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NANCY BLACE, M.D. P.C.

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Company Details

Name: NANCY BLACE, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 04 Jan 2011 (14 years ago)
Date of dissolution: 02 Aug 2019
Entity Number: 4037895
ZIP code: 11357
County: Queens
Place of Formation: New York
Address: 18-27 CLINTONVILLE STREET, WHITESTONE, NY, United States, 11357

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 18-27 CLINTONVILLE STREET, WHITESTONE, NY, United States, 11357

Chief Executive Officer

Name Role Address
NANCY BLACE Chief Executive Officer 18-27 CLINTONVILLE STREET, WHITESTONE, NY, United States, 11357

National Provider Identifier

NPI Number:
1407122120

Authorized Person:

Name:
DR. NANCY BLACE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190802000241 2019-08-02 CERTIFICATE OF DISSOLUTION 2019-08-02
130319006081 2013-03-19 BIENNIAL STATEMENT 2013-01-01
110104000644 2011-01-04 CERTIFICATE OF INCORPORATION 2011-01-04

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State