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NC MEDICAL OF NY, P.C.

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Company Details

Name: NC MEDICAL OF NY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jan 2019 (6 years ago)
Entity Number: 5484976
ZIP code: 10168
County: New York
Place of Formation: New York
Address: 122 East 42nd Street,, 18th Floor, New York, NY, United States, 10168
Principal Address: 10 W. Market St., Suite 2900, Indianapolis, IN, United States, 46204

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
COGENCY GLOBAL INC. DOS Process Agent 122 East 42nd Street,, 18th Floor, New York, NY, United States, 10168

Chief Executive Officer

Name Role Address
TERRY LAYMAN Chief Executive Officer 10 W. MARKET ST., SUITE 2900, INDIANAPOLIS, IN, United States, 46204

National Provider Identifier

NPI Number:
1649087263
Certification Date:
2024-12-17

Authorized Person:

Name:
RILEY WENDLING
Role:
CENTRAL SUPPORT SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2025-01-03 2025-01-03 Address 10 W. MARKET ST., SUITE 2900, INDIANAPOLIS, IN, 46204, USA (Type of address: Chief Executive Officer)
2024-06-07 2025-01-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-07 2025-01-03 Address 10 W. MARKET ST., SUITE 2900, INDIANAPOLIS, IN, 46204, USA (Type of address: Chief Executive Officer)
2024-06-07 2025-01-03 Address 122 East 42nd Street,, 18th Floor, New York, NY, 10168, USA (Type of address: Service of Process)
2019-01-30 2024-06-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250103004434 2025-01-03 BIENNIAL STATEMENT 2025-01-03
240607001914 2024-06-07 BIENNIAL STATEMENT 2024-06-07
190130000212 2019-01-30 CERTIFICATE OF INCORPORATION 2019-01-30

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State