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ON-SITE MEDICAL DIAGNOSTICS P.C.

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Company Details

Name: ON-SITE MEDICAL DIAGNOSTICS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Aug 2014 (11 years ago)
Entity Number: 4616325
ZIP code: 11530
County: Westchester
Place of Formation: New York
Address: C/O BLODNICK, FAZIO & ASSOC, 1325 FRANKLIN AVENUE, STE 555, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O BLODNICK, FAZIO & ASSOC, 1325 FRANKLIN AVENUE, STE 555, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1598174195

Authorized Person:

Name:
DR. JACOB GEBRAEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140804000194 2014-08-04 CERTIFICATE OF INCORPORATION 2014-08-04

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State