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WILLIAMSBURG MEDICAL CARE P.C.

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Company Details

Name: WILLIAMSBURG MEDICAL CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Jan 2008 (18 years ago)
Entity Number: 3613224
ZIP code: 11211
County: Kings
Place of Formation: New York
Address: 155 POWERS ST, BROOKLYN, NY, United States, 11211

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SERGEY GABINSEIY Chief Executive Officer 155 POWERS ST, BROOKLYN, NY, United States, 11211

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 155 POWERS ST, BROOKLYN, NY, United States, 11211

National Provider Identifier

NPI Number:
1053582999

Authorized Person:

Name:
JAVIER CHACON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7183922128

History

Start date End date Type Value
2008-01-04 2010-02-04 Address 155 POWERS STREET, BROOKLYN, NY, 11211, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100204002153 2010-02-04 BIENNIAL STATEMENT 2010-01-01
080104001094 2008-01-04 CERTIFICATE OF INCORPORATION 2008-01-04

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State