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BROOKLYN FAMILY MEDICAL CARE P.C.

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Company Details

Name: BROOKLYN FAMILY MEDICAL CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jun 2017 (8 years ago)
Entity Number: 5163858
ZIP code: 11580
County: Kings
Place of Formation: New York
Address: 52 ELIZABETH STREET, VALLEY STREAM, NY, United States, 11580

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 52 ELIZABETH STREET, VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1871684753

Authorized Person:

Name:
DR. CLARK ROBERT LOPEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170630000491 2017-06-30 CERTIFICATE OF INCORPORATION 2017-06-30

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State