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TIKVA JACOBS, M.D., P.C.

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Company Details

Name: TIKVA JACOBS, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Oct 2009 (16 years ago)
Entity Number: 3862368
ZIP code: 10128
County: New York
Place of Formation: New York
Address: 1125 5TH AVENUE, NEW YORK, NY, United States, 10128
Principal Address: 1125 5TH AVE, NEW YORK, NY, United States, 10128

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
TIKVA JACOBS Chief Executive Officer 1125 5TH AVE, NEW YORK, NY, United States, 10128

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1125 5TH AVENUE, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1154647451

Authorized Person:

Name:
TIKVA JACOBS
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2128607446

Filings

Filing Number Date Filed Type Effective Date
171023006033 2017-10-23 BIENNIAL STATEMENT 2017-10-01
131031006168 2013-10-31 BIENNIAL STATEMENT 2013-10-01
111212002313 2011-12-12 BIENNIAL STATEMENT 2011-10-01
091001000165 2009-10-01 CERTIFICATE OF INCORPORATION 2009-10-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State