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ACCREDITED DERMATOLOGIC SURGERY, P.C.

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Company Details

Name: ACCREDITED DERMATOLOGIC SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Apr 2017 (8 years ago)
Entity Number: 5121280
ZIP code: 11360
County: Queens
Place of Formation: New York
Address: 23-83 BELL BLVD., BAYSIDE, NY, United States, 11360

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 23-83 BELL BLVD., BAYSIDE, NY, United States, 11360

National Provider Identifier

NPI Number:
1992208144

Authorized Person:

Name:
JORDAN S. ZUCKERMAN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170418000424 2017-04-18 CERTIFICATE OF INCORPORATION 2017-04-18

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State