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UPSTATE GERIATRIC MEDICAL SERVICES P.C.

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Company Details

Name: UPSTATE GERIATRIC MEDICAL SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Apr 2019 (6 years ago)
Entity Number: 5531570
ZIP code: 11379
County: Queens
Place of Formation: New York
Address: 79-15 METROPOLITAN AVENUE, MIDDLE VILLAGE, NY, United States, 11379

Contact Details

Phone +1 516-806-2544

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 79-15 METROPOLITAN AVENUE, MIDDLE VILLAGE, NY, United States, 11379

National Provider Identifier

NPI Number:
1225602675
Certification Date:
2021-05-19

Authorized Person:

Name:
ION OLTEAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5168062538

History

Start date End date Type Value
2019-04-10 2020-10-13 Address 62 SEASONGOOD RD., FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201013000579 2020-10-13 CERTIFICATE OF CHANGE 2020-10-13
190410000411 2019-04-10 CERTIFICATE OF INCORPORATION 2019-04-10

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State