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PERALTA PRIMARY CARE P.C.

Company Details

Name: PERALTA PRIMARY CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 22 Aug 2013 (12 years ago)
Date of dissolution: 26 Oct 2016
Entity Number: 4449497
ZIP code: 11380
County: Queens
Place of Formation: New York
Address: P.O. BOX 800233, ELMHURST, NY, United States, 11380

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MARK F. PERALTA, MD DOS Process Agent P.O. BOX 800233, ELMHURST, NY, United States, 11380

National Provider Identifier

NPI Number:
1578991089

Authorized Person:

Name:
DR. MARK FACTURA PERALTA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8455128628
Fax:
7182551288

Filings

Filing Number Date Filed Type Effective Date
DP-2239210 2016-10-26 DISSOLUTION BY PROCLAMATION 2016-10-26
130822000607 2013-08-22 CERTIFICATE OF INCORPORATION 2013-08-22

Date of last update: 26 Mar 2025

Sources: New York Secretary of State