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ANTHONY CAMPO, MD P.C.

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Company Details

Name: ANTHONY CAMPO, MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Apr 2008 (17 years ago)
Entity Number: 3664824
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: 67 HAMPTON ROAD, SUITE 204, SOUTHAMPTON, NY, United States, 11968
Principal Address: 67 HAMPTON RD, SUITE 204, SOUTHAMPTON, NY, United States, 11968

Shares Details

Shares issued 1000

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ANTHONY CAMPO MD Chief Executive Officer 67 HAMPTON RD, STE 204, SOUTHAMPTON, NY, United States, 11968

DOS Process Agent

Name Role Address
ANTHONY CAMPO DOS Process Agent 67 HAMPTON ROAD, SUITE 204, SOUTHAMPTON, NY, United States, 11968

National Provider Identifier

NPI Number:
1538485305

Authorized Person:

Name:
ANTHONY CAMPO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6312598656

Filings

Filing Number Date Filed Type Effective Date
120719002877 2012-07-19 BIENNIAL STATEMENT 2012-04-01
100527002732 2010-05-27 BIENNIAL STATEMENT 2010-04-01
080429000897 2008-04-29 CERTIFICATE OF INCORPORATION 2008-04-29

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State