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MAZUROV MEDICAL, P.C.

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Company Details

Name: MAZUROV 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: 4085201
ZIP code: 10312
County: Richmond
Place of Formation: New York
Address: 505 JEFFERSON BLVD., STATEN ISLAND, NY, United States, 10312

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 505 JEFFERSON BLVD., STATEN ISLAND, NY, United States, 10312

National Provider Identifier

NPI Number:
1003104456

Authorized Person:

Name:
DR. BORIS MAZUROV
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
110422000746 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