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VICTORY BLVD MEDICAL PROCEDURES P.C.

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Company Details

Name: VICTORY BLVD MEDICAL PROCEDURES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jul 2020 (5 years ago)
Entity Number: 5788103
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 3860 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DR. RAMIN MOSTAFAVI DOS Process Agent 3860 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1568062776
Certification Date:
2020-10-26

Authorized Person:

Name:
DR. RAMIN MOSTAFAVI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200715000073 2020-07-15 CERTIFICATE OF INCORPORATION 2020-07-15

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State