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METRO PHYSICAL MEDICINE, P.C.

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Company Details

Name: METRO PHYSICAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 15 Jan 2013 (13 years ago)
Date of dissolution: 26 Oct 2016
Entity Number: 4345888
ZIP code: 11727
County: Suffolk
Place of Formation: New York
Address: 509 AVALON PINES DR., CORAM, NY, United States, 11727

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SAMUEL THEAGENE DOS Process Agent 509 AVALON PINES DR., CORAM, NY, United States, 11727

National Provider Identifier

NPI Number:
1679903413

Authorized Person:

Name:
DR. SAMUEL THEAGENE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7186589703

History

Start date End date Type Value
2013-01-15 2022-11-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
DP-2228380 2016-10-26 DISSOLUTION BY PROCLAMATION 2016-10-26
130115000188 2013-01-15 CERTIFICATE OF INCORPORATION 2013-01-15

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State