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TATIANA KHROM M.D. P.C.

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Company Details

Name: TATIANA KHROM M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Dec 2004 (21 years ago)
Entity Number: 3133958
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 2652 EAST 24 STREET 2F, 2797 OCEAN PKWY 3RD FLR, BROOKLYN, NY, United States, 11235
Principal Address: 2797 OCEAN PKWY 3RD FLR, 2797 OCEAN PKWY 3RD FLR, BROOKLYN, NY, United States, 11235

Contact Details

Phone +1 718-615-4000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
TATIANA KHROM M.D. P.C. DOS Process Agent 2652 EAST 24 STREET 2F, 2797 OCEAN PKWY 3RD FLR, BROOKLYN, NY, United States, 11235

Chief Executive Officer

Name Role Address
TATIANA KHROM Chief Executive Officer 2797 OCEAN PKWY 3RD FLR, 2797 OCEAN PARKWAY 3RD FLOOR, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1184739799
Certification Date:
2024-08-20

Authorized Person:

Name:
DR. TATIANA KHROM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7186154004

History

Start date End date Type Value
2024-02-20 2024-02-20 Address 2797 OCEAN PKWY 3RD FLR, BROOKLYN, NY, 11235, USA (Type of address: Chief Executive Officer)
2024-02-20 2024-02-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-02-20 2024-02-20 Address 2797 OCEAN PKWY 3RD FLR, 2797 OCEAN PARKWAY 3RD FLOOR, BROOKLYN, NY, 11235, USA (Type of address: Chief Executive Officer)
2024-02-12 2024-02-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2018-12-06 2024-02-20 Address 2797 OCEAN PARKWAY 3RD FLR, BROOKLYN, NY, 11235, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240220001328 2024-02-20 BIENNIAL STATEMENT 2024-02-20
181206006267 2018-12-06 BIENNIAL STATEMENT 2018-12-01
141211006398 2014-12-11 BIENNIAL STATEMENT 2014-12-01
110211002249 2011-02-11 BIENNIAL STATEMENT 2010-12-01
081203003322 2008-12-03 BIENNIAL STATEMENT 2008-12-01

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State