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MEDFORD DIALYSIS ACCESS, P.C.

Company Details

Name: MEDFORD DIALYSIS ACCESS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 03 May 2006 (19 years ago)
Date of dissolution: 27 Apr 2011
Entity Number: 3357007
ZIP code: 11790
County: Suffolk
Place of Formation: New York
Address: 10 MEADOW DRIVE, STONY BROOK, NY, United States, 11790

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10 MEADOW DRIVE, STONY BROOK, NY, United States, 11790

National Provider Identifier

NPI Number:
1205917804

Authorized Person:

Name:
DR. PURSHOTAM LAL NAGWANI
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
5166405656
Fax:
6317324656

Filings

Filing Number Date Filed Type Effective Date
DP-2002672 2011-04-27 DISSOLUTION BY PROCLAMATION 2011-04-27
060503000750 2006-05-03 CERTIFICATE OF INCORPORATION 2006-05-03

Date of last update: 28 Mar 2025

Sources: New York Secretary of State