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WOODSIDE MEDICAL PRACTICE, P.C.

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Company Details

Name: WOODSIDE MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jul 2009 (16 years ago)
Entity Number: 3834792
ZIP code: 11377
County: Queens
Place of Formation: New York
Address: 53-14 ROOSEVELT AVE, 3RD FL, WOODSIDE, NY, United States, 11377

Contact Details

Phone +1 718-606-2682

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
RAFAEL ROGRIGUEZ MD Chief Executive Officer 53-14 ROOSEVELT AVE, 3RD FL, WOODSIDE, NY, United States, 11377

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 53-14 ROOSEVELT AVE, 3RD FL, WOODSIDE, NY, United States, 11377

National Provider Identifier

NPI Number:
1114244712

Authorized Person:

Name:
DR. RAFAEL N/A RODRIGUEZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7183746213

History

Start date End date Type Value
2011-07-26 2013-07-31 Address 65-06 ROOSEVELT AVE, WOODSIDE, NY, 11377, USA (Type of address: Chief Executive Officer)
2011-07-26 2013-07-31 Address 65-06 ROOSEVELT AVE, WOODSIDE, NY, 11377, USA (Type of address: Principal Executive Office)
2009-07-17 2013-07-31 Address 65-06 ROOSEVELT AVENUE, WOODSIDE, NY, 11377, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130731002043 2013-07-31 BIENNIAL STATEMENT 2013-07-01
110726002025 2011-07-26 BIENNIAL STATEMENT 2011-07-01
090717000195 2009-07-17 CERTIFICATE OF INCORPORATION 2009-07-17

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
84462.00
Total Face Value Of Loan:
84462.00

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State