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ADVANCED DERMATOLOGY OF COOP CITY P.C.

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Company Details

Name: ADVANCED DERMATOLOGY OF COOP CITY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 24 Sep 2010 (15 years ago)
Date of dissolution: 25 Jan 2012
Entity Number: 3999618
ZIP code: 10475
County: Bronx
Place of Formation: New York
Address: 2100 BARTOW AVENUE, SUITE 211, BRONX, NY, United States, 10475

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2100 BARTOW AVENUE, SUITE 211, BRONX, NY, United States, 10475

National Provider Identifier

NPI Number:
1811207210

Authorized Person:

Name:
LAWRENCE D JAEGER
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2127653210

Filings

Filing Number Date Filed Type Effective Date
120125000487 2012-01-25 CERTIFICATE OF DISSOLUTION 2012-01-25
100924000354 2010-09-24 CERTIFICATE OF INCORPORATION 2010-09-24

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State