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FEDERICO GONZALEZ-DOLDAN, M.D., P.C.

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Company Details

Name: FEDERICO GONZALEZ-DOLDAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Nov 1976 (49 years ago)
Entity Number: 415586
ZIP code: 14072
County: Erie
Place of Formation: New York
Address: 5183 E RIVER RD, GRAND ISLAND, NY, United States, 14072

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
FEDERICO G DOLDAN MD Chief Executive Officer 5183 E RIVER RD, GRAND ISLAND, NY, United States, 14072

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5183 E RIVER RD, GRAND ISLAND, NY, United States, 14072

National Provider Identifier

NPI Number:
1578803631

Authorized Person:

Name:
DR. FEDERICO GONZALEZ-DOLDAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
No
Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7166935006

History

Start date End date Type Value
2004-12-20 2006-11-09 Address 5183 E RIVER RD, GRAND ISLAND, NY, 14072, 1168, USA (Type of address: Chief Executive Officer)
2002-11-20 2004-12-20 Address 5183 E RIVER RD, GRAND ISLAND, NY, 14072, 1168, USA (Type of address: Chief Executive Officer)
1976-11-19 2002-11-20 Address 140 N. MAIN ST., WARSAW, NY, 14569, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20090615008 2009-06-15 ASSUMED NAME CORP INITIAL FILING 2009-06-15
081030002633 2008-10-30 BIENNIAL STATEMENT 2008-11-01
061109002457 2006-11-09 BIENNIAL STATEMENT 2006-11-01
041220002335 2004-12-20 BIENNIAL STATEMENT 2004-11-01
021120002292 2002-11-20 BIENNIAL STATEMENT 2002-11-01

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State