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CLAYBURN C. BOOTH, M.D., P.C.

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Company Details

Name: CLAYBURN C. BOOTH, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 29 Mar 1974 (51 years ago)
Date of dissolution: 06 May 2015
Entity Number: 339919
ZIP code: 14301
County: Niagara
Place of Formation: New York
Address: 532 MEMORIAL PARKWAY, NIAGARA FALLS, NY, United States, 14301

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
CLAYBURN C. BOOTH, M.D., P.C. DOS Process Agent 532 MEMORIAL PARKWAY, NIAGARA FALLS, NY, United States, 14301

National Provider Identifier

NPI Number:
1144668377

Authorized Person:

Name:
DR. CLAYBURN C. BOOTH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150506000159 2015-05-06 CERTIFICATE OF DISSOLUTION 2015-05-06
C348255-2 2004-06-01 ASSUMED NAME CORP INITIAL FILING 2004-06-01
A145149-5 1974-03-29 CERTIFICATE OF INCORPORATION 1974-03-29

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State