| Name: | FORT WASHINGTON MEDICAL PRACTICE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 19 Oct 2016 (8 years ago) |
| Entity Number: | 5025061 |
| ZIP code: | 10012 |
| County: | New York |
| Place of Formation: | New York |
| Address: | 65 FORT WASHINGTON AVE, NEW YORK, NY, United States, 10012 |
| Principal Address: | 50 DOGWOOD AVE, ROSLYN, NY, United States, 11576 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| FAUSTO GONZALEZ | DOS Process Agent | 65 FORT WASHINGTON AVE, NEW YORK, NY, United States, 10012 |
| Name | Role | Address |
|---|---|---|
| FAUSTO GONZALEZ | Chief Executive Officer | 65 FORT WASHINGTON AVE, NEW YORK, NY, United States, 10012 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 221018003490 | 2022-10-18 | BIENNIAL STATEMENT | 2022-10-01 |
| 161019000103 | 2016-10-19 | CERTIFICATE OF INCORPORATION | 2016-10-19 |
Date of last update: 14 Jan 2025
Sources: New York Secretary of State
