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ELMHURST MEDICAL PROVIDER INC.

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Company Details

Name: ELMHURST MEDICAL PROVIDER INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 31 Oct 2013 (12 years ago)
Entity Number: 4480415
ZIP code: 11105
County: Queens
Place of Formation: New York
Address: 22-58 36TH ST, ASTORIA, NY, United States, 11105

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MS. MAGDA CARLUCCI DOS Process Agent 22-58 36TH ST, ASTORIA, NY, United States, 11105

National Provider Identifier

NPI Number:
1790114726

Authorized Person:

Name:
PERRY STARER
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
131031010006 2013-10-31 CERTIFICATE OF INCORPORATION 2013-10-31

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State