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CITYWIDE FAMILY PRACTICE MEDICAL, P.C.

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Company Details

Name: CITYWIDE FAMILY PRACTICE MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 09 Jul 2007 (18 years ago)
Date of dissolution: 10 Apr 2012
Entity Number: 3540768
ZIP code: 11693
County: Queens
Place of Formation: New York
Address: 86-24 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY, United States, 11693

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 86-24 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY, United States, 11693

National Provider Identifier

NPI Number:
1821297458

Authorized Person:

Name:
ELENA RABINOVICH
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7183187359

Filings

Filing Number Date Filed Type Effective Date
120410000541 2012-04-10 CERTIFICATE OF DISSOLUTION 2012-04-10
070709000693 2007-07-09 CERTIFICATE OF INCORPORATION 2007-07-09

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State