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WALL STREET MEDICAL P.C.

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Company Details

Name: WALL STREET MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 24 Oct 2006 (19 years ago)
Date of dissolution: 23 Feb 2012
Entity Number: 3428509
ZIP code: 10038
County: New York
Place of Formation: New York
Address: 90 JOHN STREET, NEW YORK, NY, United States, 10038

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 90 JOHN STREET, NEW YORK, NY, United States, 10038

National Provider Identifier

NPI Number:
1639318298

Authorized Person:

Name:
KEITH CHAN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2122483033

Filings

Filing Number Date Filed Type Effective Date
120223001375 2012-02-23 CERTIFICATE OF DISSOLUTION 2012-02-23
061024000840 2006-10-24 CERTIFICATE OF INCORPORATION 2006-10-24

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State