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PARK AVENUE MEDICAL & SURGICAL ASSOCIATES, P.C.

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Company Details

Name: PARK AVENUE MEDICAL & SURGICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Dec 2004 (21 years ago)
Entity Number: 3134971
ZIP code: 10028
County: New York
Place of Formation: New York
Address: 83 EAST 86TH STREET, NEW YORK, NY, United States, 10028

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 83 EAST 86TH STREET, NEW YORK, NY, United States, 10028

National Provider Identifier

NPI Number:
1619082765

Authorized Person:

Name:
DR. JOHN R TOMASULA
Role:
PARTNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
041208000389 2004-12-08 CERTIFICATE OF INCORPORATION 2004-12-08

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State