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BOLESLAV KOSHARSKYY, MEDICAL PRACTICE, P.C.

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Company Details

Name: BOLESLAV KOSHARSKYY, MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jan 2011 (14 years ago)
Entity Number: 4041284
ZIP code: 10460
County: New York
Place of Formation: New York
Principal Address: 1976 Crotona Parkway, 3A, Bronx, NY, United States, 10460

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
BOLESLAV KOSHARSKYY Chief Executive Officer 1976 CROTONA PARKWAY, 3A, BRONX, NY, United States, 10460

DOS Process Agent

Name Role Address
BOLESLAV KOSHARSKYY, MEDICAL PRACTICE, P.C. DOS Process Agent 1976 Crotona Parkway, 3A, Bronx, NY, United States, 10460

National Provider Identifier

NPI Number:
1619416294

Authorized Person:

Name:
DR. BOLESLAV KOSHARSKYY
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2025-01-07 2025-01-07 Address 44 W. 127 ST. #1A, NY, NY, 10027, USA (Type of address: Chief Executive Officer)
2025-01-07 2025-01-07 Address 1976 CROTONA PARKWAY, 3A, BRONX, NY, 10460, USA (Type of address: Chief Executive Officer)
2017-06-16 2018-03-27 Name CONQUER PAIN P.C.
2013-03-05 2017-08-10 Address 44 W. 127 ST. #1A, NY, NY, 10027, USA (Type of address: Principal Executive Office)
2013-03-05 2025-01-07 Address 44 W. 127 ST. #1A, NY, NY, 10027, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250107000694 2025-01-07 BIENNIAL STATEMENT 2025-01-07
230120001594 2023-01-20 BIENNIAL STATEMENT 2023-01-01
180327000474 2018-03-27 CERTIFICATE OF AMENDMENT 2018-03-27
170810002019 2017-08-10 AMENDMENT TO BIENNIAL STATEMENT 2017-01-01
170616000102 2017-06-16 CERTIFICATE OF AMENDMENT 2017-06-16

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State