Search icon

113TH STREET MEDICAL GROUP, P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: 113TH STREET MEDICAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Mar 2007 (18 years ago)
Date of dissolution: 25 Jan 2012
Entity Number: 3494069
ZIP code: 00000
County: Queens
Place of Formation: New York
Principal Address: 70-35 113TH ST, FOREST HILLS, NY, United States, 11375
Address: 70-35 113TH STREET, FORREST HILLS, NY, United States, 00000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 70-35 113TH STREET, FORREST HILLS, NY, United States, 00000

Chief Executive Officer

Name Role Address
ROBERT J AQUINC Chief Executive Officer 70-35 113TH ST, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1710186903

Authorized Person:

Name:
DR. GIRISH N DESAI
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2085B0100X - Body Imaging Physician
Is Primary:
No
Selected Taxonomy:
2085D0003X - Diagnostic Neuroimaging (Radiology) Physician
Is Primary:
No
Selected Taxonomy:
2085N0904X - Nuclear Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0203X - Therapeutic Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No

Contacts:

Fax:
7189904624

Filings

Filing Number Date Filed Type Effective Date
DP-2124993 2012-01-25 DISSOLUTION BY PROCLAMATION 2012-01-25
090316002598 2009-03-16 BIENNIAL STATEMENT 2009-03-01
070323000676 2007-03-23 CERTIFICATE OF INCORPORATION 2007-03-23

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 28 Mar 2025

Sources: New York Secretary of State