York
Place of Formation: New York
Address: CLEMENTE MUELLER & TOBIA P.A., 218 RIDGEDALE AVE PO BOX 1296, MORRISTOWN, NJ, United States, 07962
Principal Address: 80 FIFTH AVENUE, SUITE 1605, NEW YORK, NY, United States, 10011

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O JONATHAN D. CLEMENTE, ESQ. DOS Process Agent CLEMENTE MUELLER & TOBIA P.A., 218 RIDGEDALE AVE PO BOX 1296, MORRISTOWN, NJ, United States, 07962

Chief Executive Officer

Name Role Address
ALBERT FAVATE MD Chief Executive Officer 80 FIFTH AVENUE, SUITE 1605, NEW YORK, NY, United States, 10011

National Provider Identifier

NPI Number:
1306149778

Authorized Person:

Name:
DR. ALBERT FAVATE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
2126471931

History

Start date End date Type Value
2004-07-02 2012-07-13 Address 80 FIFTH AVE, STE 1605, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2004-07-02 2012-07-13 Address 80 FIFTH AVE, STE 1605, NEW YORK, NY, 10011, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
120713002227 2012-07-13 BIENNIAL STATEMENT 2012-06-01
100713002448 2010-07-13 BIENNIAL STATEMENT 2010-06-01
080710002162 2008-07-10 BIENNIAL STATEMENT 2008-06-01
060525003450 2006-05-25 BIENNIAL STATEMENT 2006-06-01
040702002277 2004-07-02 BIENNIAL STATEMENT 2004-06-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State