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HOLLIS PEDIATRICS P.C.

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Company Details

Name: HOLLIS PEDIATRICS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 12 May 2011 (14 years ago)
Date of dissolution: 22 Jul 2013
Entity Number: 4093485
ZIP code: 11423
County: Queens
Place of Formation: New York
Address: 189-11 JAMAICA AVE, HOLLIS, NY, United States, 11423
Principal Address: 112-20 71ST RD, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 189-11 JAMAICA AVE, HOLLIS, NY, United States, 11423

Chief Executive Officer

Name Role Address
ARKADIY TAKHALOV, MD Chief Executive Officer 112-20 71ST RD, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1700165487

Authorized Person:

Name:
DR. ARKADIY TAKALOV
Role:
PEDIATRICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7185208688

Filings

Filing Number Date Filed Type Effective Date
130722000105 2013-07-22 CERTIFICATE OF DISSOLUTION 2013-07-22
130529002175 2013-05-29 BIENNIAL STATEMENT 2013-05-01
110512000438 2011-05-12 CERTIFICATE OF INCORPORATION 2011-05-12

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State