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JEFFERY JEROME GRACE, MD, P.C.

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Company Details

Name: JEFFERY JEROME GRACE, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Dec 2008 (17 years ago)
Entity Number: 3752455
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 391 FORESTVIEW DRIVE, WILLIAMSVILLE, NY, United States, 14221
Principal Address: 391 FORESTVIEW DR, WILLIAMSVILLE, NY, United States, 14221

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JEFFREY J GRACE MD Chief Executive Officer 391 FORESTVIEW DR, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 391 FORESTVIEW DRIVE, WILLIAMSVILLE, NY, United States, 14221

National Provider Identifier

NPI Number:
1891024113

Authorized Person:

Name:
MR. JEFFERY JEROME GRACE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7168840602

Filings

Filing Number Date Filed Type Effective Date
130416002031 2013-04-16 BIENNIAL STATEMENT 2012-12-01
081212000243 2008-12-12 CERTIFICATE OF INCORPORATION 2008-12-12

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State