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ORAL RECONSTRUCTIVE JAW SURGERY P.C.

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Company Details

Name: ORAL RECONSTRUCTIVE JAW SURGERY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Feb 2015 (10 years ago)
Entity Number: 4710334
ZIP code: 10065
County: New York
Place of Formation: New York
Address: 563 PARK AVENUE, NEW YORK, NY, United States, 10065

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 563 PARK AVENUE, NEW YORK, NY, United States, 10065

National Provider Identifier

NPI Number:
1356733224

Authorized Person:

Name:
DR. GREGORY CHARLES CHOTKOWKI
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2129351296

Filings

Filing Number Date Filed Type Effective Date
150213000534 2015-02-13 CERTIFICATE OF INCORPORATION 2015-02-13

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State