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STATLINE MEDICAL P.C.

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Company Details

Name: STATLINE MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jun 2019 (6 years ago)
Entity Number: 5568948
ZIP code: 10591
County: Westchester
Place of Formation: New York
Address: 200 WHITE PLAINS ROAD, SUITE 110, TARRYTOWN, NY, United States, 10591

Contact Details

Phone +1 914-631-2600

Phone +1 845-342-1033

Phone +1 718-681-4000

Phone +1 914-215-4748

Phone +1 518-828-0800

Phone +1 607-336-3915

Phone +1 607-464-4444

Phone +1 845-878-3241

Phone +1 718-798-1100

Phone +1 914-739-2244

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 200 WHITE PLAINS ROAD, SUITE 110, TARRYTOWN, NY, United States, 10591

Chief Executive Officer

Name Role Address
DR FRANK MADORI Chief Executive Officer 200 WHITE PLAINS ROAD, SUITE 110, TARRYTOWN, NY, United States, 10591

National Provider Identifier

NPI Number:
1942872759
Certification Date:
2024-09-17

Authorized Person:

Name:
FRANK MADORI
Role:
MD
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2023-06-05 2024-09-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2019-06-12 2023-06-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2019-06-12 2024-09-27 Address 3 SONOMA ROAD, CORTLANDT MANOR, NY, 10567, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240927003004 2024-09-27 BIENNIAL STATEMENT 2024-09-27
190612000073 2019-06-12 CERTIFICATE OF INCORPORATION 2019-06-12

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State