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ROBERT S. JUTKOWITZ, M.D., P.C.

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Company Details

Name: ROBERT S. JUTKOWITZ, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Jun 1976 (49 years ago)
Entity Number: 402376
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 11 RALPH PLACE, SUITE 308, STATEN ISLAND, NY, United States, 10304

Shares Details

Shares issued 2000

Share Par Value 10

Type PAR VALUE

DOS Process Agent

Name Role Address
ROBERT S. JUTKOWITZ, M.D., P.C. DOS Process Agent 11 RALPH PLACE, SUITE 308, STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1376726943

Authorized Person:

Name:
ROBERT S JUTKOWITZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
7184426970

Filings

Filing Number Date Filed Type Effective Date
20110805001 2011-08-05 ASSUMED NAME CORP INITIAL FILING 2011-08-05
A321769-4 1976-06-14 CERTIFICATE OF INCORPORATION 1976-06-14

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State