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PARK AVE MAXILLOFACIAL SURGERY P.C.

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Company Details

Name: PARK AVE MAXILLOFACIAL SURGERY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Nov 2017 (8 years ago)
Entity Number: 5227433
ZIP code: 10065
County: New York
Place of Formation: New York
Address: 563 PARK AVENUE, NEW YORK, NY, United States, 10065

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 563 PARK AVENUE, NEW YORK, NY, United States, 10065

National Provider Identifier

NPI Number:
1972016988

Authorized Person:

Name:
GREGORY CHOKOWSKI
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171101000127 2017-11-01 CERTIFICATE OF INCORPORATION 2017-11-01

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State