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MEDICAL CARE OF KINGSBOROUGH, P.C.

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Company Details

Name: MEDICAL CARE OF KINGSBOROUGH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Sep 2012 (13 years ago)
Entity Number: 4301841
ZIP code: 11223
County: New York
Place of Formation: New York
Address: 178 AVENUE S, BROOKLYN, NY, United States, 11223

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 178 AVENUE S, BROOKLYN, NY, United States, 11223

National Provider Identifier

NPI Number:
1982949624

Authorized Person:

Name:
DR. EWALD ANTOINE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
213EP1101X - Primary Podiatric Medicine Podiatrist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
2084P0805X - Geriatric Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
7189752085

Filings

Filing Number Date Filed Type Effective Date
120928000437 2012-09-28 CERTIFICATE OF INCORPORATION 2012-09-28

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State