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JCL MEDICAL P.C.

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Company Details

Name: JCL MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Apr 2017 (8 years ago)
Entity Number: 5118844
ZIP code: 11418
County: Queens
Place of Formation: New York
Address: 101-19 JAMAICA AVE., RICHMOND HILL, NY, United States, 11418

Contact Details

Phone +1 718-709-4721

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JEANNETTE ELIZABETH CANO-LANDIVAR DOS Process Agent 101-19 JAMAICA AVE., RICHMOND HILL, NY, United States, 11418

National Provider Identifier

NPI Number:
1407372428

Authorized Person:

Name:
DR. JEANNETTE ELIZABETH CANO-LANDIVAR
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7187094733

Filings

Filing Number Date Filed Type Effective Date
170412000409 2017-04-12 CERTIFICATE OF INCORPORATION 2017-04-12

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State