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GEORGE BOUCHER, M.D., P.C.

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Company Details

Name: GEORGE BOUCHER, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jan 2011 (15 years ago)
Entity Number: 4041550
ZIP code: 14216
County: Erie
Place of Formation: New York
Address: 680 CRESCENT AVENUE, BUFFALO, NY, United States, 14216

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 680 CRESCENT AVENUE, BUFFALO, NY, United States, 14216

National Provider Identifier

NPI Number:
1982907614

Authorized Person:

Name:
DR. GEORGE P. BOUCHER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
110112000355 2011-01-12 CERTIFICATE OF INCORPORATION 2011-01-12

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State