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CONEY ISLAND MEDICAL DIAGNOSTIC SERVICES, P.C.

Company Details

Name: CONEY ISLAND MEDICAL DIAGNOSTIC SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Mar 2019 (6 years ago)
Entity Number: 5512689
ZIP code: 11234
County: Kings
Place of Formation: New York
Address: 1704 MERMAID AVE STE 6, BROOKLYN, NY, United States, 11234

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1704 MERMAID AVE STE 6, BROOKLYN, NY, United States, 11234

National Provider Identifier

NPI Number:
1902436728
Certification Date:
2020-01-21

Authorized Person:

Name:
DR. KONSTANTIN VAIZMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207ZP0101X - Anatomic Pathology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190313000598 2019-03-13 CERTIFICATE OF INCORPORATION 2019-03-13

Date of last update: 23 Mar 2025

Sources: New York Secretary of State