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CREST MEDICAL CARE P.C.

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Company Details

Name: CREST MEDICAL CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Oct 2014 (11 years ago)
Entity Number: 4646677
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 2520 146TH Street, FLUSHING, NY, United States, 11354
Principal Address: 2520 146TH Street, Flushing, NY, United States, 11354

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
CREST MEDICAL CARE PC DOS Process Agent 2520 146TH Street, FLUSHING, NY, United States, 11354

Chief Executive Officer

Name Role Address
WU TAN Chief Executive Officer 2520 146TH STREET, FLUSHING, NY, United States, 11354

National Provider Identifier

NPI Number:
1538610522

Authorized Person:

Name:
DR. WU TAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7188860644

Form 5500 Series

Employer Identification Number (EIN):
472028021
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:

History

Start date End date Type Value
2014-10-06 2024-08-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2014-10-06 2024-08-27 Address 133-38 41ST RD, STE 2G, FLUSHING, NY, 11255, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240827003250 2024-08-27 BIENNIAL STATEMENT 2024-08-27
141006000282 2014-10-06 CERTIFICATE OF INCORPORATION 2014-10-06

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State