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LEV YAGUDAYEV, PHYSICIAN, P.C.

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Company Details

Name: LEV YAGUDAYEV, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jul 2013 (12 years ago)
Entity Number: 4429427
ZIP code: 11366
County: Queens
Place of Formation: New York
Address: 75-85 181 STREET, FRESH MEADOWS, NY, United States, 11366

Contact Details

Phone +1 718-480-4000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LEV YAGUDAYEV DOS Process Agent 75-85 181 STREET, FRESH MEADOWS, NY, United States, 11366

National Provider Identifier

NPI Number:
1528490026
Certification Date:
2023-09-26

Authorized Person:

Name:
LEV YAGUDAYEV
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7182361055

Filings

Filing Number Date Filed Type Effective Date
130711000219 2013-07-11 CERTIFICATE OF INCORPORATION 2013-07-11

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State