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RACEWAY MEDICAL GROUP, P.C.

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Company Details

Name: RACEWAY MEDICAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Nov 2005 (20 years ago)
Entity Number: 3284261
ZIP code: 10704
County: Westchester
Place of Formation: New York
Address: 955 YONKERS AVENUE, STE 102, YONKERS, NY, United States, 10704

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 955 YONKERS AVENUE, STE 102, YONKERS, NY, United States, 10704

National Provider Identifier

NPI Number:
1720263494

Authorized Person:

Name:
SHAUNTA DIAS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
9142374510

Filings

Filing Number Date Filed Type Effective Date
051122000467 2005-11-22 CERTIFICATE OF INCORPORATION 2005-11-22

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State