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PRESTIGE PEDIATRIC CARE P.C.

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Company Details

Name: PRESTIGE PEDIATRIC CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Oct 2011 (14 years ago)
Entity Number: 4150028
ZIP code: 11030
County: Queens
Place of Formation: New York
Address: 28 MAPLE PL, PO BOX 1051, MANHASSET, NY, United States, 11030
Principal Address: 136-30 MAPLE AVE, SUITE 2B, FLUSHING, NY, United States, 11355

Contact Details

Phone +1 718-445-5437

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
YAN JIN Chief Executive Officer 136-30 MAPLE AVE, SUITE 2B, FLUSHING, NY, United States, 11355

DOS Process Agent

Name Role Address
PRESTIGE PEDIATRIC CARE P.C. DOS Process Agent 28 MAPLE PL, PO BOX 1051, MANHASSET, NY, United States, 11030

National Provider Identifier

NPI Number:
1043597842

Authorized Person:

Name:
DR. YAN JIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
453738245
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2011-10-05 2018-02-22 Address 14 SARINA DRIVE, COMMACK, NY, 11725, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180222006203 2018-02-22 BIENNIAL STATEMENT 2017-10-01
131202006634 2013-12-02 BIENNIAL STATEMENT 2013-10-01
111005000363 2011-10-05 CERTIFICATE OF INCORPORATION 2011-10-05

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State