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PLATINUM FAMILY MEDICINE, P.C.

Company Details

Name: PLATINUM FAMILY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Feb 2014 (11 years ago)
Entity Number: 4536312
ZIP code: 11764
County: Suffolk
Place of Formation: New York
Address: 765 ROUTE 25A, MILLER PLACE, NY, United States, 11764

Contact Details

Phone +1 631-849-5900

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 765 ROUTE 25A, MILLER PLACE, NY, United States, 11764

National Provider Identifier

NPI Number:
1841617412

Authorized Person:

Name:
DR. JOSEPH VENEZIA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6318495897

Filings

Filing Number Date Filed Type Effective Date
140228000083 2014-02-28 CERTIFICATE OF INCORPORATION 2014-02-28

Date of last update: 25 Mar 2025

Sources: New York Secretary of State