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VICTORY MEDICAL, PLLC

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Company Details

Name: VICTORY MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Aug 2013 (12 years ago)
Entity Number: 4449651
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 2372 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 781-761-3700

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2372 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1922845007
Certification Date:
2024-07-15

Authorized Person:

Name:
MICHAEL J LACQUA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7186983090

Filings

Filing Number Date Filed Type Effective Date
140603000193 2014-06-03 CERTIFICATE OF PUBLICATION 2014-06-03
130822000841 2013-08-22 ARTICLES OF ORGANIZATION 2013-08-22

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State