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BRONX EAR, NOSE & THROAT ASSOCIATE, P.C.

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Company Details

Name: BRONX EAR, NOSE & THROAT ASSOCIATE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jul 2003 (22 years ago)
Entity Number: 2935953
ZIP code: 10465
County: Bronx
Place of Formation: New York
Address: 3250 WESTCHESTER AVENUE, SUITE 204, BRONX, NY, United States, 10465
Principal Address: 3250 WESTCHESTER AVE, BRONX, NY, United States, 10461

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
LEACROFT GREEN MD Chief Executive Officer 3250 WESTCHESTER AVE, #204, BRONX, NY, United States, 10461

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3250 WESTCHESTER AVENUE, SUITE 204, BRONX, NY, United States, 10465

National Provider Identifier

NPI Number:
1821163403
Certification Date:
2020-11-16

Authorized Person:

Name:
LEACROFT GREEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
7184092786

Filings

Filing Number Date Filed Type Effective Date
090716002882 2009-07-16 BIENNIAL STATEMENT 2009-07-01
051101002851 2005-11-01 BIENNIAL STATEMENT 2005-07-01
030729000268 2003-07-29 CERTIFICATE OF INCORPORATION 2003-07-29

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State