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CONCILIUM MEDICAL, P.C.

Company Details

Name: CONCILIUM MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 21 Nov 2005 (20 years ago)
Date of dissolution: 07 Dec 2017
Entity Number: 3283769
ZIP code: 11229
County: Kings
Place of Formation: New York
Principal Address: 1200 GRAVESEND NECK RD, STE 1A, BROOKLYN, NY, United States, 11229
Address: 1200 GRAVESEND NECK ROAD, BROOKLYN, NY, United States, 11229

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1200 GRAVESEND NECK ROAD, BROOKLYN, NY, United States, 11229

Chief Executive Officer

Name Role Address
DR YAROSLAV BUKHAROVICH Chief Executive Officer 1200 GRAVESEND NECK RD, STE 1A, BROOKLYN, NY, United States, 11229

National Provider Identifier

NPI Number:
1972554285

Authorized Person:

Name:
YAROSLAV BUKHAROVICH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171207000082 2017-12-07 CERTIFICATE OF DISSOLUTION 2017-12-07
171106006565 2017-11-06 BIENNIAL STATEMENT 2017-11-01
151203006160 2015-12-03 BIENNIAL STATEMENT 2015-11-01
131112007212 2013-11-12 BIENNIAL STATEMENT 2013-11-01
111125002049 2011-11-25 BIENNIAL STATEMENT 2011-11-01

Date of last update: 29 Mar 2025

Sources: New York Secretary of State