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LYNN O'CONNOR PHYSICIAN P.C.

Company Details

Name: LYNN O'CONNOR PHYSICIAN P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jan 2014 (11 years ago)
Entity Number: 4521170
ZIP code: 11565
County: Nassau
Place of Formation: New York
Address: P.O. BOX 99, MALVERNE, NY, United States, 11565

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 99, MALVERNE, NY, United States, 11565

National Provider Identifier

NPI Number:
1548735970
Certification Date:
2024-03-19

Authorized Person:

Name:
LYNN M OCONNOR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
208C00000X - Colon & Rectal Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6313502966

Filings

Filing Number Date Filed Type Effective Date
140129000657 2014-01-29 CERTIFICATE OF INCORPORATION 2014-01-29

Date of last update: 26 Mar 2025

Sources: New York Secretary of State