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MARK R. HERZOG, D.D.S., P.C.

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Company Details

Name: MARK R. HERZOG, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Jan 2004 (21 years ago)
Entity Number: 3003166
ZIP code: 11214
County: Kings
Place of Formation: New York
Address: 8421 BAY PKWY, BROOKLYN, NY, United States, 11214
Principal Address: 349 HEMPSTEAD AVE, ROCKVILLE CENTRE, NY, United States, 11570

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARK R HERZOG DDS Chief Executive Officer 8421 BAY PKWY, BROOKLYN, NY, United States, 11214

DOS Process Agent

Name Role Address
MARK R HERZOG DDS DOS Process Agent 8421 BAY PKWY, BROOKLYN, NY, United States, 11214

National Provider Identifier

NPI Number:
1639371511

Authorized Person:

Name:
DR. MARK R. HERZOG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7182591198

History

Start date End date Type Value
2004-01-22 2006-02-03 Address 8421 BAY PARKWAY, BROOKLYN, NY, 11214, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140224002622 2014-02-24 BIENNIAL STATEMENT 2014-01-01
120206002171 2012-02-06 BIENNIAL STATEMENT 2012-01-01
100128002718 2010-01-28 BIENNIAL STATEMENT 2010-01-01
080108003129 2008-01-08 BIENNIAL STATEMENT 2008-01-01
060203002732 2006-02-03 BIENNIAL STATEMENT 2006-01-01

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State