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KBJ MEDICAL PRACTICE P.C.

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Company Details

Name: KBJ MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Dec 2016 (9 years ago)
Entity Number: 5052737
ZIP code: 10469
County: Kings
Place of Formation: New York
Address: 3225 FENTON AVENUE, BRONX, NY, United States, 10469

Contact Details

Phone +1 718-644-0961

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
KELVIN K. JACK DOS Process Agent 3225 FENTON AVENUE, BRONX, NY, United States, 10469

National Provider Identifier

NPI Number:
1487191953

Authorized Person:

Name:
MRS. JOSETTE THOMAS SYLVAN
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-09-09 2024-10-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-22 2024-09-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-10-17 2024-01-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-10-17 2023-10-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-10-10 2023-10-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
161214000510 2016-12-14 CERTIFICATE OF INCORPORATION 2016-12-14

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State