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GUSTAVE S. DRIVAS MD P.C.

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Company Details

Name: GUSTAVE S. DRIVAS MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 09 Mar 2007 (18 years ago)
Date of dissolution: 27 Jul 2011
Entity Number: 3486968
ZIP code: 10312
County: Richmond
Place of Formation: New York
Address: 5405 HYLAN BLVD, STATEN ISLAND, NY, United States, 10312

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5405 HYLAN BLVD, STATEN ISLAND, NY, United States, 10312

National Provider Identifier

NPI Number:
1477756377

Authorized Person:

Name:
DR. GUSTAVE STEPHEN DRIVAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
7189483961

Filings

Filing Number Date Filed Type Effective Date
DP-2025718 2011-07-27 DISSOLUTION BY PROCLAMATION 2011-07-27
070309000228 2007-03-09 CERTIFICATE OF INCORPORATION 2007-03-09

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State