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KOOCK E. JUNG, M.D., P.C.

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Company Details

Name: KOOCK E. JUNG, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 22 Aug 2002 (23 years ago)
Date of dissolution: 25 May 2016
Entity Number: 2803639
ZIP code: 12804
County: Warren
Place of Formation: New York
Address: 597 BAY ROAD, QUEENSBURY, NY, United States, 12804

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 597 BAY ROAD, QUEENSBURY, NY, United States, 12804

Chief Executive Officer

Name Role Address
KOOCK E. JUNG, MD Chief Executive Officer 597 BAY ROAD, QUEENSBURY, NY, United States, 12804

National Provider Identifier

NPI Number:
1821275256

Authorized Person:

Name:
KOOCK E JUNG
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
5187931255

History

Start date End date Type Value
2004-09-02 2006-07-27 Address 597 BAY ROAD, QUEENSBURY, NY, 12804, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
160525000727 2016-05-25 CERTIFICATE OF DISSOLUTION 2016-05-25
140806006460 2014-08-06 BIENNIAL STATEMENT 2014-08-01
120814002879 2012-08-14 BIENNIAL STATEMENT 2012-08-01
100812003132 2010-08-12 BIENNIAL STATEMENT 2010-08-01
080808002404 2008-08-08 BIENNIAL STATEMENT 2008-08-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State