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JACQUES C. ANTOINE PHYSICIAN P.C.

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Company Details

Name: JACQUES C. ANTOINE PHYSICIAN P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Dec 2013 (12 years ago)
Entity Number: 4499890
ZIP code: 11212
County: Kings
Place of Formation: New York
Address: 1718 PITKIN AVENUE, BROOKLYN, NY, United States, 11212
Principal Address: 1718 PITKIN AVE, BROOKLYN, NY, United States, 11212

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DR. JACQUES C. ANTOINE Chief Executive Officer 1718 PITKIN AVE, BROOKLYN, NY, United States, 11212

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1718 PITKIN AVENUE, BROOKLYN, NY, United States, 11212

National Provider Identifier

NPI Number:
1104241116

Authorized Person:

Name:
JACQUES ANTOINE
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7184854213

Form 5500 Series

Employer Identification Number (EIN):
464335313
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2013-12-12 2025-06-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
160713006345 2016-07-13 BIENNIAL STATEMENT 2015-12-01
131212000166 2013-12-12 CERTIFICATE OF INCORPORATION 2013-12-12

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State