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CENTRAL AVENUE OFFICE BASED SURGERY, P.C.

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Company Details

Name: CENTRAL AVENUE OFFICE BASED SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Dec 2012 (13 years ago)
Entity Number: 4338799
ZIP code: 10549
County: Westchester
Place of Formation: New York
Address: 118 NORTH BEDFORD ROAD, P.O. BOX 320, MOUNT KISCO, NY, United States, 10549
Principal Address: 495 CENTRAL PARK AVENUE, SUITE 305B, SCARSDALE, NY, United States, 10583

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O SHAPIRO GETTINGER & WALDINGER, LLP DOS Process Agent 118 NORTH BEDFORD ROAD, P.O. BOX 320, MOUNT KISCO, NY, United States, 10549

Chief Executive Officer

Name Role Address
NEAL GOLDBERG Chief Executive Officer 495 CENTRAL PARK AVENUE, SUITE 305B, SCRSDALE, NY, United States, 10583

National Provider Identifier

NPI Number:
1538501788

Authorized Person:

Name:
DR. NEAL D GOLDBERG
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
9147226982

Filings

Filing Number Date Filed Type Effective Date
150112006732 2015-01-12 BIENNIAL STATEMENT 2014-12-01
121228000683 2012-12-28 CERTIFICATE OF INCORPORATION 2012-12-28

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State