Search icon

MARK FAGELMAN M.D., P.C.

Company Details

Name: MARK FAGELMAN M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Dec 1975 (50 years ago)
Entity Number: 385853
ZIP code: 10970
County: Rockland
Place of Formation: New York
Address: 11 MEDICAL PARK DRIVE, STE.101, POMONA, NY, United States, 10970

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 11 MEDICAL PARK DRIVE, STE.101, POMONA, NY, United States, 10970

National Provider Identifier

NPI Number:
1306093364

Authorized Person:

Name:
DR. MARK FAGELMAN
Role:
UROLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8453545966

History

Start date End date Type Value
1975-12-04 2008-06-18 Address ROUTE 45, POMONA, NY, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
080618001126 2008-06-18 CERTIFICATE OF CHANGE 2008-06-18
20070329079 2007-03-29 ASSUMED NAME CORP INITIAL FILING 2007-03-29
A277506-4 1975-12-04 CERTIFICATE OF INCORPORATION 1975-12-04

Date of last update: 18 Mar 2025

Sources: New York Secretary of State