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FRONT MEDICAL, P.C.

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Company Details

Name: FRONT MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Oct 2010 (15 years ago)
Entity Number: 4013073
ZIP code: 11550
County: Nassau
Place of Formation: New York
Address: 33 FRONT STREET SUITE 160, HEMPSTEAD, NY, United States, 11550

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 33 FRONT STREET SUITE 160, HEMPSTEAD, NY, United States, 11550

National Provider Identifier

NPI Number:
1558662890

Authorized Person:

Name:
DR. DEMETRIUS MOUTSIAKIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
101029000088 2010-10-29 CERTIFICATE OF INCORPORATION 2010-10-29

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State