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JACQUES DUPERVAL, M.D.; FICS: FACS; P.C.

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Company Details

Name: JACQUES DUPERVAL, M.D.; FICS: FACS; P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Aug 2003 (22 years ago)
Entity Number: 2940267
ZIP code: 11238
County: Kings
Place of Formation: New York
Address: 225 EASTERN PARKWAY, BROOKLYN, NY, United States, 11238

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 225 EASTERN PARKWAY, BROOKLYN, NY, United States, 11238

National Provider Identifier

NPI Number:
1083954648

Authorized Person:

Name:
MR. JACQUES DUPERVAL
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7187830408

Filings

Filing Number Date Filed Type Effective Date
030807000577 2003-08-07 CERTIFICATE OF INCORPORATION 2003-08-07

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State