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GARY MELLEN M.D. P.C.

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Company Details

Name: GARY MELLEN M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Jun 2005 (20 years ago)
Date of dissolution: 21 Oct 2014
Entity Number: 3222369
ZIP code: 10007
County: New York
Place of Formation: New York
Address: 299 BROADWAY STE 1620, NEW YORK, NY, United States, 10007

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O GRIMBLE & LOGUIDICE LLC DOS Process Agent 299 BROADWAY STE 1620, NEW YORK, NY, United States, 10007

National Provider Identifier

NPI Number:
1982854386

Authorized Person:

Name:
GARY MELLEN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
141021000192 2014-10-21 CERTIFICATE OF DISSOLUTION 2014-10-21
050623000270 2005-06-23 CERTIFICATE OF INCORPORATION 2005-06-23

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State