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MARATHON MEDICAL, P.C.

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Company Details

Name: MARATHON MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Nov 2005 (20 years ago)
Entity Number: 3282162
ZIP code: 10128
County: New York
Place of Formation: New York
Principal Address: 110 PARK AVE, NEW YORK, NY, United States, 10128
Address: 1120 PARK AVENUE, NEW YORK, NY, United States, 10128

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1120 PARK AVENUE, NEW YORK, NY, United States, 10128

Chief Executive Officer

Name Role Address
ANTHONY SQUIRE MD Chief Executive Officer 1120 PARK AVE, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1265479851

Authorized Person:

Name:
VAN HONG NGUYEN
Role:
MEDICAL DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207UN0901X - Nuclear Cardiology Physician
Is Primary:
Yes

Contacts:

Fax:
2124268385

Form 5500 Series

Employer Identification Number (EIN):
203829411
Plan Year:
2013
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
25
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
071123002673 2007-11-23 BIENNIAL STATEMENT 2007-11-01
051117000056 2005-11-17 CERTIFICATE OF INCORPORATION 2005-11-17

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State