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VALLEY STREAM RADIOLOGY P.C.

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Company Details

Name: VALLEY STREAM RADIOLOGY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Apr 2009 (16 years ago)
Entity Number: 3796315
ZIP code: 11580
County: Nassau
Place of Formation: New York
Address: 234 W. MERRICK RD., VALLEY STREAM, NY, United States, 11580
Principal Address: 234 W MERRICK RD, VALLEY STREAM, NY, United States, 11580

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
YOUNG S. PARK Chief Executive Officer 234 W MERRICK RD, VALLEY STREAM, NY, United States, 11580

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 234 W. MERRICK RD., VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1497987499

Authorized Person:

Name:
MICHAEL GREEN
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
110602003001 2011-06-02 BIENNIAL STATEMENT 2011-04-01
090408000444 2009-04-08 CERTIFICATE OF INCORPORATION 2009-04-08

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State