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ISLAND MEDICAL OFFICE P.C.

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Company Details

Name: ISLAND MEDICAL OFFICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Aug 2014 (11 years ago)
Entity Number: 4629445
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 708 BROADWAY, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DR. ROBERT PRICHEP DOS Process Agent 708 BROADWAY, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1881099042
Certification Date:
2022-07-13

Authorized Person:

Name:
ROBERT N PRICHEP
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140829000597 2014-08-29 CERTIFICATE OF INCORPORATION 2014-08-29

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State