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501 WEST MEDICAL, P.C.

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Company Details

Name: 501 WEST MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Apr 2006 (19 years ago)
Entity Number: 3351593
ZIP code: 10031
County: New York
Place of Formation: New York
Address: 501 WEST 145TH STREET, STE 3, NY, NY, United States, 10031

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JAN HUDGINS RILEY, ESQ. DOS Process Agent 501 WEST 145TH STREET, STE 3, NY, NY, United States, 10031

National Provider Identifier

NPI Number:
1730136342

Authorized Person:

Name:
DR. KIM MYRUTH NICHOLS
Role:
MANAGING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
060421000406 2006-04-21 CERTIFICATE OF INCORPORATION 2006-04-21

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State