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RANDY L. LEVINE, M.D., P.C.

Company Details

Name: RANDY L. LEVINE, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 May 2003 (22 years ago)
Entity Number: 2909783
ZIP code: 10028
County: New York
Place of Formation: New York
Address: 920 PARK AVENUE, NEW YORK, NY, United States, 10028

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O RANDY LEVINE, M.D. DOS Process Agent 920 PARK AVENUE, NEW YORK, NY, United States, 10028

Chief Executive Officer

Name Role Address
RANDY L LEVINE, MD Chief Executive Officer 920 PARK AVENUE, NEW YORK, NY, United States, 10028

National Provider Identifier

NPI Number:
1992805436
Certification Date:
2020-10-27

Authorized Person:

Name:
DR. RANDY L. LEVINE
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RH0000X - Hematology (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2127170972

History

Start date End date Type Value
2025-05-04 2025-05-04 Address 920 PARK AVENUE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
2024-03-28 2025-05-04 Address 920 PARK AVENUE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
2024-03-28 2024-03-28 Address 920 PARK AVENUE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
2024-03-28 2025-05-04 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2024-03-28 2025-05-04 Address 920 PARK AVENUE, NEW YORK, NY, 10028, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250504000234 2025-05-04 BIENNIAL STATEMENT 2025-05-04
240328001411 2024-03-28 BIENNIAL STATEMENT 2024-03-28
210517060012 2021-05-17 BIENNIAL STATEMENT 2021-05-01
190507060007 2019-05-07 BIENNIAL STATEMENT 2019-05-01
170502006207 2017-05-02 BIENNIAL STATEMENT 2017-05-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State