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334 MEDICAL P.C.

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Company Details

Name: 334 MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 May 2012 (13 years ago)
Entity Number: 4251126
ZIP code: 10451
County: Bronx
Place of Formation: New York
Address: 334 GRAND CONCOURSE, BRONX, NY, United States, 10451

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 334 GRAND CONCOURSE, BRONX, NY, United States, 10451

National Provider Identifier

NPI Number:
1982968939

Authorized Person:

Name:
DEAN BASULTO
Role:
M.D
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7189930204

Filings

Filing Number Date Filed Type Effective Date
120529000525 2012-05-29 CERTIFICATE OF INCORPORATION 2012-05-29

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State