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WESTHAMPTON BEACH PODIATRY, P.C.

Company Details

Name: WESTHAMPTON BEACH PODIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Feb 2020 (5 years ago)
Entity Number: 5709325
ZIP code: 11978
County: Suffolk
Place of Formation: New York
Address: 70C OLD RIVERHEAD ROAD, WESTHAMPTON BEACH, NY, United States, 11978

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 70C OLD RIVERHEAD ROAD, WESTHAMPTON BEACH, NY, United States, 11978

National Provider Identifier

NPI Number:
1619502242
Certification Date:
2020-03-04

Authorized Person:

Name:
DANIEL JERAN
Role:
AUTHORIZED OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes
Selected Taxonomy:
213ES0131X - Foot Surgery Podiatrist
Is Primary:
No

Contacts:

Fax:
6319794002

Filings

Filing Number Date Filed Type Effective Date
200214000453 2020-02-14 CERTIFICATE OF INCORPORATION 2020-02-14

Date of last update: 23 Mar 2025

Sources: New York Secretary of State