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DAVID J. ELLENBOGEN PODIATRY, P.C.

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Company Details

Name: DAVID J. ELLENBOGEN PODIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Nov 2013 (12 years ago)
Entity Number: 4484056
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 6 PICKERING PLACE, DIX HILLS, NY, United States, 11746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 6 PICKERING PLACE, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:
1558799502

Authorized Person:

Name:
DAVID J ELLENBOGEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
6315438840

Filings

Filing Number Date Filed Type Effective Date
131107000591 2013-11-07 CERTIFICATE OF INCORPORATION 2013-11-07

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State