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JEANNETTE CANO-LANDIVAR MEDICAL OFFICE P.C.

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Company Details

Name: JEANNETTE CANO-LANDIVAR MEDICAL OFFICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jan 2021 (5 years ago)
Entity Number: 5909367
ZIP code: 11372
County: Queens
Place of Formation: New York
Address: 37-47 77TH STREET, JACKSON HEIGHTS, NY, United States, 11372

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 37-47 77TH STREET, JACKSON HEIGHTS, NY, United States, 11372

National Provider Identifier

NPI Number:
1558942243
Certification Date:
2021-04-15

Authorized Person:

Name:
JEANNETTE CANO-LANDIVAR
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
7187094733
Fax:
9177450099

Filings

Filing Number Date Filed Type Effective Date
210105000381 2021-01-05 CERTIFICATE OF INCORPORATION 2021-01-05

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State