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STANFORD MEDICAL P.C.

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Company Details

Name: STANFORD MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 06 Feb 2012 (13 years ago)
Date of dissolution: 31 Aug 2016
Entity Number: 4198369
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 136-18 39TH AVENUE, SUITE 905, FLUSHING, NY, United States, 11354

Shares Details

Shares issued 20000

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 136-18 39TH AVENUE, SUITE 905, FLUSHING, NY, United States, 11354

National Provider Identifier

NPI Number:
1245504190

Authorized Person:

Name:
ELAINE LIU
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF)
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
DP-2209331 2016-08-31 DISSOLUTION BY PROCLAMATION 2016-08-31
120206000108 2012-02-06 CERTIFICATE OF INCORPORATION 2012-02-06

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State