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KRIS-ANNE MEDICAL PRACTICE, P.C.

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Company Details

Name: KRIS-ANNE MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Sep 2004 (21 years ago)
Entity Number: 3107144
ZIP code: 13204
County: Onondaga
Place of Formation: New York
Address: 605 OSWEGO STREET, SYRACUSE, NY, United States, 13204

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
TED JOSE TRIANA DOS Process Agent 605 OSWEGO STREET, SYRACUSE, NY, United States, 13204

National Provider Identifier

NPI Number:
1457521130

Authorized Person:

Name:
TED J TRIANA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3154728060
Fax:
3154251994

Filings

Filing Number Date Filed Type Effective Date
040928000269 2004-09-28 CERTIFICATE OF INCORPORATION 2004-09-28

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State