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JOSEPH REALE, PHYSICIAN ASSISTANT, P.C.

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Company Details

Name: JOSEPH REALE, PHYSICIAN ASSISTANT, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Nov 2005 (20 years ago)
Entity Number: 3282456
ZIP code: 11724
County: Suffolk
Place of Formation: New York
Address: P.O. BOX 221, COLD SPRING HARBOR, NY, United States, 11724

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 221, COLD SPRING HARBOR, NY, United States, 11724

National Provider Identifier

NPI Number:
1013147800

Authorized Person:

Name:
JOSEPH REALE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
9732914439

Filings

Filing Number Date Filed Type Effective Date
051117000503 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