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MEDICAL PRACTICE OF NIAGARA, P.C.

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Company Details

Name: MEDICAL PRACTICE OF NIAGARA, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Apr 2016 (9 years ago)
Entity Number: 4930530
ZIP code: 14094
County: Niagara
Place of Formation: New York
Address: C/O ADMINISTRATION, 521 EAST AVENUE, LOCKPORT, NY, United States, 14094

Contact Details

Phone +1 716-434-6141

Phone +1 716-433-1941

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
EASTERN NIAGARA HOSPITAL ATTN: DR. CUSENZ DOS Process Agent C/O ADMINISTRATION, 521 EAST AVENUE, LOCKPORT, NY, United States, 14094

National Provider Identifier

NPI Number:
1558882175

Authorized Person:

Name:
CLARE HAAR
Role:
OFFICER/SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
7164391233

Filings

Filing Number Date Filed Type Effective Date
160414000731 2016-04-14 CERTIFICATE OF INCORPORATION 2016-04-14

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State