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NORTH BROADWAY MEDICAL P.C.

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Company Details

Name: NORTH BROADWAY MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jun 2012 (13 years ago)
Entity Number: 4261554
ZIP code: 10032
County: New York
Place of Formation: New York
Address: 4080 BROADWAY, NEW YORK, NY, United States, 10032

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 4080 BROADWAY, NEW YORK, NY, United States, 10032

National Provider Identifier

NPI Number:
1477809283

Authorized Person:

Name:
MR. GRIGORY SHTENDER
Role:
INCORPORATOR/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
7183361518

Filings

Filing Number Date Filed Type Effective Date
120621000051 2012-06-21 CERTIFICATE OF INCORPORATION 2012-06-21

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State