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TOP TIER MEDICAL BREAST SPECIALIST, P.C.

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Company Details

Name: TOP TIER MEDICAL BREAST SPECIALIST, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Dec 2009 (16 years ago)
Entity Number: 3886375
ZIP code: 11757
County: Suffolk
Place of Formation: New York
Address: 150 E. SUNRISE HIGHWAY, LINDENHURST, NY, United States, 11757

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 150 E. SUNRISE HIGHWAY, LINDENHURST, NY, United States, 11757

National Provider Identifier

NPI Number:
1720317662

Authorized Person:

Name:
MS. PATRICIA M FORTE
Role:
DIRECTOR OF CONTRACTING
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6318708722

Filings

Filing Number Date Filed Type Effective Date
091208000016 2009-12-08 CERTIFICATE OF INCORPORATION 2009-12-08

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State