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SULLIVAN COUNTY MEDICAL SERVICES, P.C.

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Company Details

Name: SULLIVAN COUNTY MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Feb 2020 (6 years ago)
Entity Number: 5712527
ZIP code: 12742
County: Sullivan
Place of Formation: New York
Address: BOX 840, HARRIS, NY, United States, 12742

Contact Details

Phone +1 845-707-8532

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent BOX 840, HARRIS, NY, United States, 12742

National Provider Identifier

NPI Number:
1336764794
Certification Date:
2022-08-05

Authorized Person:

Name:
DR. NINA MARIE TIOLECO
Role:
SOLE SHAREHOLDER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
224ZF0002X - Feeding, Eating & Swallowing Occupational Therapy Assistant
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No

Contacts:

Fax:
8454048189

Filings

Filing Number Date Filed Type Effective Date
200220000466 2020-02-20 CERTIFICATE OF INCORPORATION 2020-02-20

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State