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MARIE A. ABOUGOU, M.D., P.C.

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Company Details

Name: MARIE A. ABOUGOU, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jun 2010 (15 years ago)
Entity Number: 3962950
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 532 COFFEEN ST, WATERTOWN, NY, United States, 13601

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARIE ABOUGOU Chief Executive Officer 532 COFFEEN ST, WATERTOWN, NY, United States, 13601

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 532 COFFEEN ST, WATERTOWN, NY, United States, 13601

National Provider Identifier

NPI Number:
1467763748

Authorized Person:

Name:
MARIE ABOUGOU
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207VX0000X - Obstetrics Physician
Is Primary:
Yes

Contacts:

Fax:
8885129113

Form 5500 Series

Employer Identification Number (EIN):
272692618
Plan Year:
2010
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2010-06-17 2012-07-17 Address 420 PADDOCK STREET, WATERTOWN, NY, 13601, 3945, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160623006001 2016-06-23 BIENNIAL STATEMENT 2016-06-01
140714006007 2014-07-14 BIENNIAL STATEMENT 2014-06-01
131126000597 2013-11-26 CERTIFICATE OF AMENDMENT 2013-11-26
120717002777 2012-07-17 BIENNIAL STATEMENT 2012-06-01
111213000218 2011-12-13 CERTIFICATE OF AMENDMENT 2011-12-13

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State