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ALL ISLAND DIAGNOSTIC MEDICAL P.C.

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Company Details

Name: ALL ISLAND DIAGNOSTIC MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Sep 2010 (15 years ago)
Entity Number: 3995323
ZIP code: 07607
County: Suffolk
Place of Formation: New York
Address: 34 EAST PLEASANT AVE., MAYWOOD, NJ, United States, 07607

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O LOUSITO YSON DOS Process Agent 34 EAST PLEASANT AVE., MAYWOOD, NJ, United States, 07607

National Provider Identifier

NPI Number:
1720383334

Authorized Person:

Name:
DR. JAMES CARLSON
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2122552333
Fax:
2122552455

Filings

Filing Number Date Filed Type Effective Date
100914000537 2010-09-14 CERTIFICATE OF INCORPORATION 2010-09-14

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State