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LIDIA POUSADA MD, P.C.

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Company Details

Name: LIDIA POUSADA MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jun 2005 (20 years ago)
Entity Number: 3213174
ZIP code: 10510
County: Westchester
Place of Formation: New York
Principal Address: 141 N STATE RD, BRIARCLIFF MANOR, NY, United States, 10510
Address: 189 HARDSCRABBLE ROAD, BRIARCLIFF MANOR, NY, United States, 10510

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
LIDIA POUSADA MD Chief Executive Officer 141 N STATE RD, BRIARCLIFF MANOR, NY, United States, 10510

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 189 HARDSCRABBLE ROAD, BRIARCLIFF MANOR, NY, United States, 10510

National Provider Identifier

NPI Number:
1073712477

Authorized Person:

Name:
NIEVES POUSADA
Role:
BUSINESS/OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
9147628500

Filings

Filing Number Date Filed Type Effective Date
090618002070 2009-06-18 BIENNIAL STATEMENT 2009-06-01
050602000528 2005-06-02 CERTIFICATE OF INCORPORATION 2005-06-02

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State