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VITAL MEDICAL CARE AESTHETICS, P.C.

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Company Details

Name: VITAL MEDICAL CARE AESTHETICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Aug 2007 (18 years ago)
Entity Number: 3554971
ZIP code: 11701
County: Nassau
Place of Formation: New York
Address: 219 S. BAYVIEW AVENUE, AMITYVILLE, NY, United States, 11701

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 219 S. BAYVIEW AVENUE, AMITYVILLE, NY, United States, 11701

National Provider Identifier

NPI Number:
1942515663
Certification Date:
2025-02-04

Authorized Person:

Name:
DR. JOELLE VITAL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6316082770
Fax:
5164141131

Filings

Filing Number Date Filed Type Effective Date
070810000811 2007-08-10 CERTIFICATE OF INCORPORATION 2007-08-10

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State