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IRINE KIM, M.D., P.C.

Company Details

Name: IRINE KIM, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Feb 2010 (15 years ago)
Entity Number: 3914033
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 11 CARLING DR., GARDEN CITY PARK, NY, United States, 11040
Principal Address: 492 OLD COURTHOUSE RD, MANHASSET HILLS, NY, United States, 11040

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
STEVEN R. TALAN, ESQ. DOS Process Agent 11 CARLING DR., GARDEN CITY PARK, NY, United States, 11040

Chief Executive Officer

Name Role Address
IRINE KIM, MD Chief Executive Officer 492 OLD COURTHOUSE RD, MANHASSET HILLS, NY, United States, 11040

National Provider Identifier

NPI Number:
1306216262

Authorized Person:

Name:
IRINE KIM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6312719155

Filings

Filing Number Date Filed Type Effective Date
140424002551 2014-04-24 BIENNIAL STATEMENT 2014-02-01
120502002680 2012-05-02 BIENNIAL STATEMENT 2012-02-01
100218000358 2010-02-18 CERTIFICATE OF INCORPORATION 2010-02-18

Date of last update: 27 Mar 2025

Sources: New York Secretary of State