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GRAMERCY MEDICAL P.C.

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Company Details

Name: GRAMERCY MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Nov 2017 (8 years ago)
Entity Number: 5235739
ZIP code: 10010
County: New York
Place of Formation: New York
Address: 201 E 21 STREET - SUITE 1H, NEW YORK, NY, United States, 10010

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 201 E 21 STREET - SUITE 1H, NEW YORK, NY, United States, 10010

National Provider Identifier

NPI Number:
1174014971

Authorized Person:

Name:
MARY ANN WINHEIM
Role:
CREDENTIALING AGENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171115000589 2017-11-15 CERTIFICATE OF INCORPORATION 2017-11-15

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State