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WALLACE B. KALT, M.D., P.C.

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Company Details

Name: WALLACE B. KALT, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Feb 2004 (21 years ago)
Entity Number: 3007798
ZIP code: 11030
County: Nassau
Place of Formation: New York
Address: 1129 NORTHERN BOULEVARD, MANHASSET, NY, United States, 11030

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DAVID S. LESTER, ESQ., COOPERMAN LESTER MILLER LLP DOS Process Agent 1129 NORTHERN BOULEVARD, MANHASSET, NY, United States, 11030

National Provider Identifier

NPI Number:
1043476864

Authorized Person:

Name:
DR. WALLACE B KALT
Role:
MEDICAL DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Fax:
5167983605

Filings

Filing Number Date Filed Type Effective Date
040202001171 2004-02-02 CERTIFICATE OF INCORPORATION 2004-02-02

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State