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M.A.S. MEDICAL P.C.

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Company Details

Name: M.A.S. MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 06 Jun 2007 (18 years ago)
Date of dissolution: 28 Nov 2012
Entity Number: 3527361
ZIP code: 11106
County: Queens
Place of Formation: New York
Address: 25-23 31ST AVENUE, APT A-14, LONG ISLAND CITY, NY, United States, 11106

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 25-23 31ST AVENUE, APT A-14, LONG ISLAND CITY, NY, United States, 11106

Chief Executive Officer

Name Role Address
MARCO A BUSTAMANTE, M.D. Chief Executive Officer 25-23 31ST AVENUE, APT A-14, LONG ISLAND CITY, NY, United States, 11106

National Provider Identifier

NPI Number:
1922262302

Authorized Person:

Name:
RENEE VESSICHELLI
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2009-07-02 2011-06-24 Address 31-64 21ST STREET, APT 10B, LONG ISLAND CITY, NY, 11106, USA (Type of address: Chief Executive Officer)
2009-07-02 2011-06-24 Address 31-64 21ST STREET, APT 10B, LONG ISLAND CITY, NY, 11106, USA (Type of address: Principal Executive Office)
2007-06-06 2011-06-24 Address 31-64 21ST STREET, APT 10B, LONG ISLAND CITY, NY, 11106, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
121128000289 2012-11-28 CERTIFICATE OF DISSOLUTION 2012-11-28
110624002420 2011-06-24 BIENNIAL STATEMENT 2011-06-01
090702002592 2009-07-02 BIENNIAL STATEMENT 2009-06-01
070606000812 2007-06-06 CERTIFICATE OF INCORPORATION 2007-06-06

USAspending Awards / Financial Assistance

Date:
2008-06-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
50000.00
Total Face Value Of Loan:
50000.00

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State