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GRAND CONCOURSE MEDICAL PRACTICE P.C.

Company Details

Name: GRAND CONCOURSE MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Apr 2010 (15 years ago)
Entity Number: 3937789
ZIP code: 10453
County: Bronx
Place of Formation: New York
Address: 1831 GRAND CONCOURSE, SUITE A, BRONX, NY, United States, 10453

Contact Details

Phone +1 347-577-5804

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MANUEL MEJIA DOS Process Agent 1831 GRAND CONCOURSE, SUITE A, BRONX, NY, United States, 10453

National Provider Identifier

NPI Number:
1265744197

Authorized Person:

Name:
DR. MANUEL E MEJIA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-05-19 2022-05-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-05-19 2022-06-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2010-04-16 2022-05-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
100416000425 2010-04-16 CERTIFICATE OF INCORPORATION 2010-04-16

Date of last update: 27 Mar 2025

Sources: New York Secretary of State