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STANLEY IKEZI, M.D. P.C.

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Company Details

Name: STANLEY IKEZI, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Mar 2020 (5 years ago)
Entity Number: 5722017
ZIP code: 11753
County: Queens
Place of Formation: New York
Address: 400 JERICHO TURNPIKE, SUITE 100, JERICHO, NY, United States, 11753

Contact Details

Phone +1 516-800-5474

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PETER BIRZON & ASSOCIATES, P.C. DOS Process Agent 400 JERICHO TURNPIKE, SUITE 100, JERICHO, NY, United States, 11753

National Provider Identifier

NPI Number:
1497374250
Certification Date:
2020-04-13

Authorized Person:

Name:
STANLEY IKEZI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2020-03-05 2023-09-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
200305000050 2020-03-05 CERTIFICATE OF INCORPORATION 2020-03-05

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State