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PARK AVENUE ENDOSCOPY, PLLC

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Company Details

Name: PARK AVENUE ENDOSCOPY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Oct 2006 (19 years ago)
Entity Number: 3426747
ZIP code: 10065
County: New York
Place of Formation: New York
Address: 642 PARK AVENUE, NEW YORK, NY, United States, 10065

DOS Process Agent

Name Role Address
WELLINGTON S. TICHENOR, M.D. DOS Process Agent 642 PARK AVENUE, NEW YORK, NY, United States, 10065

National Provider Identifier

NPI Number:
1669595385

Authorized Person:

Name:
DR. WELLINGTON SHELTON TICHENOR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QE0800X - Endoscopy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2125172132

History

Start date End date Type Value
2006-10-19 2008-10-06 Address 642 PARK AVENUE, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
161005006727 2016-10-05 BIENNIAL STATEMENT 2016-10-01
141009006801 2014-10-09 BIENNIAL STATEMENT 2014-10-01
121018006112 2012-10-18 BIENNIAL STATEMENT 2012-10-01
101029002733 2010-10-29 BIENNIAL STATEMENT 2010-10-01
081006002442 2008-10-06 BIENNIAL STATEMENT 2008-10-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State