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PELHAM BAY COMMUNITY MEDICAL P.C.

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Company Details

Name: PELHAM BAY COMMUNITY MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Apr 2011 (14 years ago)
Entity Number: 4084882
ZIP code: 10314
County: Bronx
Place of Formation: New York
Address: 1878 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1878 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1154673630

Authorized Person:

Name:
DR. ENRICO F D'ANGELO
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5166204807
Fax:
5166204246

Filings

Filing Number Date Filed Type Effective Date
110422000141 2011-04-22 CERTIFICATE OF INCORPORATION 2011-04-22

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State