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BRANDON B. JOHNSON, M.D., P.C.

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Company Details

Name: BRANDON B. JOHNSON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Aug 2019 (6 years ago)
Entity Number: 5597467
ZIP code: 10003
County: New York
Place of Formation: New York
Address: 4 E. 12TH STREET, APT. 1, NEW YORK, NY, United States, 10003

Contact Details

Phone +1 917-284-6999

Phone +1 212-732-0073

Phone +1 212-979-2020

Phone +1 718-358-5900

Shares Details

Shares issued 1000

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
BRANDON B. JOHNSON, M.D. DOS Process Agent 4 E. 12TH STREET, APT. 1, NEW YORK, NY, United States, 10003

National Provider Identifier

NPI Number:
1356963755
Certification Date:
2021-07-22

Authorized Person:

Name:
BRANDON B JOHNSON
Role:
PRACTICE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
9175515795
Fax:
2674214838

History

Start date End date Type Value
2019-08-01 2023-11-06 Shares Share type: NO PAR VALUE, Number of shares: 1000, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
190801000794 2019-08-01 CERTIFICATE OF INCORPORATION 2019-08-01

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State