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CRAIG M. FETTERMAN, D.O., P.C.

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Company Details

Name: CRAIG M. FETTERMAN, D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Mar 2005 (20 years ago)
Entity Number: 3179376
ZIP code: 14072
County: Erie
Place of Formation: New York
Address: 3051 BASELINE ROAD, GRAND ISLAND, NY, United States, 14072

Contact Details

Phone +1 716-447-6100

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3051 BASELINE ROAD, GRAND ISLAND, NY, United States, 14072

National Provider Identifier

NPI Number:
1285779751

Authorized Person:

Name:
DR. CRAIG M FETTERMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Fax:
7166348987

Filings

Filing Number Date Filed Type Effective Date
050318000908 2005-03-18 CERTIFICATE OF INCORPORATION 2005-03-18

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State