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MAVEN PODIATRY P.C.

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Company Details

Name: MAVEN PODIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jul 2017 (8 years ago)
Entity Number: 5175970
ZIP code: 11576
County: Nassau
Place of Formation: New York
Address: 29 OAKWOOD CIRCLE, ROSLYN, NY, United States, 11576

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 29 OAKWOOD CIRCLE, ROSLYN, NY, United States, 11576

National Provider Identifier

NPI Number:
1821514027

Authorized Person:

Name:
DR. EMIL LAVIAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
213EP1101X - Primary Podiatric Medicine Podiatrist
Is Primary:
No
Selected Taxonomy:
213ES0000X - Sports Medicine Podiatrist
Is Primary:
No
Selected Taxonomy:
213ES0131X - Foot Surgery Podiatrist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170726000038 2017-07-26 CERTIFICATE OF INCORPORATION 2017-07-26

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State