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FRANKLIN AVENUE MEDICAL, P.C.

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Company Details

Name: FRANKLIN AVENUE MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Aug 2017 (8 years ago)
Entity Number: 5193389
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 1075 FRANKLIN AVENUE, GARDEN CITY, NY, United States, 11530
Principal Address: 1075 Franklin Avenue, Garden City, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1075 FRANKLIN AVENUE, GARDEN CITY, NY, United States, 11530

Chief Executive Officer

Name Role Address
VICTOR A. GALLO, MD Chief Executive Officer 1075 FRANKLIN AVENUE, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1306340260

Authorized Person:

Name:
RONALD NUZZO
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2017-08-28 2023-06-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2017-08-28 2023-06-13 Address 1075 FRANKLIN AVENUE, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230613003942 2023-06-13 BIENNIAL STATEMENT 2021-08-01
170828000502 2017-08-28 CERTIFICATE OF INCORPORATION 2017-08-28

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State