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LEBGUTT MEDICAL OF BROOKLYN P.C.

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Company Details

Name: LEBGUTT MEDICAL OF BROOKLYN P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jan 2016 (10 years ago)
Entity Number: 4880304
ZIP code: 11210
County: Kings
Place of Formation: New York
Address: 2555 NOSTRAND AVENUE, BROOKLYN, NY, United States, 11210

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2555 NOSTRAND AVENUE, BROOKLYN, NY, United States, 11210

National Provider Identifier

NPI Number:
1184070625

Authorized Person:

Name:
GEORGE GIANNIKAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7189510846

Filings

Filing Number Date Filed Type Effective Date
160115000547 2016-01-15 CERTIFICATE OF INCORPORATION 2016-01-15

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State