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COLUMBIA EAST SIDE AMBULATORY SURGERY, P.C.

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Company Details

Name: COLUMBIA EAST SIDE AMBULATORY SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Dec 2012 (13 years ago)
Entity Number: 4330744
ZIP code: 10075
County: New York
Place of Formation: New York
Address: 80 EAST 77TH STREET, NEW YORK, NY, United States, 10075

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 80 EAST 77TH STREET, NEW YORK, NY, United States, 10075

National Provider Identifier

NPI Number:
1003154295

Authorized Person:

Name:
DARRICK E ANTELL
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2129880527

Filings

Filing Number Date Filed Type Effective Date
121211000019 2012-12-11 CERTIFICATE OF INCORPORATION 2012-12-11

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State