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CHAUTAUQUA MEDICAL PRACTICE, P.C.

Company Details

Name: CHAUTAUQUA MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Feb 2010 (15 years ago)
Entity Number: 3911709
ZIP code: 14203
County: Chautauqua
Place of Formation: New York
Address: 3400 HSBC CENTER, BUFFALO, NY, United States, 14203
Principal Address: 4936 Main Street, Bemus Point, NY, United States, 14712

Contact Details

Phone +1 716-386-2414

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O PHILLIPS LYTLE LLP DOS Process Agent 3400 HSBC CENTER, BUFFALO, NY, United States, 14203

Chief Executive Officer

Name Role Address
MD PAUL S HOLLEY Chief Executive Officer 4936 MAIN STREET, BEMUS POINT, NY, United States, 14712

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
GWS5T3T6JHJ8
CAGE Code:
9RZB0
UEI Expiration Date:
2024-12-26

Business Information

Activation Date:
2024-01-02
Initial Registration Date:
2023-12-27

National Provider Identifier

NPI Number:
1922181767
Certification Date:
2020-09-30

Authorized Person:

Name:
PAUL S HOLLEY
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7163862437

Filings

Filing Number Date Filed Type Effective Date
220506002490 2022-05-06 BIENNIAL STATEMENT 2022-02-01
190207000288 2019-02-07 CERTIFICATE OF AMENDMENT 2019-02-07
100211000681 2010-02-11 CERTIFICATE OF INCORPORATION 2010-02-11

Date of last update: 27 Mar 2025

Sources: New York Secretary of State