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EDWIN X. VICIOSO. M.D. P.C.

Company Details

Name: EDWIN X. VICIOSO. M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Sep 2010 (15 years ago)
Entity Number: 4000680
ZIP code: 10538
County: Westchester
Place of Formation: New York
Address: 41 CHATSWORTH AVENUE, LARCHMONT, NY, United States, 10538

Contact Details

Phone +1 914-365-3997

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 41 CHATSWORTH AVENUE, LARCHMONT, NY, United States, 10538

National Provider Identifier

NPI Number:
1346512381

Authorized Person:

Name:
DR. EDWIN XAVIER VICIOSO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
6312641418

Filings

Filing Number Date Filed Type Effective Date
100928000416 2010-09-28 CERTIFICATE OF INCORPORATION 2010-09-28

Date of last update: 27 Mar 2025

Sources: New York Secretary of State