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MITCHELL CABISUDO PHYSICIAN, P.C.

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Company Details

Name: MITCHELL CABISUDO PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Apr 2011 (14 years ago)
Entity Number: 4086815
ZIP code: 10570
County: Westchester
Place of Formation: New York
Address: 33 Dennis Lane , NY 10570, Pleasantville, NY, United States, 10570
Principal Address: 33 Dennis Lane, Pleasantville, NY, United States, 10570

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MITCHELL CABISUDO PHYSICIAN, P.C. DOS Process Agent 33 Dennis Lane , NY 10570, Pleasantville, NY, United States, 10570

Chief Executive Officer

Name Role Address
MITCHELL CABISUDO PHYSICIAN, P.C. Chief Executive Officer 33 DENNIS LANE, PLEASANTVILLE, NY, United States, 10570

National Provider Identifier

NPI Number:
1235987090
Certification Date:
2024-05-07

Authorized Person:

Name:
DR. MITCHELL CABISUDO
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
5187086889

History

Start date End date Type Value
2025-04-01 2025-04-01 Address 33 DENNIS LANE, PLEASANTVILLE, NY, 10570, USA (Type of address: Chief Executive Officer)
2025-04-01 2025-04-01 Address 2 NORTH WATER STREET, APT 2C, OSSINING, NY, 10562, USA (Type of address: Chief Executive Officer)
2025-01-10 2025-04-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-01-10 2025-01-10 Address 2 NORTH WATER STREET, APT 2C, OSSINING, NY, 10562, USA (Type of address: Chief Executive Officer)
2025-01-10 2025-04-01 Address 33 DENNIS LANE, PLEASANTVILLE, NY, 10570, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250401043119 2025-04-01 BIENNIAL STATEMENT 2025-04-01
250110003695 2025-01-10 BIENNIAL STATEMENT 2025-01-10
170405006854 2017-04-05 BIENNIAL STATEMENT 2017-04-01
150408006427 2015-04-08 BIENNIAL STATEMENT 2015-04-01
130409006561 2013-04-09 BIENNIAL STATEMENT 2013-04-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State