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PARK AVENUE AMBULATORY MEDICAL, P.C.

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Company Details

Name: PARK AVENUE AMBULATORY MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Jan 2015 (11 years ago)
Entity Number: 4693104
ZIP code: 10022
County: New York
Place of Formation: New York
Address: 800 THIRD AVENUE, 28TH FLOOR, NEW YORK, NY, United States, 10022
Principal Address: 1045 PARK AVENUE, #1AB, NEW YORK, NY, United States, 10028

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KAIXUAN LIU Chief Executive Officer 475 PROSPECT AVENUE, SUITE 110, WEST ORANGE, NJ, United States, 07052

DOS Process Agent

Name Role Address
MCCARTHY WEIDLER DOS Process Agent 800 THIRD AVENUE, 28TH FLOOR, NEW YORK, NY, United States, 10022

National Provider Identifier

NPI Number:
1609265016

Authorized Person:

Name:
DR. KAIXUAN LIU
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9734190244

History

Start date End date Type Value
2019-02-14 2021-01-04 Address 800 THIRD AVENUE, 28TH FLOOR, NEW YORK, NY, 10022, USA (Type of address: Service of Process)
2015-01-13 2023-10-18 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2015-01-13 2019-02-14 Address 462 SEVENTH AVENUE, 12TH FLOOR, NEW YORK, NY, 10018, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210104060706 2021-01-04 BIENNIAL STATEMENT 2021-01-01
190214060472 2019-02-14 BIENNIAL STATEMENT 2019-01-01
150113000279 2015-01-13 CERTIFICATE OF INCORPORATION 2015-01-13

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State