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DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER P.C.

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Company Details

Name: DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Sep 2020 (5 years ago)
Entity Number: 5831605
ZIP code: 10307
County: Kings
Place of Formation: New York
Address: 300 CHELSEA STREET, STATEN ISLAND, NY, United States, 10307

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 300 CHELSEA STREET, STATEN ISLAND, NY, United States, 10307

National Provider Identifier

NPI Number:
1700483799
Certification Date:
2021-09-24

Authorized Person:

Name:
DMITRY SHINDELMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200909000686 2020-09-09 CERTIFICATE OF INCORPORATION 2020-09-09

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State