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NORTHERN GENERAL MEDICAL PRACTICE, P.C.

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Company Details

Name: NORTHERN GENERAL MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Mar 2020 (5 years ago)
Entity Number: 5727393
ZIP code: 10701
County: Queens
Place of Formation: New York
Address: 185 BRIGGS AVENUE, YONKERS, NY, United States, 10701

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 185 BRIGGS AVENUE, YONKERS, NY, United States, 10701

National Provider Identifier

NPI Number:
1255968335
Certification Date:
2020-03-26

Authorized Person:

Name:
ELSA J REYES
Role:
PHYSICIAN
Phone:

Taxonomy:

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

Contacts:

Fax:
3478480571

Filings

Filing Number Date Filed Type Effective Date
200313000362 2020-03-13 CERTIFICATE OF INCORPORATION 2020-03-13

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State