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PAVEL GOZENPUT MEDICAL P.C.

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Company Details

Name: PAVEL GOZENPUT MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Apr 2018 (7 years ago)
Entity Number: 5316485
ZIP code: 11234
County: Kings
Place of Formation: New York
Address: 247 WHITMAN DRIVE, BROOKLYN, NY, United States, 11234

Contact Details

Phone +1 718-444-5105

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 247 WHITMAN DRIVE, BROOKLYN, NY, United States, 11234

National Provider Identifier

NPI Number:
1790331080

Authorized Person:

Name:
DR. PAVEL GOZENPUT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7184445107

History

Start date End date Type Value
2018-04-03 2025-05-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2018-04-03 2025-05-30 Address 247 WHITMAN DRIVE, BROOKLYN, NY, 11234, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250530019458 2025-05-30 BIENNIAL STATEMENT 2025-05-30
180403000715 2018-04-03 CERTIFICATE OF INCORPORATION 2018-04-03

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State