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PHYSICIAN'S PRACTICE OF EASTERN NIAGARA, P.C.

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Company Details

Name: PHYSICIAN'S PRACTICE OF EASTERN NIAGARA, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 08 Oct 2013 (12 years ago)
Date of dissolution: 26 Oct 2016
Entity Number: 4470142
ZIP code: 14094
County: Niagara
Place of Formation: New York
Address: ATTN: DR. CUSENZ C/O ADMINISTR, 521 EAST AVENUE, LOCKPORT, NY, United States, 14094

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
EASTERN NIAGARA HOSPITAL DOS Process Agent ATTN: DR. CUSENZ C/O ADMINISTR, 521 EAST AVENUE, LOCKPORT, NY, United States, 14094

National Provider Identifier

NPI Number:
1053733915

Authorized Person:

Name:
MICHAEL ICKOWSKI
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
2086S0102X - Surgical Critical Care Physician
Is Primary:
No
Selected Taxonomy:
2086S0127X - Trauma Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7162130935

Filings

Filing Number Date Filed Type Effective Date
DP-2241242 2016-10-26 DISSOLUTION BY PROCLAMATION 2016-10-26
131008000667 2013-10-08 CERTIFICATE OF INCORPORATION 2013-10-08

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State