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PARK AVENUE MAXILLARY & MANDIBULAR RESTORATIONS, P.C.

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Company Details

Name: PARK AVENUE MAXILLARY & MANDIBULAR RESTORATIONS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Dec 2010 (15 years ago)
Entity Number: 4029732
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 563 PARK AVENUE, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PASQUALE J. MALPESO, D.M.D. DOS Process Agent 563 PARK AVENUE, NEW YORK, NY, United States, 10021

Chief Executive Officer

Name Role Address
PASQUALE J. MALPESO Chief Executive Officer 563 PARK AVENUE, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1235532870

Authorized Person:

Name:
DR. PASQUALE MALPESO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
161229006009 2016-12-29 BIENNIAL STATEMENT 2016-12-01
121227006097 2012-12-27 BIENNIAL STATEMENT 2012-12-01
101213000111 2010-12-13 CERTIFICATE OF INCORPORATION 2010-12-13

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State