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RIDGEWOOD MEDICAL DIAGNOSTIC P.C.

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Company Details

Name: RIDGEWOOD MEDICAL DIAGNOSTIC P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Apr 2011 (14 years ago)
Entity Number: 4081210
ZIP code: 11385
County: Queens
Place of Formation: New York
Address: 56-29 METROPOLITAN AVE., RIDGEWOOD, NY, United States, 11385

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 56-29 METROPOLITAN AVE., RIDGEWOOD, NY, United States, 11385

National Provider Identifier

NPI Number:
1326311358

Authorized Person:

Name:
DR. IAN PRESCOTT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7183752735

Filings

Filing Number Date Filed Type Effective Date
110413000760 2011-04-13 CERTIFICATE OF INCORPORATION 2011-04-13

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State