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CONEY ISLAND MEDICAL SERVICES P.C.

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Company Details

Name: CONEY ISLAND MEDICAL SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Jul 2012 (13 years ago)
Entity Number: 4273300
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 3057 CONEY ISLAND AVENUE, 2ND BRIGHTON CT, BROOKLYN, NY, United States, 11235

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3057 CONEY ISLAND AVENUE, 2ND BRIGHTON CT, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1174870059

Authorized Person:

Name:
EWALD J ANTOINE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No

Contacts:

Fax:
7187596708
Fax:
7187585566

Filings

Filing Number Date Filed Type Effective Date
120720000028 2012-07-20 CERTIFICATE OF INCORPORATION 2012-07-20

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State